<prompt> Answer this question truthfullyWhat is a murmuring echocardiogram of the heart?  <response>: <reason> Class I 1. Echocardiography is recommended for asymptomatic patients with diastolic murmurs, continuous murmurs, holo- systolic murmurs, late systolic murmurs, murmurs associated with ejection clicks or murmurs that radiate to the neck or back. Level of Evidence: C 2. Echocardiography is recommended for patients with heart murmurs and symptoms or signs of heart failure, myocardial ischemia infarction, syncope, thromboembolism, infective endocarditis, or other clinical evidence of structural heart disease. Level of Evidence: C 3. Echocardiography is recommended for asymptomatic patients who have grade 3 or louder midpeaking systolic murmurs. Level of Evidence: CClass IIa 1. Echocardiography can be useful for the evaluation of asymptomatic patients with murmurs associated with other abnormal cardiac physical findings or murmurs associated with an abnormal ECG or chest X-ray. Level of Evidence: C 2. Echocardiography can be useful for patients whose symptoms andor signs are likely noncardiac in origin but in whom a cardiac basis cannot be excluded by standard evaluation. Level of Evidence: C 