Acoustics of Electronic Stethoscopes for Health Professionals.

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Title: Acoustics of Electronic Stethoscopes for Health Professionals.
Authors: Atcherson, Samuel R.1 sratcherson@uams.edu, Rennert, Nancy J.2, Hein, Sarah J.3
Source: American Journal of Audiology. Jun2026, Vol. 35 Issue 2, p760-770. 11p.
Subject Terms: *Research, Stethoscopes, Auscultation, Respiratory organ sounds, Human anatomical models, Noise, Acoustics, Wearable technology, Signal processing, Descriptive statistics, Assistive listening systems, Electronic amplifiers, Heart sounds
Abstract: Purpose: Commercially available electronic stethoscopes for auscultation often report amplification levels and may or may not publish amplitude--frequency (spectral) response curves. Additional data may be helpful to consumers who use stethoscopes in less-than-ideal listening environments or have hearing loss. The purpose of this research was to describe our method for evaluating electronic stethoscopes relative to a nonelectronic stethoscope. Method: One nonelectronic and eight electronic stethoscopes at maximum volume with their bell and diaphragm modes were acoustically evaluated using digitized heart and breath sounds, a stethoscope speaker pad, and an industry-standard manikin ear simulator. Some electronic stethoscopes had wireless connectivity to wearable Bluetooth earbuds, and these were evaluated also. For each stethoscope, output measurements of digitized heart and breath sounds were recorded in a quiet room. For direct comparisons, measurements were categorized by expected spectra into heart (bell) sounds (~20-500 Hz) and breath (diaphragm) sounds (~100-1000 Hz). Results: Relative to published human threshold tone and 1/3-octave band data, as well as nonelectronic stethoscope output, all electronic stethoscopes clearly demonstrated some measure of amplification across the amplitude--frequency (spectral) range for digitized normal heart and breath sounds. Differences observed may be specific to bell versus diaphragm modes, acoustical tubing (or lack thereof), wired versus wireless modes, models within the same make, and use of active noise cancellation, to name a few. Importantly, manufacturer-reported amplification values (e.g., "x" specifications) did not reliably reflect frequency-specific acoustic output within clinically relevant heart and breath sound regions. Conclusions: The methodology described to analyze stethoscope outputs appears to be an effective starting point for evaluating various characteristics of stethoscopes with a lens toward assisting health professionals and students working in less-than-ideal listening situations or for those with hearing loss. While all electronic stethoscopes evaluated offered amplification, there was great variability in amplitude--frequency responses, which may help inform stethoscope selection based on listening needs, various listening environments, and/or degree and configuration of hearing loss. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Label: Title
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  Data: Acoustics of Electronic Stethoscopes for Health Professionals.
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  Data: <searchLink fieldCode="AR" term="%22Atcherson%2C+Samuel+R%2E%22">Atcherson, Samuel R.</searchLink><relatesTo>1</relatesTo><i> sratcherson@uams.edu</i><br /><searchLink fieldCode="AR" term="%22Rennert%2C+Nancy+J%2E%22">Rennert, Nancy J.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Hein%2C+Sarah+J%2E%22">Hein, Sarah J.</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Jun2026, Vol. 35 Issue 2, p760-770. 11p.
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  Data: *<searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Stethoscopes%22">Stethoscopes</searchLink><br /><searchLink fieldCode="DE" term="%22Auscultation%22">Auscultation</searchLink><br /><searchLink fieldCode="DE" term="%22Respiratory+organ+sounds%22">Respiratory organ sounds</searchLink><br /><searchLink fieldCode="DE" term="%22Human+anatomical+models%22">Human anatomical models</searchLink><br /><searchLink fieldCode="DE" term="%22Noise%22">Noise</searchLink><br /><searchLink fieldCode="DE" term="%22Acoustics%22">Acoustics</searchLink><br /><searchLink fieldCode="DE" term="%22Wearable+technology%22">Wearable technology</searchLink><br /><searchLink fieldCode="DE" term="%22Signal+processing%22">Signal processing</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Assistive+listening+systems%22">Assistive listening systems</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+amplifiers%22">Electronic amplifiers</searchLink><br /><searchLink fieldCode="DE" term="%22Heart+sounds%22">Heart sounds</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Commercially available electronic stethoscopes for auscultation often report amplification levels and may or may not publish amplitude--frequency (spectral) response curves. Additional data may be helpful to consumers who use stethoscopes in less-than-ideal listening environments or have hearing loss. The purpose of this research was to describe our method for evaluating electronic stethoscopes relative to a nonelectronic stethoscope. Method: One nonelectronic and eight electronic stethoscopes at maximum volume with their bell and diaphragm modes were acoustically evaluated using digitized heart and breath sounds, a stethoscope speaker pad, and an industry-standard manikin ear simulator. Some electronic stethoscopes had wireless connectivity to wearable Bluetooth earbuds, and these were evaluated also. For each stethoscope, output measurements of digitized heart and breath sounds were recorded in a quiet room. For direct comparisons, measurements were categorized by expected spectra into heart (bell) sounds (~20-500 Hz) and breath (diaphragm) sounds (~100-1000 Hz). Results: Relative to published human threshold tone and 1/3-octave band data, as well as nonelectronic stethoscope output, all electronic stethoscopes clearly demonstrated some measure of amplification across the amplitude--frequency (spectral) range for digitized normal heart and breath sounds. Differences observed may be specific to bell versus diaphragm modes, acoustical tubing (or lack thereof), wired versus wireless modes, models within the same make, and use of active noise cancellation, to name a few. Importantly, manufacturer-reported amplification values (e.g., "x" specifications) did not reliably reflect frequency-specific acoustic output within clinically relevant heart and breath sound regions. Conclusions: The methodology described to analyze stethoscope outputs appears to be an effective starting point for evaluating various characteristics of stethoscopes with a lens toward assisting health professionals and students working in less-than-ideal listening situations or for those with hearing loss. While all electronic stethoscopes evaluated offered amplification, there was great variability in amplitude--frequency responses, which may help inform stethoscope selection based on listening needs, various listening environments, and/or degree and configuration of hearing loss. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1044/2026_AJA-25-00110
    Languages:
      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 760
    Subjects:
      – SubjectFull: Research
        Type: general
      – SubjectFull: Stethoscopes
        Type: general
      – SubjectFull: Auscultation
        Type: general
      – SubjectFull: Respiratory organ sounds
        Type: general
      – SubjectFull: Human anatomical models
        Type: general
      – SubjectFull: Noise
        Type: general
      – SubjectFull: Acoustics
        Type: general
      – SubjectFull: Wearable technology
        Type: general
      – SubjectFull: Signal processing
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Assistive listening systems
        Type: general
      – SubjectFull: Electronic amplifiers
        Type: general
      – SubjectFull: Heart sounds
        Type: general
    Titles:
      – TitleFull: Acoustics of Electronic Stethoscopes for Health Professionals.
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            NameFull: Atcherson, Samuel R.
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            NameFull: Rennert, Nancy J.
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            NameFull: Hein, Sarah J.
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            – D: 01
              M: 06
              Text: Jun2026
              Type: published
              Y: 2026
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