Why the study?
Can emergency physicians with focused training accurately assess left ventricular function using echocardiography in hypotensive emergency department patients compared to cardiologist review?
Population
51 adult patients with symptomatic hypotension presenting to an urban teaching emergency department…
Comparison
Five-view transthoracic echocardiogram performed… vs Review of the same echocardiograms by a blinded…
Design
Cohort, Blinded cardiologist review
Key result
Emergency physician echocardiography estimates of ejection fraction in hypotensive patients correlated strongly with cardiologist reviews (Pearson's R = 0.86).
Authors
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May support EP echocardiography for EF assessment in hypotensive patients; leaves open whether it changes management or outcomes.
Observational (n=51)
Single-blind
No
Can emergency physicians with focused training accurately assess left ventricular function using echocardiography in hypotensive emergency department patients compared to cardiologist review?
Effect estimate: Pearson's R 0.86
p-value: p=<0.001
Emergency physicians with focused training can accurately assess left ventricular function using echocardiography in hypotensive patients, demonstrating strong correlation with cardiologist interpretations.
Moore et al. (2002) conducted an observational in Symptomatic hypotension (n=51). Emergency physician echocardiography vs. Cardiologist echocardiography review was evaluated on Estimation of ejection fraction (EF) and categorization of left ventricular function (Pearson's R 0.86, p=<0.001). Emergency physician echocardiography estimates of ejection fraction in hypotensive patients correlated strongly with cardiologist reviews (Pearson's R = 0.86).