Portable echocardiography

Ashrafian, Houman; Bogle, Richard; Rosen, Stuart D.; Henein, Michael; Evans, Timothy W.

doi:10.1136/bmj.328.7435.300

Cited by 20 publications

(7 citation statements)

References 6 publications

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“…Limited echocardiography [38,39] and echocardiography with portable hand-held devices [40,41] have been suggested as alternatives to routine echocardiography for screening for LV hypertrophy in hypertensive patients. However, the former has not been adopted in clinical practice and the latter requires expertise that may not be available in a primary care setting.…”

Section: Introductionmentioning

confidence: 99%

Screening for ventricular remodeling

Lee¹,

Wang²,

Vasan

2006

Curr Heart Fail Rep

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Current guidelines emphasize the importance of preventing heart failure (HF) by targeting people with preclinical forms of the disease. Accordingly, there is considerable interest in identifying left ventricular (LV) remodeling, the fundamental substrate for HF, in asymptomatic individuals in the community. Increased LV mass and asymptomatic LV systolic and LV diastolic dysfunction are the remodeling phenotypes that could be potentially considered for population-wide screening. Plasma levels of natriuretic peptides (NP) have been extensively investigated for such screening purposes. However, a majority of investigations suggest that their performance characteristics are suboptimal for identifying LV remodeling phenotypes unless high-risk individuals (eg, older men with hypertension) are targeted. In general, the prevalence of LV systolic dysfunction in women is too low to justify screening. In recent reports, sequential screening strategies combining urine and plasma NP or plasma NP and hand-held portable echocardiography have been advocated as potential approaches to identify asymptomatic LV systolic dysfunction in a cost-effective manner. Additional studies are warranted to confirm these findings.

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Section: Introductionmentioning

confidence: 99%

Screening for ventricular remodeling

Lee¹,

Wang²,

Vasan

2006

Curr Heart Fail Rep

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“…Our case therefore highlights the importance of prompt senior (consultant) review as well as good decision making on the MAU 2. It also highlights the value of echocardiography skills and equipment in the acute setting 3 – 5…”

Section: Discussionmentioning

confidence: 99%

Bordetella holmesii: a rare cause of bacterial endocarditis in a post-splenectomy patient

Clare

Tariq²,

Singh³

et al. 2010

Case Reports

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We present a rare case of endocarditis in a 33-year-old woman with a splenectomy. The patient presented with meningeal symptoms and was diagnosed with endocarditis on the medical admissions unit using a portable echocardiography machine. Bordetella holmesii was cultured from the blood on admission and the patient underwent subsequent aortic valve replacement. We discuss the importance of echo skills within the specialty of acute medicine and the benefits of swift senior review at the front door. We emphasise the guidelines on antibiotic prophylaxis for the post-splenectomy patient as well as discuss the pathogen B holmesii and its growing association of septicaemia in asplenic individuals.

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“…An alternative approach is to use echocardiography at an earlier stage. 1 Echocardiography, performed at the bedside, is the gold standard for the identification of a significant pericardial collection. In the acutely ill patient, echocardiography also allows assessment of right ventricular size and function which may assist in assessing the likelihood of pulmonary thromobembolic disease and also in assessment of left ventricular function and cardiac output.…”

Section: Commentarymentioning

confidence: 99%

Early Access to Echocardiography in the Diagnosis and Management of Pyogenic Pericarditis

Bogle

2012

Journal of the Intensive Care Society

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Portable echocardiography

Cited by 20 publications

References 6 publications

Screening for ventricular remodeling

Screening for ventricular remodeling

Bordetella holmesii: a rare cause of bacterial endocarditis in a post-splenectomy patient

Early Access to Echocardiography in the Diagnosis and Management of Pyogenic Pericarditis

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