Publications and Reviews

Books, CDs and Apps

Our authors & developers have written multiple clinical skills books, CDs and mobile apps, 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
  • SoundBuilder for Heart Sounds - iPhone App, Publisher: 3M Littmann
  • Learning Lung Sounds CD, Publisher: 3M Littmann, UPC: 00707387565930
  • Prentice Hall Heart and Lung Sounds, Workbook and CD, Publisher: Pearson ISBN: 9780131949003
  • Basic Arrhythmias (6th Edition) - EKG Drills CDROM, Publisher: Brady, ISBN: 0131175912
  • Learning Lung Sounds - Web Site Edition , Publisher: 3M Littmann, UPC: Apple App Store (free)


  • Dr Jon Keroes, Cardiologist
  • David Lieberman, Cardiac Simulation Software Engineer
  • Dr Barbara Erickson, Heart Sounds Educator/Author
  • Diane Wrigley, Physician Assistant, Author and Nursing Educator
  • William French, Author, Reviewer & Nursing Educator


Clinical Correlations (NYU Internal Medicine)

Highly Recommended. This website has convincing heart sounds that are easily heard and can be listened to over and over to place in your memory bank. Under each sound file, there is a description of the murmur heard with specific maneuvers that can be performed. The website is driven by a complete course that includes common murmurs heard in the primary care setting as well as more advanced cardiac murmurs including congenital defects. Also included are sample lung sounds. This website also includes quizzes integrated within each course section which is a great way to test your knowledge and understanding. I would recommend this site as a good learning tool. The sound quality is heard best with the use of headphones. Also great is the fact it can be played on iphones or ipads as per the site (I did not try this). Cardiac Murmur Websites

JAMA: The Journal of the American Medical Association, 2007
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds and Murmurs by Jonathan Keroes and David Lieberman

Excerpt: Cardiac auscultation is a fundamental yet exceedingly difficult-to-master clinical skill. Acquisition of auscultatory skills has declined steadily over the last several decades, a phenomenon attributed to several factors, including less patient contact in the hospital, availability of high-tech gadgetry (echocardiogram with Doppler, cardiac magnetic resonance, cardiac computed tomography), and scarcity of competent clinical instruction. Strategies to teach this important diagnostic modality using the time-honored methods of repetition and practice include audio recordings, multimedia CD-ROMs, books used in tandem with these resources, and mannequins. Nothing, however, can replace patient contact—the thrill of listening to an actual person and making a clinical diagnosis—or the gratification of teaching this skill to younger physicians. M. Saleem Seyal, MD, Reviewer, River Cities Cardiology, Jeffersonville, Ind

University of Missouri Kansas City School of Medicine
Basic Clinical Skills Learning Resources

Excerpt: The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds and Murmurs [CD-Rom], Jonathan Keroes, MD and David Lieberman; Lippincott Williams & Wilkins, 2005, 1 CD-Rom, Win/Mac. SUMMARY: This multimedia CD-ROM is a tool for developing cardiac auscultation skills. It contains computer simulations of 28 abnormal heart sounds along with visual representations of the sounds (phonocardiograms), electrocardiograms and pressure tracings for each condition, and animated cartoons showing the anatomic and Doppler flow abnormalities. Users can listen to each auditory heart sound while viewing graphic material that helps identify the abnormality. On-screen controls allow users to selectively listen to portions of the heart sound cycle-S1, S2, systole, or diastole. Abnormalities include: angina pectoris, aortic regurgitation, aortic stenosis, mitral regurgitation, mitral stenosis, mitral valve prolapse, pericarditis, primary pulmonary hypertension, teratololgy of Fallot, ventricular septal defect and more. UMKC MultiMedia News

World Health Organization, 2006: Basic Sources in English for a Medical Faculty Library

Virtual Cardiac Patient has been recommended by the World Health Organization for inclusion in Medical Libraries. The complete WHO document is available for downloading from the WHO website.

JAMA, Journal of the American Medical Association, 2003
Learning Lung Sounds: Interactive Multimedia Course

Excerpt: R. L. H. Murphy and M. A. Murphy, authors. An assortment of pulmonary physicians at various levels of expertise and computer literacy tested Learning Lung Sounds from Stethographics, Inc for this review. The product is delivered on a self launching CD-ROM. Once the CD is placed in the drive, the product launches automatically to a home page with easy and intuitive navigation. No downloads or installations were required on the five different computers it was tested on, which were sound card enabled, Pentium 3 PCs with Windows 95, 98, Me, XP, 2000, and NT. The instructions are clear but minimal and could provide more depth for different types of student user on how to derive maximal benefit from the CD. The course is clearly divided into four sections: "Introduction," "Common Lung Sounds," "Sound Patterns," and "Cases."

Other References

Washington University Medical School Library

Thorac: Auscultation of the lung: past lessons, future possibilities