History
A 70-year-old man presents to his doctor's office for routine follow-up examination. No history of chest pain, heart failure or fainting episodes. Patient has a heart murmur first noted in his early 50s.
Use the 'auscultation' link above to virtually listen to this patient's heart and carotid sounds.

Authors and Sources
Authors and Reviewers
- 
                        Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
- Lung sounds provided by Diane Wrigley, PA
- 
                        Heart sounds mentorship by W. Proctor Harvey, MD
- Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
- 
                        Last Update: 11/10/2022
Sources
- 
                        Heart Sounds and Murmurs Across the Lifespan (with CD)
                    
                    by Dr Barbara Ann Erickson
 Publisher: Mosby
 ISBN-10: 0323020453; ISBN-13: 978-0323020459
- 
                    
                        Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
                    
                    
 Elsevier-Health Sciences Division
 Barbara A. Erickson, PhD, RN, CCRN
- 
                        Heart and Lung Sounds Reference Guide
 PracticalClinicalSkills.com
- 
                    
                        Heart Sounds Made Easy with CD-ROM: (with CD-ROM) 2nd Edition
 Anthony P. Salmon
 ISBN-13: 978-0443069079
- NCBI Review of Heart Sounds and Murmurs: A Practical Guide
- 
                   
                        The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds And Murmurs
                    
                    Jonathan Keroes, David Lieberman
 Publisher: Lippincott Williams & Wilkin)
 ISBN-10: 0781784425; ISBN-13: 978-0781784429
- 
                    
                        Ventricular Function Curves in the Exercising Dog
                    
                    
 JONATHAN KEROES , ROGER R. ECKER , and ELLIOT RAPAPORT
 Circulation Research, Vol. 25, No. 5
- 
                   
                        Electrocardiographic changes associated with ritodrine-induced maternal tachycardia and hypokalemia
                    
                    American Journal of Obstetrics Gynecology, VOLUME 154, ISSUE 4, P921-923, APRIL 01, 1986
 Susan K Hendricks, MD, Jonathan Keroes, MD, Michael Katz, MD
- 
                   The_Virtual_Cardiac_Patient_A_Multimedia_Guide_to_Heart_Sounds_and_Murmurs
                    A Multimedia Guide to Heart Sounds and Murmurs
 January 2007 JAMA The Journal of the American Medical Association 297(2):217-218
 DOI:10.1001/jama.297.2.217. M. Saleem Seyal, MD, Reviewer
- 
                   Clinical Heart Disease
                    W Proctor Harvey, MD
Laennec Publishing; 1st edition (January 1, 2009)
70-year-old man in doctor’s office for annual exam




