{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:49:14Z","timestamp":1790808554157,"version":"4.1.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2008,7,14]],"date-time":"2008-07-14T00:00:00Z","timestamp":1215993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:p>Because pediatric cardiologists can accurately diagnose innocent murmurs by physical exam alone, the authors developed a system for remote cardiac auscultation. They hypothesized that their system could accurately classify auscultatory findings as normal\/innocent or pathologic. Patients undergoing evaluation underwent examination, echocardiography, and heart sound recording. Pediatric cardiologists evaluated the heart sounds and classified the case as either normal\/innocent or pathologic. They reviewed103 heart sound data sets; 85% of the cases were accurately classified as either normal\/innocent or pathologic, with a sensitivity of 82% and specificity of 86%. However, when accounting for clinical diagnosis, reviewer uncertainty, and ECG abnormalities, the sensitivity and specificity improved to 91% and 88% (accuracy 89%), respectively. Degree of certainty with the telecardiology diagnosis correlated with correct interpretation ( P &lt; .005). Digital heart sound recordings evaluated via telemedicine can distinguish normal\/innocent murmurs from pathologic ones. Such a system could improve the use of pediatric cardiology services.<\/jats:p>","DOI":"10.1177\/0009922808320596","type":"journal-article","created":{"date-parts":[[2008,7,14]],"date-time":"2008-07-14T21:34:49Z","timestamp":1216071289000},"page":"919-925","source":"Crossref","is-referenced-by-count":21,"title":["Utility of Store-and-Forward Pediatric Telecardiology Evaluation in Distinguishing Normal From Pathologic Pediatric Heart Sounds"],"prefix":"10.1177","volume":"47","author":[{"given":"C. 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