{
  "schema_version": 1,
  "kind": "condition",
  "id": "heart-or-arterial-murmur",
  "name": "Heart or arterial murmur",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class KS52 - condition scope only, no dose · Innocent Murmur - StatPearls - NCBI Bookshelf (NBK507849) - https://www.ncbi.nlm.nih.gov/books/NBK507849/ · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Innocent Murmur - disease-level clinical article (heart-or-arterial-murmur-full.txt) · Innocent Murmur - disease-level clinical article (heart-or-arterial-murmur-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 904,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "This is an examination finding, not a diagnosis in itself; what is prescribed, if anything, depends entirely on the underlying cause found on further workup.",
      "adult_duration": "Refer",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "This is an examination finding, not a diagnosis in itself; what is prescribed, if anything, depends entirely on the underlying cause found on further workup.",
      "cautions": [
        "Signs of heart failure, syncope, chest pain, fever with a new murmur, diastolic murmurs (usually pathological).",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - New murmur with decreased activity level, worsening exercise tolerance, shortness of breath, chest pain, or exertional syncope raises major concern for cardiac pathology.",
        "RED FLAG - Purely diastolic murmurs are by definition always pathologic until proven otherwise.",
        "RED FLAG - Suspected pathologic murmurs warrant referral to a cardiologist."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "heart-or-arterial-murmur"
    }
  ]
}