Hello parent! Do not blame your doctor or pediatrician for missing your baby’s cardiac lesion.

Three days back.  5 months old baby was referred to me for echocardiography because; the referring doctor detected a murmur now. Father of baby was angry   because he was not aware of such murmur before i.e. soon after birth doctor who saw the baby did not tell them about any murmur.

Murmur is an abnormal sound heard with doctor stethoscope, this is produced due to abnormal connections in heart or blocked or stenotic valves or leaking valves.

During intra-uterine life i.e. inside mother’s womb, pattern circulation is quite different from the circulation of blood, after the birth. Soon after birth circulation of blood changes to adult pattern but how ever some pattern of fetal circulation still persist for few months to weeks

In intrauterine life right sided heart pressure is more but in adult right sided pressure is less. Soon after birth and for few weeks after birth due to high right sided pressure,  pressure gradient i.e. difference between left and right side  is less,  murmurs  which are the  key for diagnosing cardiac defects may not be heard by your doctor due to less pressure gradient, and later after few weeks or months when right sided pressure decrease  like adult these murmur may appear .

After Birth due to this changing pressures and hence murmurs, your doctor who sees your baby soon after birth should not be blamed for missing cardiac lesion.

Dr Umesh Bilagi

MBBS, MD, DM (cardiology). I am Interventional cardiologist. Blogging is my passion. Associate professor of cardiology KIMS Hubli. Director and consultant at Tatwadarsha Hospital Hubli. Owner of Jeevan Jyoti Hospital Hubli. Mobile +91 9343403620.

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