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Your doctor heard a heart murmur – should you worry?

That irregular sound is not always a cause for concern

Most people remember the exact moment a provider tells them, “I hear a murmur.”

For many adults, it happens during a routine checkup. You feel fine. You came in for something simple. Then your provider pauses for a moment while listening to your heart after hearing an unexpected sound.

In many cases, the murmur your provider hears is simply an innocent heart murmur. Think of your heart like a steady rhythm that keeps your entire life going. Most of the time, it beats quietly in the background. But every now and then, when your provider listens, he or she may hear a soft extra sound.

That sound is a murmur, and when your heart is healthy and the sound is harmless, we call it innocent. It doesn’t mean your heart is damaged, that your valves aren’t working or that you have heart disease. It simply means that blood moving through your heart made a sound.

WHY ADULTS GET INNOCENT MURMURS

You may wonder how a murmur shows up when you feel perfectly fine. Innocent murmurs often appear when the body makes the heart work a little harder than usual. These are everyday situations that increase blood flow and create a temporary sound.

SOME COMMON REASONS INCLUDE:

  • Low iron levels
  • Fever or illness
  • Pregnancy
  • Intense exercise
  • Stress or anxiety
  • Dehydration
  • Overactive thyroid
  • Temporary changes in blood pressure

Imagine a car engine working slightly harder when you drive uphill. The engine is normal and simply responding to the moment. Your heart works the same way.

Once the body returns to its usual rhythm, the murmur often settles down or goes away. If anything needs a closer look, an echocardiogram may be recommended. This test shows the heart valves and blood flow in motion. Most of the time, the heart looks perfectly normal.

INNOCENT MURMURS AND SYMPTOMS

Innocent murmurs do not cause symptoms like chest pain, trouble breathing or discomfort. They are not responsible for fatigue or swelling.

If a person does experience symptoms such as unusual tiredness, chest sensations, swelling in the legs, difficulty breathing or irregular heartbeats, these usually come from another cause. It’s important to mention them so your provider can help you get clarity.


Dr. Juan Del Cid Fratti is a board-certified structural and interventional cardiologist with Memorial Physician Clinics Southern Mississippi Heart Center. Call (228) 575-8020 or visit wearememorial.com to learn more.

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Written by Memorial Health System

Memorial offers both primary care services and virtual visits. Learn more by visiting wearememorial.com or by calling (228) 867-5000.

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