Case Challenge: Nulliparous Cardiac Challenges: A Diagnostic Case

Abstract

In this case challenge, a healthy 27-year-old woman presents for a routine new patient visit to establish care and is found to be pregnant. The assessment detects an audible heart murmur. Pregnancy-induced murmurs are a common finding. In this case, however, the key to understanding causation includes a thorough individual and family health history. In this situation, knowing when and who to refer patients to is essential in optimizing the health of the mother and infant.