Table 1. Clinical Uses For CAA.

Screening for structural heart disease	Screening for structural heart disease at primary healthcare level can be improved by the additional of an objective tool to aid referral decision making. Areas where this could potentially be of application include pre-athletic screening, antenatal screening of pregnant women, and screening for heart failure and early rheumatic heart disease in asymptomatic people.
Clinical teaching of cardiac auscultation	CAA may aid in more directed teaching in cardiac auscultation. This includes specific training in auscultation sequence, length of auscultation at each site, as well in the creation of data banks of auscultation recordings. Sounds can be relayed to multiple listeners simultaneously, replayed at different speeds and a visual display can improve retention of information. CAA can also be incorporated into distance-learning programmes.
Task shifting and telemedicine	The global shortage of trained medical specialists requires the training of a new cadre of mid-level and community health workers who may benefit from the use of CAA as a decision support tool in screening for structural heart disease. Telemedicine may be used to link these cadres of health workers, who are often in remote areas, to clinicians and secondary and tertiary centres.