# Cardiac Simulator Technologies and Design for Medical Education and Auscultation Training: A Systematic Review

**Authors:** Christian Romero-Martínez, Luis Adrián Zúñiga-Avilés, Giorgio M. Cruz-Martínez, José Javier Reyes-Lagos, Joel Zagoya-López, Ángel Eduardo Bárcenas-García

PMC · DOI: 10.3390/bioengineering12070731 · 2025-07-03

## TL;DR

This paper reviews recent advancements in cardiac simulators for medical training, focusing on their design, technology, and regulatory compliance.

## Contribution

The study provides a systematic review and scientometric analysis of cardiac simulators, highlighting AI integration and regulatory compliance trends.

## Key findings

- An 8% increase in AI-integrated cardiac auscultation devices compared to conventional equipment.
- 85% of studies reported compliance with at least 90% of applicable regulations.

## Abstract

Medical simulators have revolutionized clinical training, particularly in teaching skills such as cardiac auscultation. This review synthesizes recent advances in the technological design and implementation of cardiac simulators for medical education, alongside scientometric and patentometric analyses. The focus is on innovations enhancing efficacy, safety, and accessibility. Analyses included 69 patents published over the past five years, sourced from Google Patents, Patentscope, Espacenet, and The Lens. A bibliometric analysis was performed using 52 scientific reports from PubMed, ScienceDirect, and The Lens within the same timeframe. Key findings indicate an 8% increase in AI-integrated cardiac auscultation devices compared to conventional equipment. Furthermore, 85% of the studies reported compliance with applicable regulations of at least 90%, reflecting improved regulatory alignment. This analysis provides a foundation for future research and the development of more accurate and accessible educational tools for cardiac auscultation training.

## Full-text entities

- **Diseases:** cardiac condition (MESH:D006331), infarcted (MESH:D007238), systole (MESH:D000092244), death (MESH:D003643), CVD (MESH:D002318), arrhythmia (MESH:D001145), injury to (MESH:D014947)
- **Chemicals:** acrylic (-), silicone (MESH:D012828)
- **Species:** Homo sapiens (human, species) [taxon 9606], Meleagris gallopavo (common turkey, species) [taxon 9103]

## Figures

16 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12292736/full.md

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Source: https://tomesphere.com/paper/PMC12292736