Article Text

PDF
Tele-echocardiography: enhancing quality at the point-of-care
  1. Andrew Peters,
  2. Pravin V Patil
  1. Department of Medicine, Section of Cardiology, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Pravin V Patil, Department of Medicine, Section of Cardiology, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA; pravin.patil{at}tuhs.temple.edu

Statistics from Altmetric.com

Cardiac point-of-care ultrasound (POCUS) has been rapidly adopted across a variety of practice settings. The popularity stems from the ability to rapidly assimilate findings at the bedside into a diagnosis and treatment plan. The focus has primary been to assess left and right ventricular function, presence of a pericardial effusion, major valvular pathology and inferior vena cava size. Utilisation of POCUS results in fewer missed cardiovascular findings of clinical importance when compared with physical examination alone.1 It also enhances diagnostic accuracy for cardiac conditions including left ventricular systolic dysfunction.2 Medical students and physicians have demonstrated a basic level of competency with as little as two or 3 hours of training.2 3 Many medical schools and post-graduate training programmes have or are in the process of developing curriculums to teach POCUS.

Recently, hand-held cardiac ultrasound screening has spread to primary care.4 It can be applied in remote settings without routine access to formal ultrasonography to determine which patients may benefit from a complete echocardiogram.5 6 It is important to note that POCUS cannot supplant echocardiography to thoroughly evaluate significant cardiac pathology due to limited image quality and lack of spectral Doppler. Scan fidelity is also subject to acquisition and interpretation based on the experience of the clinical practitioner. Prior …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Health care delivery, economics and global health
    Bruno R Nascimento Andrea Z Beaton Maria Carmo Pereira Nunes Allison R Tompsett Kaciane K B Oliveira Adriana C Diamantino Márcia M Barbosa Tainá V Lourenço Isabella M Teixeira Gabriela Z L Ruiz João Pedro P Rios Antonio Luiz P Ribeiro Craig Sable On behalf of the PROVAR+ (Programa de RastreamentO da VAlvopatia Reumática and Other Cardiovascular Diseases) investigators Adriana C Diamantino Allison Tompsett Amanda O Lauar Ana Luísa M costa Andrea Z Beaton Antonio Luiz P Ribeiro Breno De Filippo rezende Bruno R Nascimento Camila G Ferreira Cassio M Oliveira Catherine L Webb Craig A Sable Eduardo L V Lopes Gabriela Z L Ruiz Gabriel A L Carmo Graziela Chequer Hedda Richards Iara M Castro Isabella M Teixeira João Pedro P Rios Júlia P A Santos Lara Castro Lindsay Perlman Luciana C X Lafeta Luise Cristina T R Barros Kaciane K B Oliveira Letícia Maria M Rabelo Maria Do Carmo P Nunes Michelle C Galbas Sandra Regina T Castilho Tainá V Lourenço Vitória M L R de Rezende Zilda Maria A Meira