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A Pocket Full of Sunshine for Early Diagnosis of Valvular Heart Disease

2021; Elsevier BV; Volume: 35; Issue: 2 Linguagem: Inglês

10.1016/j.echo.2021.11.005

1097-6795

Linda Liu, Young W. Kwon, James N. Kirkpatrick,

Cardiac Arrest and Resuscitation

The emergence of focused cardiac ultrasound (FCU) technology allowing point-of-care ultrasound (POCUS) in the past few decades has revolutionized clinical practice. Focused cardiac ultrasound has taken on multiple forms and multiple names, including cardiac POCUS, hand-carried cardiac ultrasound, handheld echocardiography, and pocket-sized transthoracic echocardiography (pTTE). Naming conventions can depend, in part, on the type of device used (from small but full functionality platforms to handheld or pocket-sized devices with limited capabilities) 1 Kovell L.C. Ali M.T. Hays A.G. Metkus T.S. Madrazo J.A. Corretti M.C. et al. Defining the role of point-of-care ultrasound in cardiovascular disease. Am J Cardiol. 2018; 122: 1443-1450 Abstract Full Text Full Text PDF PubMed Scopus (10) Google Scholar and on the training of practitioners (from sonographers and cardiologists, to other acute care physicians with various levels of training, to medical students and nurses). Patient populations, imaging protocols, and interpretation parameters are other important considerations that define the scope (Table 1). Focused cardiac ultrasound/POCUS has been applied in critical care including cardiac arrest and shock management and in assisting in the diagnosis of cardiac emergencies such as acute coronary syndrome, acute pulmonary embolism, aortic dissection, and pericardial effusion in the emergency department, wards, and intensive care units. 2 Díaz-Gómez J.L. Mayo P.H. Koenig S.J. Point-of-care ultrasonography. N Engl J Med. 2021; 385: 1593-1602 Crossref PubMed Scopus (30) Google Scholar Table 1List of FCU/POCUS elements in Kikoïne et al.3 Kikoïne J. Hauguel-Moreau M. Hergault H. Aidan V. Ouadahi M. Dubourg O. et al. Screening of native valvular heart disease using a pocket-sized transthoracic echocardiographic device. J Am Soc Echocardiogr. 2022; 35: 196-202 Abstract Full Text Full Text PDF Scopus (2) Google Scholar Device Vscan (two-dimensional and color Doppler functions) Practitioner Level III trained echocardiographer Patients Outpatient cardiology clinic, referred for sTTE Scanning protocol Parasternal long- and short-axis views and apical four- and two-chamber and long-axis views. Interpretation parameters Left-sided VHD, defined as mild or greater stenosis or regurgitation Open table in a new tab Screening of Native Valvular Heart Disease Using a Pocket-Sized Transthoracic Echocardiographic DeviceJournal of the American Society of EchocardiographyVol. 35Issue 2PreviewThe authors assessed the performance of pocket-sized transthoracic echocardiography (pTTE) compared with standard transthoracic echocardiography (sTTE) and auscultation for early screening of valvular heart disease (VHD). Early diagnosis of significant VHD is a challenge, but it enables appropriate follow-up and implementation of the best therapeutic strategy. Full-Text PDF