ArticleBiomedical engineering online2022
Real-world evaluation of the Stemoscope electronic tele-auscultation system.
Article in Biomedical engineering online, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Remote Monitoring of Patients with Heart Failure: Characteristics of Effective Programs and Implementation Strategies.Vascular health and risk management · 2025Pooled it
- Enhancing pediatric cardiac auscultation with data-driven murmur detection: toward tele-consultation applications.Pediatric research · 2026Article
- Deep learning-driven automated detection of canine cardiac murmurs via digital wireless stethoscope auscultation.Veterinary research communications · 2026Article
- Review
- Assessment of a Teaching Module for Cardiac Auscultation of Horses by Veterinary Students.Animals : an open access journal from MDPI · 2024Article
- Remote, automatic, digital preanesthetic evaluation - are we there yet?Anaesthesiology intensive therapy · 2024Review
- Interpretation of Heart and Lungs Sounds Acquired via Remote, Digital Auscultation Reached Fair-to-Substantial Levels of Consensus among Specialist Physicians.Diagnostics (Basel, Switzerland) · 2023Article
- The value of the wireless stethoscope in patients with COVID-19 infection in a makeshift hospital.Biomedical engineering online · 2023Article
- Evaluation of Internet-Connected Real-Time Remote Auscultation: An Open-Label Randomized Controlled Pilot Trial.Journal of personalized medicine · 2022Article
- Article
- Implementation of a tele-paediatric network in hospitals in a rural region: A mixed methods implementation study.Digital healthArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundWith the spread of COVID-19, telemedicine has played an important role, but tele-auscultation is still unavailable in most countries. This study introduces and tests a tele-auscultation system (Stemoscope) and compares the concordance of the Stemoscope with the traditional stethoscope in the evaluation of heart murmurs.
methodsA total of 57 patients with murmurs were recruited, and echocardiographs were performed. Three cardiologists were asked to correctly categorize heart sounds (both systolic murmur and diastolic murmur) as normal vs. abnormal with both the Stemoscope and a traditional acoustic stethoscope under different conditions. Firstly, we compared the in-person auscultation agreement between Stemoscope and the conventional acoustic stethoscope. Secondly, we compared tele-auscultation (recorded heart sounds) agreement between Stemoscope and acoustic results. Thirdly, we compared both the Stemoscope tele-auscultation results and traditional acoustic stethoscope in-person auscultation results with echocardiography. Finally, ten other cardiologists were asked to complete a qualitative questionnaire to assess their experience using the Stemoscope.
resultsFor murmurs detection, the in-person auscultation agreement between Stemoscope and the acoustic stethoscope was 91% (p = 0.67). The agreement between Stemoscope tele-auscultation and the acoustic stethoscope in-person auscultation was 90% (p = 0.32). When using the echocardiographic findings as the reference, the agreement between Stemoscope (tele-auscultation) and the acoustic stethoscope (in-person auscultation) was 89% vs. 86% (p = 1.00). The system evaluated by ten cardiologists is considered easy to use, and most of them would consider using it in a telemedical setting.
conclusionIn-person auscultation and tele-auscultation by the Stemoscope are in good agreement with manual acoustic auscultation. The Stemoscope is a helpful heart murmur screening tool at a distance and can be used in telemedicine.
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