Tricuspid Annular Plane Systolic Excursion (TAPSE) Measurement by Emergency Medicine Residents in Patients Suspected of Pulmonary Emboli
| Autor: | Afshin Khaksar, Alireza Jalali, Mozhgan Sadat Hashemi, Ghasem Pishgahi, Ehsan Karimialavijeh |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Radiological and Ultrasound Technology Pulmonary angiogram Adult patients Receiver operating characteristic business.industry Intraclass correlation Ultrasound Middle Aged Confidence interval ROC Curve Echocardiography Emergency medicine medicine Emergency Medicine Ventricular Function Right Humans Radiology Nuclear Medicine and imaging In patient Tricuspid Valve business Pulmonary Embolism Area under the roc curve Aged |
| Zdroj: | Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in MedicineReferences. 41(8) |
| ISSN: | 1550-9613 |
| Popis: | OBJECTIVES We aimed to evaluate the ability of emergency medicine (EM) residents to measure tricuspid annular plane systolic excursion (TAPSE) by M-Mode ultrasound. METHODS Four EM residents with prior focused cardiac ultrasound (FOCUS) experience participated in 10 hours of hands-on training and then performed TAPSE measurements in adult patients at high risk of having pulmonary emboli (PE) between December 2020 and April 2021. Patients underwent bedside echocardiography by cardiology residents, and a CT pulmonary angiogram (CTPA) was performed to confirm the diagnosis. The agreement between EM and cardiology residents was assessed by intraclass correlation coefficient (ICC). RESULTS Sixty-six patients were included (mean age = 58.7 ± 16.7 years), of which 28 patients (42.8%) had positive CTPA. The mean TAPSE, measured by EM residents was 16.36 ± 1.59 mm in the PE positive group and 21.68 ± 2.87 mm in the PE negative group (P-value = |
| Databáze: | OpenAIRE |
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