Horton hears a Who but no murmurs-- does it matter?
2002; Oxford University Press; Volume: 19; Issue: 4 Linguagem: Inglês
10.1093/fampra/19.4.422
ISSN1460-2229
Autores Tópico(s)Phonocardiography and Auscultation Techniques
ResumoA recent editorial in the American Journal of Medicine laments that cardiac auscultation skills appear to be heading for extinction. To reach this conclusion, one has to concur with two implicit assumptions: (i) at some time in the illustrious past of medicine, there was a moment when physicians were good at this skill and we have somehow declined from that peak; and (ii) that this matters—either to patients or to physicians in terms of outcomes—that somehow significant numbers of patients hover on the brink of catastrophe due to failure of auscultatory diagnosis. Let us examine for a moment some of the relevant literature to see if this is actually the case.
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