An 18 year old male is has come to you for a sports physical. During the physical, you notice a II/VI systolic murmur. What is your next step?
a. Go directly to cardiology. Do not stop at go. Do not collect $200.
b. Have the child perform a Valsalva maneuver.
c. Do an EKG reading.
d. Question the teenager’s use of drugs.
e. Ignore the murmur. It is probably benign
The correct answer is b. Have the child perform a Valsalva maneuver.
A II/VI systolic murmur is a common finding in young adults, and it’s often benign. However, it’s essential to further evaluate the murmur to determine its significance. A Valsalva maneuver can help distinguish between a benign and a potentially pathologic murmur.