History
A 60-year-old woman who is the CEO of an electronics company in Silicon Valley, presents for a history and physical required for life insurance authorization. There is no prior history of stroke, neuromuscular disease or a transient ischemic attack (TIA).
Use the 'auscultation' link above to virtually listen to this patient's heart and carotid sounds.

Authors and Sources
Authors and Reviewers
- 
                        Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
 - Lung sounds provided by Diane Wrigley, PA
 - 
                        Heart sounds mentorship by W. Proctor Harvey, MD
 - Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
 - 
                        Last Update: 11/10/2022
 
Sources
- 
                        Heart Sounds and Murmurs Across the Lifespan (with CD)
                    
                    by Dr Barbara Ann Erickson
Publisher: Mosby
ISBN-10: 0323020453; ISBN-13: 978-0323020459 - 
                    
                        Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
                    
                    
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN - 
                        Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com - 
                    
                        Heart Sounds Made Easy with CD-ROM: (with CD-ROM) 2nd Edition
Anthony P. Salmon
ISBN-13: 978-0443069079 - NCBI Review of Heart Sounds and Murmurs: A Practical Guide
 - 
                   
                        The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds And Murmurs
                    
                    Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429 - 
                    
                        Ventricular Function Curves in the Exercising Dog
                    
                    
JONATHAN KEROES , ROGER R. ECKER , and ELLIOT RAPAPORT
Circulation Research, Vol. 25, No. 5 - 
                   
                        Electrocardiographic changes associated with ritodrine-induced maternal tachycardia and hypokalemia
                    
                    American Journal of Obstetrics Gynecology, VOLUME 154, ISSUE 4, P921-923, APRIL 01, 1986
Susan K Hendricks, MD, Jonathan Keroes, MD, Michael Katz, MD - 
                   The_Virtual_Cardiac_Patient_A_Multimedia_Guide_to_Heart_Sounds_and_Murmurs
                    A Multimedia Guide to Heart Sounds and Murmurs
January 2007 JAMA The Journal of the American Medical Association 297(2):217-218
DOI:10.1001/jama.297.2.217. M. Saleem Seyal, MD, Reviewer - 
                   Clinical Heart Disease
                    W Proctor Harvey, MD
 
Laennec Publishing; 1st edition (January 1, 2009)
60-year-old woman executive requests physical for life insurance authorization