Background: We aimed to evaluate the cardiac murmur and echocardiography findings of the patients who were referred to our pediatric cardiology unit for cardiac murmur. Materials and Methods: The murmurs of the patients were divided into two as innocent and pathological. Electrocardiographic and echocardiographic evaluations were performed on the patients. Results: 219 patients who applied with murmur were included in our study. The average age of the patients was 21.61 ± 34.3 months. Patent foramen ovale (40 patients) and small secundum atrial septal defect (1 patient) were detected in 138 patients with innocent murmur. While cardiac pathology was detected in 96.2% of the patients who were thought to have a pathological murmur, no cardiac pathology that required treatment was found in any of the patients with an innocent murmur (p <0.01). When it was aimed to examining the determinacy of murmur in distinguishing echocardiographic findings: The sensitivity of physical examination is 66% for pediatric cardiology physicians and its specificity is 97%, its positive predictive value is 96%, its negative predictive value is 83%, and the accuracy rate is 80%, The sensitivity of physical examination is 57% for general pediatricians and its selectivity is 87%. The positive predictive value was 84%, the negative predictive value was 64%, and the accuracy rate was 71%. Conclusion: The higher rate of detecting cardiac pathologies by physical examination of pediatric cardiologists than pediatricians shows the importance of cardiovascular examination. If general pediatricians receive a good cardiovascular examination training, they will both keep the patient and the family away from unnecessary stress and protect the patients from cardiac pathologies that may be irreversible later in their lives.