Point-of-care ultrasound: Closing guideline gaps in screening for valvular heart disease

被引：11

作者：

Hammadah, Muhammad ^{[1
]}

Ponce, Christopher ^{[1
]}

Sorajja, Paul ^{[1
]}

Cavalcante, Joao L. ^{[1
]}

Garcia, Santiago ^{[1
]}

Gossl, Mario ^{[1
]}

机构：

[1] Minneapolis Heart Inst, Intervent Cardiol Dept, Minneapolis, MN USA

来源：

CLINICAL CARDIOLOGY | 2020年 / 43卷 / 12期

关键词：

POCUS; point of care ultrasound; screening; valvular heart disease; HAND-HELD ECHOCARDIOGRAPHY; FOCUSED CARDIAC ULTRASOUND; PATIENTS GREATER-THAN-OR-EQUAL-TO-80 YEARS; AORTIC-VALVE-REPLACEMENT; CARRIED ULTRASOUND; PHYSICAL-EXAMINATION; AMERICAN SOCIETY; MITRAL REGURGITATION; COST-EFFECTIVENESS; INTERNAL-MEDICINE;

D O I：

10.1002/clc.23499

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background A linear increase in the number of valvular heart disease is expected due to the aging population, yet most patients with severe valvular heart disease remain undiagnosed. Hypothesis POCUS can serve as a screening tool for valvular heart disease. Methods We reviewed the literature to assess the strengths and limitations of POCUS in screening and diagnosing valvular heart disease. Results POCUS is an accurate, affordable, accessible, and comprehensive tool. It has a fast learning curve and can prevent unnecessary and more expensive imaging. Challenges include training availability, lack of simplified screening protocols, and reimbursement. Large scale valvular screening data utilizing POCUS is not available. Conclusion POCUS can serve as a screening tool and guide the management of patients with valvular heart disease. More data is needed about its efficacy and cost-effectiveness in the screening of patients with valvular heart disease.

引用

页码：1368 / 1375

页数：8

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