British Society of Echocardiography Departmental Accreditation Standards 2019 with input from the Intensive Care Society

Ritzmann, Sarah; Baker, Stephanie; Peck, Marcus; Ingram, Tom; Allen, Jim; Duffy, Laura M.; Steeds, Richard P.; Houghton, Andrew R; Elkington, A R; Bual, Nina; Huggett, Robert J.; Pearce, Keith; Apostolakis, Stavros; Afshin, Khalatabari

doi:10.1530/erp-19-0045

Cited by 7 publications

(6 citation statements)

References 5 publications

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“…The widespread availability of hardware that places echo quite literally in the palm of the examiner’s hand demands definable quality standards and is a major stimulus for education and certification. BSE has had a formal accreditation process for transthoracic echocardiography since 1994,74 and was the first national organisation to establish a departmental quality standards framework to support individual echocardiographers 75. UK cardiologists also contributed to the development of international standards in echocardiography accreditation 76.…”

Section: Standards In British Cardiac Imagingmentioning

confidence: 99%

Let there be light! The meteoric rise of cardiac imaging

Reid

Dweck

2022

Heart

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Imaging plays a central role in modern cardiovascular practice. It is a field characterised by exciting technological advances that have shaped our understanding of pathology and led to major improvements in patient diagnosis and care. The UK has played a key international role in the development of this subspecialty and is the current home to many of the leading global centres in multimodality cardiovascular imaging. In this short review, we will outline some of the key contributions of the British Cardiovascular Society and its members to this rapidly evolving field and look at how this relationship may continue to shape future cardiovascular practice.

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Section: Standards In British Cardiac Imagingmentioning

confidence: 99%

Let there be light! The meteoric rise of cardiac imaging

Reid

Dweck

2022

Heart

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“…Similar guidance by the British Society of Echocardiography (BSE) define Level 1 echocardiography standards and encompasses specific settings namely; intensive care units (Focused Intensive Care Echocardiography, FICE), Accident & Emergency Departments and Cardiac arrest scenarios (Focused Echocardiography in Emergency life-support, FEEL). 10,11 However, this role is now being utilised and extended by echocardiography departments as the first-line cardiac imaging tool for the majority of inpatients amid the COVID-19 pandemic. 12,13 Since echocardiography involves continuous patient contact there is a need to perform targeted studies in order to reduce the risk of operator exposure.…”

Section: Rationale For Hhementioning

confidence: 99%

Section: Rationale For Hhementioning

confidence: 99%

Adapting the role of handheld echocardiography during the COVID-19 pandemic: A practical guide

Naderi

Robinson²,

Swaans

et al. 2021

Perfusion

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The COVID-19 pandemic has altered our approach to inpatient echocardiography delivery. There is now a greater focus to address key clinical questions likely to make an immediate impact in management, particularly during the period of widespread infection. Handheld echocardiography (HHE) can be used as a first-line assessment tool, limiting scanning time and exposure to high viral load. This article describes a potential role for HHE during a pandemic. We propose a protocol with a reporting template for a focused core dataset necessary in delivering an acute echocardiography service in the setting of a highly contagious disease, minimising risk to the operator. We cover the scenarios typically encountered in the acute cardiology setting and how an expert trained echocardiography team can identify such pathologies using a limited imaging format and include cardiac presentations encountered in those patients acutely unwell with COVID-19.

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“…The reliability of the test is dependent upon the acoustic window [ 11 ]. The interpretation of RWMA is subjective and qualitative [ 12 , 13 ], and the level of experience required by guidelines for professional accreditation and certification of competence [ 14 , 15 ] does not guarantee reading accuracy and harmonization of the reading criteria [ 16 ]. The SE positivity rate based on RWMA fell from 70% in the eighties to 10% in the last decade for all tests based on myocardial ischemia, most likely due to increased use of anti-ischemic therapy at the time of testing [ 17 ].…”

Section: Conventional Stress Echocardiography: Strengths and Pitfamentioning

confidence: 99%

Sustainability and Versatility of the ABCDE Protocol for Stress Echocardiography

Zagatina

Wierzbowska−Drabik

Daros

et al. 2020

JCM

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For the past 40 years, the methodology for stress echocardiography (SE) has remained basically unchanged. It is based on two-dimensional, black and white imaging, and is used to detect regional wall motion abnormalities (RWMA) in patients with known or suspected coronary artery disease (CAD). In the last five years much has changed and RWMA is not enough on its own to stratify patient risk and dictate therapy. Patients arriving at SE labs often have comorbidities and are undergoing full anti-ischemic therapy. The SE positivity rate based on RWMA fell from 70% in the eighties to 10% in the last decade. The understanding of CAD pathophysiology has shifted from a regional hydraulic disease to a systemic biologic disease. The conventional view of CAD encouraged the use of coronary anatomic imaging for diagnosis and the oculo-stenotic reflex for the deployment of therapy. This has led to a clinical oversimplification that ignores the lessons of pathophysiology and epidemiology, and in fact, CAD is not synonymous with ischemic heart disease. Patients with CAD may also have other vulnerabilities such as coronary plaque (step A of ABCDE-SE), alveolar-capillary membrane and pulmonary congestion (step B), preload and contractile reserve (step C), coronary microcirculation (step D) and cardiac autonomic balance (step E). The SE methodology based on two-dimensional echocardiography is now integrated with lung ultrasound (step B for B-lines), volumetric echocardiography (step C), color- and pulsed-wave Doppler (step D) and non-imaging electrocardiogram-based heart rate assessment (step E). In addition, qualitative assessment based on the naked eye has now become more quantitative, has been improved by contrast and based on cardiac strain and artificial intelligence. ABCDE-SE is now ready for large scale multicenter testing in the SE2030 study.

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British Society of Echocardiography Departmental Accreditation Standards 2019 with input from the Intensive Care Society

Abstract: This article sets out a summary of standards for departmental accreditation set by the British

Cited by 7 publications

References 5 publications

Let there be light! The meteoric rise of cardiac imaging

Let there be light! The meteoric rise of cardiac imaging

Adapting the role of handheld echocardiography during the COVID-19 pandemic: A practical guide

Sustainability and Versatility of the ABCDE Protocol for Stress Echocardiography

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