Cardiac Murmurs


North South North West Statewide

Pre-referral work-up


All referrals should comply to the referral standards and also include:

  • Cardiac risk factors
  • Duration
  • Current health especially recent history of illness with fever
  • Past history especially of rheumatic fever
  • Associated symptoms – SOB, angina, syncope, palpitations
  • Medications – current and past


  • CXR
  • ECG

Interim/GP management

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

Direct link to Health PathwaysHeart Murmurs In Adults


For more information please see the Tasmanian Health Pathways website.


Suspected or confirmed Bacterial Endocarditis

Patients in decompensated heart failure

Urgent / category 1

Symptomatic aortic stenosis

Semi-urgent / category 2

Murmur suspected to be haemodynamically significant

Routine / category 3

All other murmurs

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


Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489


Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within one week, or sooner if clinically indicated.


We will endeavour to see these patients within four weeks


Next available appointment usually within eight weeks