Heart Songs

Are you a CardioSource Plus user? Click the button below to access Heart Songs for Institutions!
Interested in Heart Songs 4?
Click the button below to learn more and purchase!
Access Heart Songs 4
Click the button below to access Heart Songs:
Access Heart Songs 3
Click the button below to access Heart Songs:

Research recently presented at the European Society of Cardiology Congress 2015 reveals that cardiologists failed to identify more than half of basic murmurs and about 35 percent of advanced murmurs when challenged at a major medical meeting, but skills improved after a 90 minute training session.

Heart Songs 4 provides you with everything you need to effortlessly improve your cardiac auscultation skills! Simply watch/listen to each video within Heart Songs 2 to 4 times to master each murmur/sound.

Psychoacoustic research shows that intensive repetition (400 to 600 times) is key, producing a significant improvement in cardiac auscultation in a relatively short time. Once each new sound is mastered, it will be reinforced every time you hear it in a patient.

Heart Songs 4 includes basic, intermediate, advanced and adult congenital murmurs, plus images of phonocardiograms, CT scans and even videos of color Doppler echocardiograms! These visual enhancements will facilitate your understanding and mastery of many heart murmurs/sounds.

Experience Heart Songs for yourself by listening to the sample audio files below:

  • Mitral Regurgitation

  • Innocent Systolic Murmur

  • Aortic Regurgitation

  • Mitral Stenosis

Learn More About Heart Songs 4

Heart Songs 4 Table of Contents

Basic Murmurs/Sounds

Intermediate Murmurs

Basic Pre Test

Aortic Stenosis
Mitral Regurgitation
Innocent Murmur
Aortic Regurgitation
Mitral Stenosis
Fourth Heart Sound
Third Heart Sound
Summation Gallop
Pericardial Rub
Review Session 1

Basic Post Test

Intermediate Pre Test

Bicuspid Aortic Valve
Mitral Valve Prolapse
Hypertrophic Cardiomyopathy
Aortic Sclerosis
Tricuspid Regurgitation
Review Session 2

Intermediate Post Test

CME/CNE/MOC Credits: 4

CME/CNE/MOC Credits: 2

Advanced Murmurs

Adult Congenital Murmurs

Advanced Pre Test

Advanced Aortic Stenosis
Advanced Aortic Regurgitation
Advanced Mitral Regurgitation
Advanced Mitral Stenosis
Review Session 3

Advanced Post Test

Adult Congenital Pre Test

Atrial Septal Defect
Ventricular Septal Defect
Patent Ductus Arteriosus
Tetralogy of Fallot
Ebstein's Anomaly
Review Session 4

Adult Congenital Post Test

CME/CNE/MOC Credits: 2

CME/CNE/MOC Credits: 2

Heart Songs 4 features online videos and self-assessment questions. You become eligible for credit by completing the pretest, watching all videos at least twice, and completing the posttest with a score of 70% or better.

Overall Goal

To improve the recognition and differentiation of heart sounds heard during cardiac auscultation.

Target Audience

The target audience includes any healthcare professional interested in improving his/her cardiac auscultation skills.

Learning Objectives

Upon completion of Heart Songs 4, learners will acquire:

  • Basic: Improved recognition and differentiation of basic heart including third, fourth sounds, summation gallops and pericardial rubs.
  • Intermediate: Improved recognition and differentiation of essential diagnostic heart sounds/murmurs including hypertrophic cardiomyopathy and mitral valve prolapse
  • Advanced: Improved recognition and distinguishing between advanced heart murmurs including aortic/mitral stenosis and regurgitation.
  • Congenital: Improved recognition and differentiation of heart sounds associated with congenital disorders including atrial and ventricular septal defects

Format and Pricing

This program is available online and in a downloadable native app* featuring the following:

  • Heart Songs in MPEG-4 files (HD video)
  • Interactive quizzes (online)

Members: $150
Nonmembers: $190
FITs/CCAs/Emeritus: $75

*App will become available in late Summer 2016.

Research Basis for Heart Songs

“Research demonstrates that practice makes perfect when trying to master cardiac auscultation. Listening to these "Heart Songs" at the computer or iPod can help clinicians at every level refine their auscultation skills." — Michael J. Barrett, MD, FACC

Cardiac auscultation has traditionally been taught as if it were an intellectual skill, with a didactic lecture followed by a brief demonstration of heart sounds. This approach has yielded disappointing results, with most clinicians able to recognize only about 40% of abnormal heart sounds. Heart Songs, on the other hand, is based on psychoacoustic research demonstrating that intensive repetition (400 to 600 times) is required for the human brain to master a new sound. This degree of repetition is necessary for the formation of an auditory template of each new sound. Once each new sound is mastered, it is reinforced each time you hear it in a patient. By using this learning principle from psychoacoustic research, Heart Songs produces a significant improvement in cardiac auscultation in a relatively short time. Two controlled trials1,2 have shown that proficiency in cardiac auscultation routinely exceeds 80% using this approach.

Heart Songs 4 provides you with high-quality heart sounds that you can listen to at your convenience so you can improve your cardiac auscultation skills.

  1. Barrett MJ, Lacey CS, Sekara AE, Linden EA, Gracely EJ. Mastering cardiac murmurs: the power of repetition. Chest 2004;126:470-5.
  2. Barrett MJ, Kuzma MA, Seto TC, et al. The power of repetition in mastering cardiac auscultation. Amer J Med 2006;119:73-5.
  3. Barrett MJ, Martinez MW, Scott M, O’Gara PT. How accurate are cardiologists at detecting aortic and mitral murmurs? A reality check on auscultation skills in the era of transcatheter interventions. Eur Heart J 2015;36;792.
  4. Chizner MA. Cardiac auscultation: rediscovering the lost art. Curr Probl Cardiol. 2008;33:326-408.