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June 19, 2003Echocardiography

The Hand‐Carried Echocardiographic Device as an Aid to the Physical Examination

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Key result

Hand-carried echocardiographic devices decrease diagnostic error compared with physical examination by cardiologists and impact patient triage and treatment.

Why the study?

Does the use of hand-carried echocardiographic devices improve diagnostic accuracy compared to physical examination in patients with cardiovascular disease?

Population

Patients with cardiovascular disease in cardiology outpatient settings and hospitalized patients who are not…

Comparison

Hand-carried echocardiographic devices vs Physical examination by board certified…

Design

Review

Authors

JDJeanne M. DeCaraUniversity of Chicago
Roberto M. Lang
Roberto M. LangCardiac Imaging
KSKirk T. SpencerUniversity of Iowa

Discussion

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Implication

May aid bedside diagnosis with hand-carried echo; leaves open outcome benefits and practice change pending higher-level trials.

Structured PICO

Does the use of hand-carried echocardiographic devices improve diagnostic accuracy compared to physical examination in patients with cardiovascular disease?

P
Population
Patients with cardiovascular disease in cardiology outpatient settings and hospitalized patients who are not critically ill
I
Intervention
Hand-carried echocardiographic devices
C
Comparator
Physical examination by board certified cardiologists and full-featured echocardiography systems

Hand-carried echocardiographic devices enhance bedside diagnostic accuracy and impact patient management when used as an adjunct to physical examination.

Limitations

  • The degree of training required for responsible use of these devices is as yet unclear.

Cite This Study

DeCara et al. (2003) conducted a review in Cardiovascular disease. Hand-carried echocardiographic devices vs. Physical examination was evaluated. Hand-carried echocardiographic devices decrease diagnostic error compared with physical examination by cardiologists and impact patient triage and treatment.

synapsesocial.com/papers/6a5ac57d375350ccdbf69a1chttps://doi.org/10.1046/j.1540-8175.2003.03071.x

Topics

Echocardiography
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Rapid Assessment of Cardiac Anatomy and Function with a New Hand-carried Ultrasound Device (OptiGo™): A Comparison with Standard Echocardiography2001 · 74 citations
  2. 2A Hand‐Carried Personal Ultrasound Device for Rapid Evaluation of Left Ventricular Function: Use After Limited Echo Training2003 · 56 citations
  3. 3Effect of Enalapril on Mortality and the Development of Heart Failure in Asymptomatic Patients with Reduced Left Ventricular Ejection Fractions1992 · 3,758 citations
  4. 4Test of a cardiology patient simulator with students in fourth-year electives1987 · 154 citations