Rapid Screening of Cardiac Patients with a Miniaturized Hand-Held Ultrasound Imager - Comparisons with Physical Examination and Conventional Two-Dimensional Echocardiography

Tianrong Xie, Antonio J. Chamoun, Marti McCulloch, Nick Tsiouris, Yochai Birnbaum, Masood Ahmad

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Background: Rapid screening of cardiac patients with a hand-held ultrasound imager (SonoHeart™ [SH]) could provide valuable clinical information. Hypothesis: Whether the use of this device yields additional information to a carefully conducted physical examination and comparable findings to those of conventional two-dimensional echocardiography (2-D) during inpatient rounds is not well established and is the subject of this study. Methods: In all, 100 consecutive telemetry patients underwent rapid screening with 2-D and color Doppler SH during inpatient rounds. SonoHeart findings were compared with results from conventional 2-D and physical examination conducted by an attending cardiologist. Results: All patients had interpretable images. Mean scanning time with SH was 5.0 ± 1.2 min; 2-D and SH findings were comparable. The parameters studied included chamber sizes, left ventricular (LV) systolic function, presence of LV hypertrophy (LVH), wall motion abnormalities (WMA), pericardial effusion (PE), and valvular regurgitations. Mild to moderate valvular regurgitation and LV systolic dysfunction were reliably diagnosed by SH in a number of patients whose symptoms were unrelated to the abnormalities detected. Conclusions: Rapid screening with SH provides accurate and valuable information that would otherwise be undetected during physical examination. Its introduction into clinical practice may redefine the initial approach to patients with cardiovascular disease.

Original languageEnglish (US)
Pages (from-to)241-245
Number of pages5
JournalClinical Cardiology
Volume27
Issue number4
StatePublished - Apr 2004

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Physical Examination
Echocardiography
Hand
Inpatients
Telemetry
Pericardial Effusion
Left Ventricular Dysfunction
Left Ventricular Hypertrophy
Left Ventricular Function
Cardiovascular Diseases
Color
Equipment and Supplies

Keywords

  • Echocardiography
  • Hand-held
  • Physical examination
  • Screening
  • SonoHeart

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Rapid Screening of Cardiac Patients with a Miniaturized Hand-Held Ultrasound Imager - Comparisons with Physical Examination and Conventional Two-Dimensional Echocardiography. / Xie, Tianrong; Chamoun, Antonio J.; McCulloch, Marti; Tsiouris, Nick; Birnbaum, Yochai; Ahmad, Masood.

In: Clinical Cardiology, Vol. 27, No. 4, 04.2004, p. 241-245.

Research output: Contribution to journalArticle

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