July 2, 1997

Rapid Interpretation of Heart Sounds and Murmurs

Author Affiliations

Baylor College of Medicine Houston, Tex


by Emanuel Stein and Abner J. Delman, with illustrations by Thomas Xenakis, 4th ed, 168 pp, with illus, includes 2 audiocassette tapes, softcover text in slipcase, $37.95, ISBN 0-683-30131-4, Baltimore, Md, Williams & Wilkins, 1997.

JAMA. 1997;278(1):79. doi:10.1001/jama.1997.03550010093051

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


In Rapid Interpretation of Heart Sounds and Murmurs the emphasis is on clinical applicability of these signs in the diagnosis of heart disease.

The current edition also contains two new sections on "dynamic cardiac auscultation"specific hemodynamic maneuvers to alter heart sounds and murmurs—and on their value in the evaluation and diagnosis of specific cardiac lesions.

The text of the heart sound section in the fourth edition has been rewritten and expanded to include the tricuspid opening snap, diastolic "knocks," "tumor plop" sounds, and new illustrations. The heart murmur section has also been rewritten and expanded. For the various sections objectives, pretest questions and posttest questions (including answers) are provided. Drs Stein and Delman have greatly advanced understanding of the basic mechanisms and clinical applications of heart sounds and murmurs. Thomas Xenakis has provided readers with superb illustrations.

The book and audiotapes will be invaluable to medical students and