Goldfield N, Neinstein L, Wohlgelernter D
Postgrad Med. 1986 Apr;79(5):111-9. doi: 10.1080/00325481.1986.11699349.
Cardiac findings in adolescents and young adults are usually normal, and most murmurs and other abnormalities that are found are benign. However, the primary care physician needs to obtain a complete personal and family history and perform a thorough physical examination to rule out cardiovascular disease and its precursors. Of primary concern are a personal or family history of syncope, family history of sudden death, and several pathologic murmurs such as those caused by mitral valve prolapse and hypertrophic cardiomyopathy. The physician may need to reassure the patient until a definitive diagnosis is made and can also provide accurate information on cardiac disease prevention.
青少年和青年的心脏检查结果通常正常，所发现的大多数杂音及其他异常都是良性的。然而，初级保健医生需要获取完整的个人和家族病史，并进行全面的体格检查，以排除心血管疾病及其先兆。主要关注的是个人或家族晕厥史、猝死家族史，以及一些病理性杂音，如二尖瓣脱垂和肥厚型心肌病引起的杂音。在做出明确诊断之前，医生可能需要安抚患者，同时也可以提供有关心脏病预防的准确信息。
