Outpatient Clinics

This condition is treated in the Cardiology clinic

Pre-referral work-up

History

Direct Referral to Cardiology Clinic

All referrals should comply to the Referral Standards and must include:

• Physical findings including colour assessment or oxygen saturation
• Report presence or absence of the following:
  • - History of exercise intolerance
  • - Cyanotic episodes or blue spells
  • - Weak or absent femoral pulses
  • - Clubbing

Highly desirable information - may change triage category

• Known other congenital abnormalities
• Family history of congenital cardiac disease
• Aboriginal or Torres Strait Islander or Maori status (acute rheumatic fever / rheumatic heart disease risk)

Tests

Pathology:

• FBC
• UEC
• TFT

Imaging:

• Nil

Investigations:

• Any relevant e.g. echocardiogram report

Interim/GP management

To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.

Desirable information - will assist at consultation

• Other past medical history
• Immunisation history
• Developmental history
• Medication history
• Significant psychosocial risk factors (especially parent’s mental health, family violence, housing and financial stress, department of child safety involvement).
• Height/weight/head circumference and growth charts with prior measurements if available.
• Other physical examination findings inclusive of CNS, birth marks or dysmorphology.
• Any relevant laboratory results or medical imaging reports, urinalysis result.

Interim management advice for Heart Murmurs in Adults can be found on HealthPathways.

For more information please see the Tasmanian Health Pathways website.

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.