Table of Contents
International Journal of Family Medicine
Volume 2010, Article ID 370731, 4 pages
Clinical Study

Cardiac Auscultatory Skills of Academic Family Physicians: Strength of Association with an Academic Pediatric Cardiologist

1Department of Family Medicine, Faculty of Medicine, Adnan Menderes University, 09100 Aydin, Turkey
2Department of Paediatric Cardiology, Faculty of Medicine, Adnan Menderes University, 09100 Aydin, Turkey
3Ministry of Health, 06434 Ankara, Turkey

Received 8 December 2009; Revised 9 June 2010; Accepted 14 September 2010

Academic Editor: Christos Lionis

Copyright © 2010 Guzel Discigil et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. Heart murmur is common in children, and it is one of the main reasons for referral among children in primary care. The aim of this study is to evaluate agreement and consistency of normal, innocent, and pathologic murmur decision between academic family physicians and academic pediatric cardiologist. Methods. Seven hundred fifteen primary school children were examined by family physicians and paediatric cardiologist. Auscultatory examination was performed. Intensity, frequency, duration, quality, location, and radiation of the murmur were described if present. Agreement of normal, innocent, and pathologic murmur classification decision between family physician and paediatric cardiologist was analyzed by using kappa statistic. Results. Normal, innocent and pathologic murmurs were reported for 419, 228, and 54 children in family physicians' reports, respectively. Paediatric cardiologist agreed on 383 (91.4%) children as normal, 191 (83.7%) children having innocent murmur, and 19 (35.2%) children having pathologic murmur among family physician's reports. There was good consistency between family physicians and paediatric cardiologist ( 𝜅 value = 0 . 6 7 9 , 95% CI 0.630–0.727, 𝑃 < . 0 0 1 ). They agreed on the majority of normal and innocent murmur decisions. However family physicians reported pathologic murmur more frequently. Conclusion. Cardiac auscultatory skills of academic family physicians may be concordant with paediatric cardiologist.