The promise of computer-assisted auscultation in screening for structural heart disease and clinical teaching.

Cardiovascular Journal of Africa
L ZühlkeB M Mayosi

Abstract

Cardiac auscultation has been the central clinical tool for the diagnosis of valvular and other structural heart diseases for over a century. Physicians acquire competence in this technique through considerable training and experience. In Africa, however, we face a shortage of physicians and have the lowest health personnel-to-population ratio in the world. One of the proposed solutions for tackling this crisis is the adoption of health technologies and product innovations to support different cadres of health workers as part of task shifting. Computer-assisted auscultation (CAA) uses a digital stethoscope combined with acoustic neural networking to provide a visual display of heart sounds and murmurs, and analyses the recordings to distinguish between innocent and pathological murmurs. In so doing, CAA may serve as an objective tool for the screening of structural heart disease and facilitate the teaching of cardiac auscultation. This article reviews potential clinical applications of CAA.

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Citations

Mar 19, 2016·Congenital Heart Disease·Lillian S W LaiAndreas J Schriefl
Dec 1, 2018·Medical Education Online·Malcolm E LeggetRobert N Doughty
May 20, 2019·Global Heart·Leila Hussein AbdullahiLiesl Joanna Zühlke
Jul 7, 2020·Cardiology in the Young·Addison GearhartAnthony C Chang
Nov 10, 2020·Medical Devices : Evidence and Research·Thomas SühnMichael Friebe

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