Built to hear more Sturdy and refined, the Littmann Cardiology IV helps isolate subtle sounds2 so you can hear changes in your patients in the most critical and challenging environments. Designed to help you listen for hard-to-hear sounds, including aortic stenosis, S3 gallop murmurs and faint pulmonary anomalies. Useful in critical care and challenging environments Such as the ED, ICU, Cardiac ICU, step-down unit and other dynamic locations Hear subtle changes in patient status. Diagnose and make decisions with confidence. Put the power of improved listening in your pocket with the Littmann Learning App. This powerful app is designed to help users better recognize benign and pathological heart sounds, murmurs, and lung sounds. It reinforces learning by offering self-directed learning modules directly on your phone. You can download the free Littmann Learning App now from the App Store or Google Play Store. *Expanded content is available with a subscription. 2Better audibility of high-frequency sounds (adult side, firm pressure) compared to Cardiology III can help you learn more about your patients condition