100%(11)11 out of 11 people found this document helpful
This preview shows page 3 - 5 out of 5 pages.
In conclusion, in a setting with a murmur greater than a grade III at rest, I would further investigate with exercises increasing the SVR and order an ECG and reassess.
ReferencesAlpert, M. A. (1990). Systolic Murmurs. In H. K. Walker & W. D. Hall (Eds.), The History, physical, and laboratory examinations(3rd ed.). Retrieved from Clark, B. C., Hayman, J. M., Berul, C. I., Burns, K. M., & Kaltman, J. R. (2017, January 2). Selective use of the electrocardiogram in pediatric preparticipation athletic examinations among pediatric primary care providers. Annals of Noninvasive Electrocardiology, 22, 1-7. Frank, J. E., & Jacobe, K. M. (2011, October 1). Evaluation and management of heart murmurs in children. American Academy of Family Physicians, 84(7), 793-800.Huether, S. E., & McCance, K. L. (2016). Understanding pathophysiology(6th ed.). Retrieved from [VitalSource Bookshelf version] vbk://9780323354097Kocovski, L., & Fernandes, J. (2015). Sudden cardiac death. Archives of Pathology & Laboratory Medicine, 139(3), 413-416. Ostman-Smith, I. (2011). Sudden cardiac death in young athletes. Open Access Journal of SportsMedicine, 2, 85-97. Walden University - School of Nursing. (n.d.). Discussion 1: Cardiovascular alterations. Retrieved from 6501/USW1_NURS_6501_week05.html?course_uid=USW1.30042.201910&service_url=-