The use of pocket-size imaging devices: a position statement of the European Association of Echocardiography

Sicari, Rosa; Galderisi, Maurizio; Voigt, Jens‐Uwe; Habib, Gilbert; Zamorano, José; Lancellotti, Patrizio; Badano, Luigi P.

doi:10.1093/ejechocard/jeq184

Cited by 209 publications

(155 citation statements)

References 13 publications

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“…However, some sonographic signs other than B-lines are useful to differentiate the B-pattern of cardiogenic pulmonary edema, ARDS, and pulmonary fibrosis [10]. The sonographic technique for diagnosis of interstitial syndrome is a basic technique [30][31][32] with superiority over conventional CXR [33].…”

Section: B-d4-s5 (Strong: Level B)mentioning

confidence: 99%

International evidence-based recommendations for point-of-care lung ultrasound

et al. 2012

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Background: The purpose of this study is to provide evidence-based and expert consensus recommendations for lung ultrasound with focus on emergency and critical care settings. Methods: A multidisciplinary panel of 28 experts from eight countries was involved. Literature was reviewed from January 1966 to June 2011. Consensus members searched multiple databases including Pubmed, Medline, OVID, Embase, and others. The process used to develop these evidence-based recommendations involved two phases: determining the level of quality of evidence and developing the recommendation. The quality of evidence is assessed by the grading of recommendation, assessment, development, and evaluation (GRADE) method. However, the GRADE system does not enforce a specific method on how the panel should reach decisions during the consensus process. Our methodology committee decided to utilize the RAND appropriateness method for panel judgment and decisions/consensus. Results: Seventythree proposed statements were examined and discussed in three conferences held in Bologna, Pisa, and Rome. Each conference included two rounds of face-to-face modified Delphi technique. Anonymous panel voting followed each round. The panel did not reach an agreement and therefore did not adopt any recommendations for six statements. Weak/ conditional recommendations were made for 2 statements, and strong recommendations were made for the remaining 65 statements. The statements were then recategorized and grouped to their current format. Internal and external peer-review processes took place before submission of the recommendations. Updates will occur at least every 4 years or whenever significant major changes in evidence appear. Conclusions: This document reflects the overall results of the first consensus conference on ''point-of-care'' lung ultrasound. Statements were discussed and elaborated by experts who published the vast majority of papers on clinical use of lung ultrasound in the last 20 years. Recommendations were produced to guide implementation, development, and standardization of lung ultrasound in all relevant settings.

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Section: B-d4-s5 (Strong: Level B)mentioning

confidence: 99%

International evidence-based recommendations for point-of-care lung ultrasound

et al. 2012

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“…These brand-new devices portend the potential to dramatically increase portability and expand diagnostic ability of the physician, although it has to be noticed that point-of-care assessment is not meant to substitute a comprehensive echocardiographic exam. A summary of the indications for pocket-size devices has been provided by the European Association of Echocardiography (35) which recommends that they should be regarded as a "complement" to a physical examination (particularly in the setting of coronary and intensive care units) or as a tool for a fast, initial screening in an emergency setting (including first cardiac evaluation in ambulances); moreover, their use could be extended to screening programs, triaging candidates for a complete echocardiographic examination, and as teaching tool in medical schools. If correctly used, pocket-size devices portend the potential not only to increase diagnostic accuracy, but also to save health-care resources, reduce waiting lists for inpatients and improve teaching.…”

Section: Getting Smaller Getting Smartermentioning

confidence: 99%

“…If correctly used, pocket-size devices portend the potential not only to increase diagnostic accuracy, but also to save health-care resources, reduce waiting lists for inpatients and improve teaching. In any case, "with the exception of cardiologists who are certified for TTE according to national legislation, specific training and certification is recommended for all users", subject to the fact that this certification "should be limited to the clinical questions that can potentially be answered by pocket-size devices" (35). Briefly, only focused evaluations can be currently performed, even when used by expert sonographers; nevertheless, the potential benefits that this new technology could offer in the next future are multiple (36).…”

Section: Getting Smaller Getting Smartermentioning

confidence: 99%

Serendipity and innovation: history and evolution of transthoracic echocardiography

Ohmes¹,

Gaudino²,

Rong³

et al. 2017

J. Thorac. Dis.

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Abstract:The history of echocardiography is sprinkled with many interesting episodes and anecdotes showing that devoting your life to the pursuit of one goal is praiseworthy, and that at the same time, a little luck goes a long way. Transthoracic echocardiography (TTE) has led to dramatic improvements in cardiovascular medicine, and is now the most widely used diagnostic cardiac test after electrocardiography (ECG). The present review pays tribute to the pioneering efforts of those who believed in this innovative technology despite mounted skepticism and briefly describes the evolution of TTE from its early days to the most recent developments.

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“…This includes diastolic wall thickness above 0.5 mm at the level of the chords of the tricuspidal valve (Figure 4), as a sign of increased right heart myocardial mass, and cavity reduction in the ventricle in the systole and diastole. 9 The evidence for the existence of pressure load in preserved systolic function is pulmonary hypertension with ceiling systolic pressure in the RV and 40 mmHg in the pulmonary artery.…”

Section: 11mentioning

confidence: 99%

Echocardiographic Indicators of Simple Adult Congenital Heart Diseases.

Hanževački

2016

Cardiol Croat.

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SAŽETAK: Prirođene srčane bolesti odraslih (PSBO), osim složenih srčanih grešaka otkrivenih u djetinjstvu, obuhvaćaju i sasvim jednostavne jednostruke srčane greške koje se zbog maloga hemodinamskog značenja i težine otkrivaju tek u odrasloj dobi. Pokazatelji jednostavnih PSBO-a na lijevome srcu i aorti, znakovi su tlačno i volumno remodelirane lijeve klijetke (LK) te patološke morfologije zalistaka (najčešće je to dvolisni aortni zalistak -BAV i miksomatozni mitralni zalistak), kao i koarktacije aorte. Volumno opterećenje LK zbog povećanog utoka u lijevo srce dovodi do ekscentrične hipertrofije LK (normalna debljina stijenki, povećani volumeni, kuglasti oblik) razmjerno težini hemodinamske greške, pa što je volumen regurgitiranja ili šanta veći, uvećanje je veće. U BAV-u su česta i proširenja ascendentne aorte. Tlačno opterećena LK remodelirana je po tipu koncentrične hipertrofije (malog volumena u sistoli i dijastoli, zadebljanih stijenki). Najčešći prirođeni uzroci tlačnog opterećenja LK jesu: prirođena aortna stenoza, subaortna stenoza (izolirani subaortni fibrozni prsten i subaortna membrana) te koarktacija aorte (češće povezana s BAV-om) te stanja nakon prethodnih operativnih zahvata. Osim veličine šupljina i debljine stijenki, lijevog i desnog srca, važan je i dinamičan odnos razlike tlakova tijekom srčanog ciklusa. Kada postoji poremećaj tog odnosa, dolazi do pomaka ventrikulskog ili interatrijskog septuma prema šupljini s manjim tlakom. U tlačnom opterećenju desne klijetke (DK) dolazi do pomaka septuma prema lijevo u sistoli i stvaranje tzv. D-oblika LK u sistoli. U volumnom opterećenju DK dolazi do pomaka septuma prema lijevo u dijastoli tzv. "D-oblik" LK u dijastoli. U zaključku možemo istaknuti da se ehokardiografski pokazatelji jednostavnih i manje teških PSBO-a mogu svrstati u pet osnovnih kategorija: 1. veličina i morfologija LK; 2. veličina desnog atrija, položaj interatrijskog septuma; 3. veličina i mofologija DK; 4. plućna hipertenzija, 5. gradijent tlaka protoka preko aortnog i plućnog zalistka (AV/LVOT i PV/RVOT). Nalaz bilo kojeg od gore navedenih pokazatelja (s kardiološkim simptomima i znakovima ili bez njih) treba pobuditi sumnju na postojanje PSBO-a, što potom treba dokazati ili isključiti.SUMMARY: Adult congenital heart diseases (ACHD), in addition to complex heart defect diagnosed in childhood, also include very simple singular heat defects that are diagnosed only in adulthood due to their minor hemodynamic influence and severity. The indicators of simple ACHD on the left side of the heart and the aorta are signs the left ventricle (LV) has been remodeled by volume, pathological morphology of the valve (most commonly bicuspid aortic valve (BAV) disease and myxomatous mitral valve disease), and coarctation of the aorta. Volume load of the LV due to increased inflow into the left side of the heart leads to eccentric hypertrophy of the LV (normal wall thickness, increased volume, and ball-like shape) proportionate to the severity of the hemodynamic defect -the greater the regurgitation or...

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The use of pocket-size imaging devices: a position statement of the European Association of Echocardiography

Cited by 209 publications

References 13 publications

International evidence-based recommendations for point-of-care lung ultrasound

International evidence-based recommendations for point-of-care lung ultrasound

Serendipity and innovation: history and evolution of transthoracic echocardiography

Echocardiographic Indicators of Simple Adult Congenital Heart Diseases.

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