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Journal ArticleDOI

Diagnostic Accuracy of a Hand-Held Ultrasound Scanner in Routine Patients Referred for Echocardiography

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TLDR
In this article, the authors investigated the imaging capabilities of recent hand-held ultrasound scanners and compared them with high-end echocardiography (HIGH) to assess the left ventricular (LV) dimensions, regional and global LV function, and grades of valve disease.
Abstract
Background The aim of this study was to investigate the imaging capabilities of recent hand-held ultrasound scanners. Methods Three hundred forty-nine patients were scanned with hand-held ultrasound (HAND) and high-end echocardiography (HIGH). Segmental endocardial border delineation was scored (2 = good, 1=poor, 0=invisible) to describe image quality. Assessments of left ventricular (LV) dimensions, regional and global LV function, and grades of valve disease were compared. Results The mean endocardial visibility grades were 1.6 ± 0.5 with HAND and 1.7 ± 0.4 with HIGH ( P P r = 0.99, P P Conclusions Handheld echocardiography was feasible and missed no relevant findings. Given the future implementation of spectral Doppler capabilities, this handheld scanner can safely be used in clinical routine.

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Citations
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Journal ArticleDOI

Focused cardiac ultrasound: recommendations from the American Society of Echocardiography.

TL;DR: This guideline states that FCU should be used as an Adjunct to Physical Examination when Echocardiography is not Promptly Available and when the patient has no alternative source of care.
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The use of pocket-size imaging devices: a position statement of the European Association of Echocardiography.

TL;DR: The aim of this European Association of Echocardiography (EAE) position paper is to provide recommendations on the use of pocket-size imaging devices in the clinical arena by profiling the educational needs of potential users other than cardiologists experts in echo.
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Pocket-size hand-held cardiac ultrasound as an adjunct to clinical examination in the hands of medical students and junior doctors.

TL;DR: The use of PHHE after brief bedside training in the form of a tutorial greatly improved the clinical diagnosis of medical students and junior doctors, over and above history, physical examination, and ECG findings.
References
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Journal ArticleDOI

The measurement of observer agreement for categorical data

TL;DR: A general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies is presented and tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interob server agreement are developed as generalized kappa-type statistics.
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Hand-carried cardiac ultrasound (HCU) device: Recommendations regarding new technology. A report from the Echocardiography Task Force on New Technology of the Nomenclature and Standards Committee of the American Society of Echocardiography*

TL;DR: HCU will extend the concept of the "complete physical examination," allowing more rapid assessment of cardiovascular anatomy, function, and physiology, but appropriate user-specific training and assumption of responsibility are essential to ensure the most accurate acquisition, interpretation, and use of the data.
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How useful is hand-carried bedside echocardiography in critically ill patients?

TL;DR: Although the HC device was able to provide important anatomic information, the device falls far short of SE in the evaluation of critically ill patients.
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Ultrasonic real time imaging with a hand-held-scanner. Part II--initial clinical experience.

TL;DR: Tests performed on the general cardiology, obstetrics/gynaecology and internal medicine wards demonstrated that good imaging quality and diagnostic information could be obtained on a small display tube.
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