PEDIATRICS Vol. 87 No. 6 June 1991, pp. 952-953
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Evaluation of Heart Murmurs

JOHN F. SMYTHE MD1, OTTO H. P. TEIXEIRA MD, FRCPC1, PETER VLAD MD, FRCPC1, PIERRE PAUL DEMERS MD, FRCPC1, and WILLIAM FELDMAN MD, FRCPC1

1 Department of Pediatrics, Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario, Canada

In Reply.—

We find that when the patient has not been diagnosed as having organic heart disease, the authority of the cardiologist is challenged rarely, because most people accept the concept that those who dedicate full time to a specific activity (the cardiologist) have a higher level of confidence than those who do not (family physician). Obviously, the problem is more complicated when there is need to delabel a child previously diagnosed incorrectly. We find then that laboratory studies are helpful to alleviate unnecessary but persistent parental concerns.