Auscultation Training By Repetition Memorize Heart Murmurs and Lung Sounds Unlock quizzes, lessons and more. Sign Up Introduction As a supplement to our courses and reference guides, we provide repetition auscultation training. Auscultatory repetition training has been used in the CardioSource Heart Songs CDs and in several for-fee software products. The effectiveness of this type of training was reported in CHEST in 2004: 'Mastering Cardiac Murmurs* : The Power of Repetition' by Michael J. Barrett, Carolyn S. Lacey, Amy E. Sekara, Erica A. Linden and Edward J. Gracely. Using Repetition Training Select a heart or lung sound from the list below. For each sound, the audio recording will be repeated for two to three minutes. As the sound plays, a waveform with cursor is displayed for visual reinforcement. Textual listening tips are also provided. Most of the heart sounds repetition lessons include a choice or actual patient recordings and simulated heart sounds. Aortic Sclerosis (Musical Murmur) Acute Pericarditis Aortic Regurgitation (Decrescendo Diastolic Murmur) Aortic Regurgitation - Mild Aortic Regurgitation - Moderate Aortic Regurgitation - Severe #1 Aortic Stenosis (Diamond Shaped Systolic Murmur) Aortic Stenosis - Mild Aortic Stenosis - Severe Aortic Stenosis - Severe #2 Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin Arrhythmogenic RV Dysplasia Atrial Septal Defect Bronchial Bronchophony - Abnormal Bronchophony - Healthy Bronchovesicular Cardiomyopathy - Congestive Moderate Coarctation of the Aorta Commotio Cordis Crackles - Coarse (Rales) Crackles - Early Inspiratory (Rales) Crackles - Fine (Rales) Crackles - High Pitched (Rales) Crackles - Late Inspiratory (Rales) Crackles - Low Pitched (Rales) Ebstein's Anomaly Egophony - a Egophony - e Exercise - Heart Rate 120 First and Second Heart Sounds - Normal and Unsplit First and Second Heart Sounds - Reduced Intensity First Heart Sound (Markedly Split) First Heart Sound (Minimally Split) First Heart Sound - Decreased Intensity First Heart Sound - Loud First Heart Sound plus Aortic Ejection Click Fourth Heart Sound Fourth Heart Sound Gallop Hypertrophic Cardiomyopathy Innocent Murmur Innocent Systolic Ejection Murmur - Standing Innocent Systolic Ejection Murmur - Supine Mediastinal Crunch Mid-Systolic Click Mitral Regurgitation Mitral Regurgitation (Pan-systolic Murmur) Mitral Regurgitation - Severe Mitral Regurgitation and Aortic Regurgitation Mitral Stenosis (Diastolic Murmur) Mitral Stenosis - Mild Mitral Stenosis - Moderate Mitral Stenosis - Severe Mitral Stenosis Severe and Regurgitation Mild - Rheumatic Origin Mitral Valve Leaflet Prolapse Mitral Valve Prolapse (Click with late systolic murmur) Mitral Valve Prolapse with Mid Systolic Click - Standing Myocarditis Opening Snap and Second Heart Sound Patent Ductus Arteriosus Pleural Rubs Prosthetic Heart Sound - Aortic Prosthetic Heart Sound - Mitral Pulmonary Stenosis Pulmonic Regurgitation - Mild Rhonchi - Low Pitched Wheezes Second Heart Sound - Physiologically Split Second Heart Sound - Fixed Splitting Second Heart Sound - Physiologic Split Second Heart Sound - Splitting Second Heart Sound and a Tumor Plop Second Heart Sound and Late Systolic Click Second Heart Sound with Fixed Splitting Second Heart Sound with Persistent Splitting Second Heart Sound: Fixed Splitting, Decreased Aortic Intensity Second Heart Sound: Fixed Splitting, Increased Aortic Intensity Stridor Summation Gallop at 120 beats per minute Tetralogy of Fallot Third and Fourth Heart Sound Gallop Third Heart Sound - Physiologic Third Heart Sound Gallop - Abnormal Tricuspid Regurgitation - Severe Tricuspid Stenosis - Moderate Ventricular Septal Defect Vesicular - Diminished Vesicular - Normal Wheeze Wheezes - Expiratory Wheezes - High Pitched Wheezes - Low Pitched Wheezes - Monophonic Wheezes - Polyphonic Whispered Pectoriloquy - Abnormal Whispered Pectoriloquy - Healthy