Heart Sounds Murmurs Reference Guide

Our cardiac auscultation reference guide includes over a hundred heart sounds. These sounds include both recorded patient heart murmurs as well as simulated heart sounds. The reference guide is organized by auscultation location. The guide also includes listening tips and phonocardiograms.

Reference Guide


Learn heart murmurs and other abnormal heart sounds using these courses. Over 60 lessons present systolic and diastolic murmurs, third (S3) and fourth (S4) heart sounds and congenital conditions. Each lesson includes audio, text, phonocardiogram and cardiac animation.Use the Quick Links panel to select a course.

We recommend that beginning student start with our Introduction to Heart Murmurs page, then take the Normal Heart Sounds course and progress down the list of additional courses, at least through the Diastolic Murmurs course. Courses typically take 15-20 minutes.

Heart Murmurs Introduction

Auscultation Repetition Training

For some learners, auscultation repetition training is a useful complement to our courses. We provide repetition training along with a dynamic phonocardiogram for helping users memorize each sound.

Repetition Training

Pulmonary Arterial Hypertension

Learn to recognize abnormal heart sounds related to pulmonary arterial hypertension. This is a new course, developed by Dr Jon Keroes and David Lieberman.

Pulmonary Hypertension

Carotid Bruit

This course extends auscultation skills by a series of case studies related to carotid artery disease. Using our carotid artery exam simulator, you will be to identify carotid bruit, which is caused by turbulent blood flow in an artery which supplies blood to the brain.

Carotid Artery Exam Course


Dr Jon Keroes, Cardiologist
David Lieberman, Cardiac Simulation Software Engineer

Editorial Reviewer
Dr Barbara Erikson, Heart Sounds Educator/Author

The creators of these heart sounds murmurs materials have been key contributors to other heart auscultation books and CDs, including:
  • The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds and Murmurs, Publisher: Lippincott Williams & Wilkins, ISBN: 0781784425

  • Introduction to Heart Sounds CD, Publisher: 3M Littmann, UPC: 707387565947

  • Prentice Hall Heart and Lung Sounds, Workbook and CD, Publisher: Pearson, ISBN: 9780131949003

  • Simplified Introduction to Heart and Lung Sounds, Publisher: Stethographics

  • SoundBuilder for Heart Sounds - iPhone Edition, Publisher: 3M Littmann