Antonio Guijarro Morales, MD
To the Editors: Cardiac auscultation must be done in a compulsive, systematic way, with the physician listening intently for one event at a time (1). Auscultation focuses more on the timing of events within the cardiac cycle than on their intensity or on the site at which they are heard best (2).
Training in heart auscultation should begin with teaching the student to identify the first sound, perceived simultaneously with the carotid pulse (3). This can be taught only on an individual basis. We use a flash of light—either video-recorded or emitted in real time—that is presented simultaneously with the
Morales AG. Training in Heart Auscultation. Ann Intern Med. ;114:1065–1066. doi: 10.7326/0003-4819-114-12-1065_2
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Published: Ann Intern Med. 1991;114(12):1065-1066.
Cardiac Diagnosis and Imaging, Cardiology.
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