Many murmurs are discovered unexpectedly when a doctor listens to someone's heart with a stethoscope during a routine physical exam. In other cases, when someone is having symptoms of heart problems, the doctor will ask questions related to a specific type of heart ailment. For example, he or she may ask about a history of rheumatic fever because rheumatic fever during childhood can cause heart valve abnormalities later in life. Because endocarditis can follow intravenous drug use or certain medical or dental procedures, your doctor may ask about these risk factors. If the patient is an infant, the doctor will ask whether there is a family history of congenital heart problems.
Because specific heart problems are associated with specific types of murmurs, your doctor often will make a tentative diagnosis based on your medical history, symptoms and the murmur's distinctive sound and timing (whether the murmur occurs when the heart is pumping or resting). As part of your medical evaluation, your doctor may order diagnostic tests, which may include:
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