Newspaper Page Text
DR. LAWRENCE E. LAMB
Blood Flow Causes
Heart Murmur
By Lawrence Lamb, M.D.
Dear Dr. Lamb— l am a
13-year-old girl and last year
while I was having a physi
cal examination my doctor
said that I had a heart mur
mur. Since then I have had
two chest X rays and elec
trocardiograms because of
severe chest pain which I get
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from running or playing ac
tive games. I also have a
small lump which is some
times painful in the middle
of my chest. Could this be a
hernia? What exactly are
heart murmurs? What could
my chest pain be caused
from? Will I outgrow these
pains?
Dear Reader—A heart
murmur is an audible vibra
tion or sound, caused by the
circulation through the
heart. If you squeeze on a
garden hose while water is
running through it you can
feel the vibrations caused by
the water in the hose. The
same type of vibrations can
be caused by blood flow.
Now many young people
have murmurs that are per
fectly normal and result
from the turbulence of their
normally active young cir
culations. In other instances
the murmur turbulence is
caused by a defect in the
heart from birth or following
rheumatic heart disease af
fecting one of the heart
valves. The normal mur-
murs can be ignored. If
there is a change or ab
normality in the structure of
the heart, then an operation
is sometimes indicated.
Careful studies have to be
made before an operation is
advised since not all defects
are benefited by surgery.
Your letter tells me that
you do not know if you have
a problem with your heart
or not. I think it is important
that you do know, and also
know if you need to limit
your activities, have heart
surgery or, in fact, have
nothing at all wrong with
your heart. It would be a
big mistake to allow yourself
to become an invalid if you
had nothing wrong with your
heart.
Why don’t you ask your
parents to find out from your
doctor if he thinks your mur
mur is just a normal find
ing or if he thinks you have
a problem ?
I assume that your doctor
does not think you have had
rheumatic heart disease or
he would surely have given
you some regular medicine
to protect you from a recur
rence and further heart
damage as recommended by
the American Heart Assn. So
it is probably something you
were born with—or nothing.
Lumps have to be ex
amined to determine their
significance. Hernias do not
usually occur through the
chest wall unless there is
previous surgery. Chest pain
can be caused from a vari
ety of problems including
muscle spasms.
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>«««:>
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5
Thursday, June 10 z 1971
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