Heart Murmurs: What to Expect After Your Check-Up - Cardiology

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Physical examination


Today, during my physical examination, I was found to have a heart issue, and the doctor did not clear me.
He noted the reason as "systolic heart murmur," but he also mentioned that it should not have a significant impact.
The examination took place from 9:00 to 11:00.
If it is not a major concern, why was I not cleared? I have never experienced any heart discomfort, and I was part of the school sports team.
He advised me to schedule a follow-up appointment.
Is there a chance that I could be cleared during the follow-up? I am very worried that not passing the physical will prevent me from applying for voluntary military service.

Zhang, 10~19 year old female. Ask Date: 2007/05/09

Dr. Zhuang Junbin reply Cardiology


If it is a functional heart murmur (a type of systolic heart murmur), you should be able to serve, so there is no need to worry too much.

Reply Date: 2007/05/09

More Info


Heart murmurs are sounds made by turbulent blood flow within the heart, and they can be detected during a physical examination using a stethoscope. While some murmurs are benign and pose no health risks, others may indicate underlying heart conditions that require further evaluation. In your case, the mention of a "systolic heart murmur" suggests that there may be some abnormal blood flow during the heart's contraction phase. However, the fact that the examiner indicated it "shouldn't have a significant impact" is a reassuring sign, suggesting that the murmur may not be associated with any serious heart disease.

After a check-up where a heart murmur is detected, it is common for healthcare providers to recommend follow-up evaluations. These may include additional tests such as an echocardiogram (ultrasound of the heart) to assess the structure and function of the heart more closely. An echocardiogram can help determine if the murmur is due to a structural issue, such as a valve problem or other heart abnormalities.
The reason your examiner advised you to return for a follow-up could be to monitor the murmur over time or to rule out any potential issues that may not have been apparent during the initial examination. It is important to understand that many individuals with heart murmurs lead normal, healthy lives, especially if the murmur is classified as "innocent" or "physiologic," meaning it is not associated with any heart disease.

Regarding your concern about not passing the physical examination for military service, it is essential to communicate openly with your healthcare provider. If the follow-up examination shows that the murmur is benign, you may be cleared for service. In many cases, if the murmur is not associated with any significant heart condition, individuals can still qualify for military service after further evaluation.

In the meantime, it is crucial to maintain a healthy lifestyle. Regular exercise, a balanced diet, and avoiding smoking can contribute positively to your heart health. If you experience any symptoms such as chest pain, shortness of breath, or palpitations, it is essential to seek medical attention promptly.

In summary, while the detection of a heart murmur can be concerning, it is often manageable and may not significantly impact your health or ability to serve in the military. Follow your doctor's advice regarding further evaluations and maintain open communication about your health concerns. With appropriate monitoring and care, many individuals with heart murmurs continue to lead active and fulfilling lives.

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