Heart murmurs diagnosed on precordial auscultation are a significant finding that warrant further clinical investigation. The clinical implications of the murmur requires consideration to determine the anaesthetic risk. 2 Patient signalment, presenting complaint, presence of concurrent diseases, exercise tolerance and current medication are important considerations to address during a pre-anaesthetic evaluation. A heart murmur per se is not a contraindication, but rather a caution for general anaesthesia in a patient not showing clinical signs. The drug… Continue Reading