[Skip to Content]
[Skip to Content Landing]
Article
November 20, 1967

Auscultation of the Heart by Machine and by Physicians

Author Affiliations

From the Irvington House Institute and the Department of Medicine, New York University Medical School (Drs. Taranta and Spagnuolo). Dr. Ieri and Mr. Greenberg are research fellows of Irvington House Institute.

JAMA. 1967;202(8):703-705. doi:10.1001/jama.1967.03130210077012
Abstract

An automatic screening device for auscultatory evidence of heart disease was tested on 308 children and adolescents who had previously had rheumatic fever. The device correctly recognized as abnormal 88.5% of 131 patients with rheumatic heart disease (RHD), and correctly recognized as normal 83.6% of 177 patients with no RHD. For purposes of comparison a cardiologist, an internist, and a senior medical student each listened while blindfolded to the heart sounds of three 100-patient subsets of the above population. The auscultation was limited to the areas used for the automatic screening. They correctly recognized as abnormal 97.9%, 94.5%, and 91.9% of the patients with RHD, and correctly recognized as normal 81.1%, 84.4%, and 85.7% of the patients without RHD.

References
1.
Smith, J.M., et al:  Use of Tape-Recorded Heart Sounds in Screening of Children for Heart Disease ,  Circulation 20:887-896 ( (Nov) ) 1959.Crossref
2.
Naiman, R.A., and Barrow, J.G.:  Heart Disease Screening in School Children: A Comparison Between Clinical Screening and Heart Sound Screening ,  Circulation 29:708-712 ( (May) ) 1964.Crossref
3.
Miller, R.A., et al:  The Detection of Heart Disease in Children: Results of a Mass Field Trial With Use of Tape-Recorded Heart Sounds ,  Circulation 25:85-95 ( (Jan) ) 1962.Crossref
4.
Gerbarg, D.S., et al:  Computer Analysis of Phonocardiograms ,  Progr Cardiov Dis 5:393-405 ( (Jan) ) 1963.Crossref
5.
Taranta, A., et al:  Automatic Analysis of Phonocardiograms ,  Ann NY Acad Sci 115:1062-1090 ( (July) ) 1964.
6.
Durnin, R.E., et al:  New Approach to Heart Sound Screening in Children by Analog-Digital Circuitry ,  Public Health Rep 80:761-770 ( (Sept) ) 1965.Crossref
7.
Levy, M.E., et al:  A Field Study in Screening Children's Heart Sounds With a Portable Computer ,  Biomed Engineering 1:446-456 ( (Sept) ) 1966.
8.
Feinstein, A.R., and DiMassa, R.:  The Unheard Diastolic Murmur in Acute Rheumatic Fever ,  New Eng J Med 260:1331-1333 ( (June 25) ) 1959.Crossref
×