A Novel and Simple Method Using Pocket-Sized Echocardiography to Screen for Aortic Stenosis

Abe, Yukio; Itō, Makoto; Tanaka, Chiharu; Ito, Kenichi; Naruko, Takahiko; Itoh, Akira; Haze, Kazuo; Muro, Takashi; Yoshiyama, Minoru; Yoshikawa, Junichi

doi:10.1016/j.echo.2013.03.008

Cited by 41 publications

(44 citation statements)

References 29 publications

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“…In contrast, grading the severity of valve disease is not indicated with pocket-echocardiography. Results vary considerably from one study to another and may depend on the definition of significant valve disease and on the operator's experience [10,13,16,30] (Table 1). The overestimation of regurgitation may be due to the sensitivity of colour Doppler.…”

Section: Valve Diseasementioning

confidence: 99%

Pocket-sized focused cardiac ultrasound: Strengths and limitations

Mirabel

Celermajer²,

Beraud

et al. 2015

Archives of Cardiovascular Diseases

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Focused cardiac ultrasound (FCU) has emerged in recent years and has created new possibilities in the clinical assessment of patients both in and out of hospital. The increasing portability of echocardiographic devices, with some now only the size of a smartphone, has widened the spectrum of potential indications and users, from the senior cardiologist to the medical student. However, many issues still need to be addressed, especially the acknowledgment of the advantages and limitations of using such devices for FCU, and the extent of training required in this rapidly evolving field. In recent years, an increasing number of studies involving FCU have been published with variable results. This review outlines the evidence for the use of FCU with pocket-echo to address specific questions in daily clinical practice.

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Section: Valve Diseasementioning

confidence: 99%

Pocket-sized focused cardiac ultrasound: Strengths and limitations

Mirabel

Celermajer²,

Beraud

et al. 2015

Archives of Cardiovascular Diseases

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“…Aortic [20] or mitral stenosis may be suspected if important calcification with reduced leaflet excursion is seen (▶ Fig. 3).…”

Section: Recognition Of Gross Left-side Valvular Abnormalitiesmentioning

confidence: 99%

“…Es besteht der Verdacht auf eine Aorten- [20] The most common problematic differential diagnoses for pericardial effusion are pleural effusion and ascites. Differentiation between pleural and pericardial fluid can be made by PLAX.…”

Section: Erkennung Grober Linksseitiger Klappenanomalienmentioning

confidence: 99%

I Will Be at Your (Bed)Side – The Role of Bedside Echocardiography for Non-Cardiologists

et al. 2020

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As the availability of portable echocardiographic equipment is becoming more and more widespread, physicians can add a powerful tool to their bedside examination skills, thus helping them to more effectively face the growing complexity of patients admitted to internal medicine departments or the emergency room. Focused cardiac ultrasound (FoCUS) can be defined as a goal-directed, simplified, qualitative examination performed at the bedside using portable echocardiographic devices. FoCUS is not meant to be a substitute for a standard 2D color Doppler echocardiographic examination. Nevertheless, it can provide rapid and reliable information when limited to basic questions, even when performed by non-cardiologists with brief training. Furthermore, a focused cardiac ultrasound examination maximizes its diagnostic role when integrated with an ultrasonographic assessment of the lung, abdomen and deep veins, in a multisystem approach that is particularly dear to internists. In this article, we will focus on the specific targets of a focused cardiac ultrasound examination, as well as the most common pitfalls that can be encountered in ultrasonographic practice. We will also address the application of FoCUS in the management of two typical scenarios in clinical practice, such as dyspnea and non-post-traumatic hypotension.

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“…Supporting the sensitivity of auscultation, in a study of 100 patients referred for ‘systolic murmur’, only 21% were free of abnormal findings on echocardiography;49 however, the ability of two cardiologists to identify specific cardiac lesions by physical examination was limited especially when more than one lesion was present. Using POCUS, limited imaging protocols have demonstrated the capability to detect significant calcific aortic stenosis50 with 84% sensitivity and 89% specificity and screen for mitral prolapse (figure 3A) or rheumatic heart disease. In the evaluation of murmur, the use of POCUS to localise the abnormal valve morphology improves specificity and the addition of colour Doppler imaging further increases sensitivity, detecting as little as mild regurgitation51 (figure 3B).…”

Section: Accuracy Of Ultrasound and Physical Techniques For Traditionmentioning

confidence: 99%

Point-of-care cardiac ultrasound techniques in the physical examination: better at the bedside

Kimura

2017

Heart

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The development of hand-carried, battery-powered ultrasound devices has created a new practice in ultrasound diagnostic imaging, called 'point-of-care' ultrasound (POCUS). Capitalising on device portability, POCUS is marked by brief and limited ultrasound imaging performed by the physician at the bedside to increase diagnostic accuracy and expediency. The natural evolution of POCUS techniques in general medicine, particularly with pocket-sized devices, may be in the development of a basic ultrasound examination similar to the use of the binaural stethoscope. This paper will specifically review how POCUS improves the limited sensitivity of the current practice of traditional cardiac physical examination by both cardiologists and non-cardiologists. Signs of left ventricular systolic dysfunction, left atrial enlargement, lung congestion and elevated central venous pressures are often missed by physical techniques but can be easily detected by POCUS and have prognostic and treatment implications. Creating a general set of repetitive imaging skills for these entities for application on all patients during routine examination will standardise and reduce heterogeneity in cardiac bedside ultrasound applications, simplify teaching curricula, enhance learning and recollection, and unify competency thresholds and practice. The addition of POCUS to standard physical examination techniques in cardiovascular medicine will result in an ultrasound-augmented cardiac physical examination that reaffirms the value of bedside diagnosis.

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A Novel and Simple Method Using Pocket-Sized Echocardiography to Screen for Aortic Stenosis

Cited by 41 publications

References 29 publications

Pocket-sized focused cardiac ultrasound: Strengths and limitations

Pocket-sized focused cardiac ultrasound: Strengths and limitations

I Will Be at Your (Bed)Side – The Role of Bedside Echocardiography for Non-Cardiologists

Point-of-care cardiac ultrasound techniques in the physical examination: better at the bedside

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