Emergency Department Two-Dimensional Echocardiography in the Diagnosis of Nontraumatic Cardiac Rupture

Plummer, David; Dick, Candace D.; Ruiz, Ernest; Clinton, Joseph E.; Brunette, Douglas D.

doi:10.1016/s0196-0644(94)70361-2

Cited by 25 publications

(12 citation statements)

References 54 publications

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“…Although it is not always easy to diagnose impending cardiac rupture in the emergency room, early diagnosis could save the patient's life [2,3]. We emphasize the importance of echocardiographic findings of pericardial effusion and diastolic collapse of the right ventricular wall.…”

Section: Casementioning

confidence: 85%

A case of cardiac rupture subsequent to myocardial infarction diagnosed in emergency room

et al. 2010

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A 72-year-old woman was transferred to the emergency room because of left anterior chest pain with cold sweating. Electrocardiography revealed recent anterior myocardial infarction. Echocardiography showed akinesis of the mid-ventricular septum to the apex by apical view, a small amount of pericardial effusion and collapse of the right ventricular wall, indicating cardiac tamponade, by subcostal view. These echocardiographic findings strongly suggested cardiac rupture subsequent to the myocardial infarction. Emergent operation was successfully performed to repair the ruptured left ventricle.

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Section: Casementioning

confidence: 85%

A case of cardiac rupture subsequent to myocardial infarction diagnosed in emergency room

et al. 2010

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“…It is commonly loaded intravenously in 5-mg to 10-mg increments every 5 minutes and titrated to restfulness. 4 by EPs (who have undergone the proposed 25-50-cardiac-exam training program) with independent studies performed by echocardiographic laboratory extenders as defined in our policy statement, and read by Level 2 or Level 3 trained echocardiographers, with experience levels of 300 to 750 examinations, respectively. Autopsy, surgery, or clinical data should be used for validation when available.…”

Section: High-dose Intravenous Benzodiazepinementioning

confidence: 99%

“…There is already literature showing that EPs can accurately identify and clinically interpret free fluid seen within the pleural, pericardial, and peritoneal cavities. [3][4][5][6] For this relatively new indication for US, we have to look to those EPs with experience using US in this capacity to establish the minimum training guidelines.…”

mentioning

confidence: 99%

The ASE Position Statement on Echocardiography in the Emergency Department

Stahmer

Kerber²,

Stewart³

et al. 2000

Academic Emergency Medicine

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“…Studies have demonstrated the ability of EPs to interpret echocardiograms at an acceptable accuracy rate for left ventricular systolic dysfunction [8], cardiac standstill [9], nontraumatic cardiac rupture [10], and pericardial effusions [5, 11], among other pathologies [12, 13], but limited data exist on the ability of emergency physicians to interpret regional ischemic wall motion abnormalities. …”

Section: Introductionmentioning

confidence: 99%

A Brief Training Module Improves Recognition of Echocardiographic Wall-Motion Abnormalities by Emergency Medicine Physicians

Kerwin

Tommaso

Kulstad

2011

Emergency Medicine International

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Objective. Wall-motion abnormality on echocardiogram is more sensitive in detecting cardiac ischemia than the electrocardiogram, but the use of bedside echocardiography by emergency physicians (EPs) for this purpose does not appear to be widespread, apparently due to limited data on proficiency of EPs for this task. We sought to determine the effect of a brief training module on the ability of EPs to recognize wall motion abnormalities on echocardiograms. Methods. We developed a brief training and testing module and presented it to EPs. After baseline testing of 15 echocardiograms, we presented the 30-minute training module, and administered a new test of 15 different echocardiograms. Physicians were asked to interpret the wall motion as normal or abnormal. Results. 35 EPs over two separate sessions showed significant improvement recognition of wall-motion abnormalities after the brief training module. Median score on the baseline test was 67%, interquartile range (IQR) 53% to 80%, while the median score on the posttraining test was 87%, IQR 80% to 87%, P < .001, independent of time in practice or prior training. Conclusion. With only brief training on how to recognize wall motion abnormalities on echocardiograms, EPs showed significant improvement in ability to identify wall motion abnormalities.

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Emergency Department Two-Dimensional Echocardiography in the Diagnosis of Nontraumatic Cardiac Rupture

Cited by 25 publications

References 54 publications

A case of cardiac rupture subsequent to myocardial infarction diagnosed in emergency room

A case of cardiac rupture subsequent to myocardial infarction diagnosed in emergency room

The ASE Position Statement on Echocardiography in the Emergency Department

A Brief Training Module Improves Recognition of Echocardiographic Wall-Motion Abnormalities by Emergency Medicine Physicians

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