What is the work-up of an asymptomatic murmur in adults?
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Echocardiography is recommended in asymptomatic adult patients with murmurs that are diastolic, continuous, early-systolic, late-systolic, or holosystolic; associated with an ejection click; or midsystolic and grade 3 or louder. Cardiology referral or echocardiogram is also recommended if the examiner cannot characterize the murmur. (SOR: C, based on expert opinion.)
Evidence Based Practice 14(4): 06-07.