Emergency echocardiography: the European Association of Cardiovascular Imaging recommendations

Nešković, Aleksandar N.; Hagendorff, Andreas; Lancellotti, Patrizio; Guarracino, Fabio; Varga, Albert; Cosyns, Bernard; Flachskampf, Frank A.; Popescu, Bogdan A; Gargani, Luna; Zamorano, José Luís; Badano, Luigi P.

doi:10.1093/ehjci/jes193

Cited by 172 publications

(111 citation statements)

References 32 publications

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“…18 However, FoCUS should always be used and interpreted thoughtfully, since this fundamentally limited approach may lead to missing/misinterpretation of important findings unless the practitioner is aware of its (and their) limitations. 16,19 …”

Section: Focused Cardiac Ultrasoundmentioning

confidence: 99%

“…For performing TOE studies and advanced echocardiography techniques, operators should fulfil advanced echocardiography training requirements 21 and undergo specialized additional training in undertaking studies in the acute setting. Since echocardiographic examinations in patients with an acute cardiovascular condition are frequently requested as urgent/ emergency, it is suggested that all such studies should be supervised by an expert cardiologist with an advanced level of competence in echocardiography 19,21 and experienced in performing and interpreting echocardiography in the acute/ critical care setting.…”

Section: Level Of Competencementioning

confidence: 99%

“…19 Briefly, two levels of competence are recommended: the independent operator level and the expert operator level. 19 It is strongly recommended that all cardiologists who are involved in emergency/acute cardiac care on a daily or regular basis complete an additional training programme consisting in interpreting/reporting at least 150 echocardiographic examinations in critical or life-saving scenarios, in order to further improve technical skills and build experience. 19 An adequate case-mix is essential, and at least 50 of the additional cases should be personally performed, documented and all interpreted under close supervision.…”

Section: European Heart Journal: Acute Cardiovascular Carementioning

confidence: 99%

“…19 It is strongly recommended that all cardiologists who are involved in emergency/acute cardiac care on a daily or regular basis complete an additional training programme consisting in interpreting/reporting at least 150 echocardiographic examinations in critical or life-saving scenarios, in order to further improve technical skills and build experience. 19 An adequate case-mix is essential, and at least 50 of the additional cases should be personally performed, documented and all interpreted under close supervision. For non-cardiologists the requirements are essentially the same; additional theoretical learning on certain emergency cardiovascular diseases/ conditions is, however, highly recommended.…”

Section: European Heart Journal: Acute Cardiovascular Carementioning

confidence: 99%

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The use of echocardiography in acute cardiovascular care: Recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association

Lancellotti

Price

Edvardsen

et al. 2014

European Heart Journal: Acute Cardiovascular Care

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Echocardiography is one of the most powerful diagnostic and monitoring tools available to the modern emergency/ critical care practitioner. Currently, there is a lack of specific European Association of Cardiovascular Imaging/Acute Cardiovascular Care Association recommendations for the use of echocardiography in acute cardiovascular care. In this document, we describe the practical applications of echocardiography in patients with acute cardiac conditions, in particular with acute chest pain, acute heart failure, suspected cardiac tamponade, complications of myocardial infarction, acute valvular heart disease including endocarditis, acute disease of the ascending aorta and post-intervention complications. Specific issues regarding echocardiography in other acute cardiovascular care scenarios are also described.

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Section: Focused Cardiac Ultrasoundmentioning

confidence: 99%

Section: Level Of Competencementioning

confidence: 99%

Section: European Heart Journal: Acute Cardiovascular Carementioning

confidence: 99%

Section: European Heart Journal: Acute Cardiovascular Carementioning

confidence: 99%

See 2 more Smart Citations

The use of echocardiography in acute cardiovascular care: Recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association

Lancellotti

Price

Edvardsen

et al. 2014

European Heart Journal: Acute Cardiovascular Care

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“…We will refrain from describing complex measurements that may require profound acquisition skills or significant post-processing time. Guidelines for cardiac ultrasound in emergency settings have already been issued and updated [2,3]. In order to facilitate speedy diagnosis in emergency care, pocket-held devices have been developed and are in widespread use today [4].…”

mentioning

confidence: 99%

Cardiac Ultrasonography in the critical care setting: a practical approach to asses cardiac function and preload for the “non-cardiologist”

Vermeiren¹,

Malbrain

Walpot³

2015

Anaesthesiol Intensive Ther

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Cardiac ultrasonography has become an indispensible tool in the management of hemodynamically unstable critically ill patients. Some consider it as the modern stethoscope. Echocardiography is non-invasive and safe while the modern portable devices allow to be used at the bedside in order to provide fast, specific and vital information regarding the hemodynamic status, as well as the function, structure and anatomy of the heart. In this review, we will give an overview of cardiac function in general followed by an assessment of left ventricular function using echocardiography with calculation of cardiac output, left ventricular ejection fraction (EF), fractional shortening, fractional area contraction, M mode EF, 2D planimetry and 3D volumetry. We will briefly discuss mitral annulus post systolic excursion (MAPSE), calculation of dP/dt, speckle tracking or eyeballing to estimate EF for the experienced user. In a following section, we will discuss how to assess cardiac preload and diastolic function in 4 simple steps. The first step is the assessment of systolic function. The next step assesses the left atrium. The third step evaluates the diastolic flow patterns and E/e' ratio. The final step integrates the information of the previous steps. Echocardiography is also the perfect tool to evaluate right ventricular function with tricuspid annular plane systolic excursion (TAPSE), tissue Doppler imaging, together with inferior vena cava dimensions and systolic pulmonary artery pressure and right ventricular systolic pressure measurement. Finally, methods to assess fluid responsiveness with echocardiography are discussed with the inferior vena cava collapsibility index and the variation on left ventricle outflow tract peak velocity and velocity time integral. Cardiac ultrasonography is an indispensible tool for the critical care physician to assess cardiac preload, afterload and contractile function in hemodynamically unstable patients in order to fine-tune treatment with fluids, inotropes and/or vasopressors.

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Minimum standards for ultrasound equipment in intensive care. Recommendations from CICM Ultrasound Special Interest Group

Costello

Yastrebov

Yang

et al. 2017

Australas J Ultrason Med

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Critical care ultrasonography allows rapid bedside assessment and monitoring of severely ill patients. It provides important information on a real-time basis for patients' management and clinical decision-making, leading to improvements in delivered quality of care. Provision of this service is not possible without appropriate equipment. This document recommends minimum standards for ultrasound equipment required for use in intensive care units in Australia and New Zealand.

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Emergency echocardiography: the European Association of Cardiovascular Imaging recommendations

Cited by 172 publications

References 32 publications

The use of echocardiography in acute cardiovascular care: Recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association

The use of echocardiography in acute cardiovascular care: Recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association

Cardiac Ultrasonography in the critical care setting: a practical approach to asses cardiac function and preload for the “non-cardiologist”

Minimum standards for ultrasound equipment in intensive care. Recommendations from CICM Ultrasound Special Interest Group

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