Beyond auscultation: Acoustic cardiography in clinical practice
Autor: | Fang Fang, Alex Pui-Wai Lee, Cheuk-Man Yu, Yong-Na Wen, Chun-Na Jin |
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Rok vydání: | 2014 |
Předmět: |
Constrictive pericarditis
medicine.medical_specialty Heart Diseases Stethoscope Cardiology law.invention law Internal medicine medicine Humans Intensive care medicine Physical Examination Phonocardiogram medicine.diagnostic_test business.industry Phonocardiography Reproducibility of Results Sleep apnea Auscultation medicine.disease Heart Sounds Heart failure Heart sounds Ventricular fibrillation Cardiology and Cardiovascular Medicine business Heart Auscultation |
Zdroj: | International Journal of Cardiology. 172:548-560 |
ISSN: | 0167-5273 |
Popis: | Cardiac auscultation by stethoscope is widely used but limited by low sensitivity and accuracy. Phonocardiogram was developed in an attempt to provide quantitative and qualitative information of heart sounds and murmurs by transforming acoustic signal into visual wavelet. Although phonocardiogram provides objective heart sound information and holds diagnostic potentials of different heart problems, its examination procedure is time-consuming and it requires specially trained technicians to operate the device. Acoustic cardiography (AUDICOR, Inovise Medical, Inc., Portland, OR, USA) is a major recent advance in the evolution of cardiac auscultation technology. The technique is more efficient and less operator-dependent. It synchronizes cardiac auscultation with ECG recording and provides a comprehensive assessment of both mechanical and electronic function of the heart. The application of acoustic cardiography is far beyond auscultation only. It generates various parameters which have been proven to correlate with gold standards in heart failure diagnosis and ischemic heart disease detection. Its application can be extended to other diseases, including LV hypertrophy, constrictive pericarditis, sleep apnea and ventricular fibrillation. The newly developed ambulatory acoustic cardiography is potentially used in heart failure follow-up in both home and hospital setting. This review comprehensively summarizes acoustic cardiographic research, including the most recent development. |
Databáze: | OpenAIRE |
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