Handheld Echocardiography in a Clinical Practice Scenario: Concordances Compared to Standard Echocardiographic Reports.

Autor: Blume GG; Division of Cardiovascular Diseases, Pontificial Catholic University of Paraná, Curitiba, Brazil. gustavoblume@gmail.com., Lechinewski LD; Graphic Methods Sector, Holy House of Curitiba, Curitiba, Brazil., Vieira IP; Graphic Methods Sector, Holy House of Curitiba, Curitiba, Brazil., Clausell N; Division of Cardiovascular Diseases, Federal University of Rio Grande do Sul, Porto Alegre, Brazil., Bertinato GP; Division of Cardiovascular Diseases, Pontificial Catholic University of Paraná, Curitiba, Brazil., Machado-Júnior PAB; Division of Cardiovascular Diseases, Pontificial Catholic University of Paraná, Curitiba, Brazil., Berro PG; Division of Cardiovascular Diseases, Pontificial Catholic University of Paraná, Curitiba, Brazil., Moura LAZ; Division of Cardiovascular Diseases, Pontificial Catholic University of Paraná, Curitiba, Brazil., Tsang T; Division of Cardiovascular Diseases, University of British Columbia, Vancouver, Canada.
Jazyk: angličtina
Zdroj: Journal of cardiovascular imaging [J Cardiovasc Imaging] 2022 Jan; Vol. 30 (1), pp. 25-34.
DOI: 10.4250/jcvi.2020.0241
Abstrakt: Background: The purpose of this study was to assess the utility of a handheld device (HH) used during common daily practice and its agreement with the results of a standard echocardiography study (STD) performed by experienced sonographers and echocardiographer.
Methods: A prospective follow-up was conducted in an adult outpatient echocardiography clinic. Experienced sonographers performed the STD and an experienced echocardiographer performed the HH. STD included 2-dimensional images, Doppler and hemodynamics analysis. Hemodynamic assessment was not performed with the HH device because the HH does not include such technology. The images were interpreted by blinded echocardiographers, and the agreement between the reports was analyzed.
Results: A total of 108 patients were included; and the concordance for left ventricle (LV) ejection fraction (EF), wall motion score index, LV and right ventricle (RV) function, RV size, and mitral and aortic stenosis was excellent with κ values greater than 0.80. Wall motion abnormalities had good concordance (κ value 0.78). The agreement for LV hypertrophy, mitral and aortic regurgitation was moderate, and tricuspid and pulmonary regurgitation agreements were low (κ values of 0.26 and 0.25, respectively).
Conclusions: In a daily practice scenario with experienced hands, HH demonstrated good correlation for most echocardiography indications, such as ventricular size and function assessment and stenosis valve lesion analyses.
Competing Interests: The authors have no financial conflicts of interest.
(Copyright © 2022 Korean Society of Echocardiography.)
Databáze: MEDLINE
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