Gardezi SKM, et al. - In a subset of asymptomatic participants aged >65 years undergoing echocardiography within a large community-based screening study of subjects with no known valvular heart disease (VHD), researchers intended to determine the contemporary accuracy of auscultation for diagnosing VHD in primary care. They found that for the detection of VHD in asymptomatic patients, cardiac auscultation demonstrated limited accuracy and poor performance as a diagnostic screening tool in primary care, in particular, for overweight subjects. In patients with symptoms suggesting VHD, a likely better diagnostic strategy is to ensure easy access to echocardiography.