title: A hand-carried personal ultrasound device for rapid evaluation of left ventricular function: use after limited echo training.
abstract: A hand-carried personal ultrasound device (HCPUD) may be used for rapid cardiac screening by physicians with limited echo training. Our objective was to determine the accuracy of rapid HCPUD evaluation of left ventricular (LV) size and function when used by a Cardiology Fellow. Forty-five patients underwent an HCPUD exam using a 2.4-kg device with a 2- to 4-MHz curved transducer and color power Doppler (SonoSite). The results were compared with sonographer-performed and echocardiographer-interpreted exams using conventional equipment. The HCPUD exam lasted 6 +/- 2 minutes. There was 100% agreement between HCPUD and conventional echo on qualitative assessment of LV systolic function. Comparing the HCPUD and conventional linear measurements of left ventricular end-diastolic dimension (LVEDD) and of interventricular septal (IVS) thickness: LVEDD is HCPUD = 0.94 conventional -0.2,r = 0.82, P < 0.0001; IVS is HCPUD= 0.59 conventional+0.6, r = 0.69, P < 0.0001. Thus, an HCPUD can effectively be used after limited training to rapidly screen for qualitative abnormalities of LV systolic function. Quantitative measurements of smaller structures with the HCPUD are more challenging.
authors.affiliation: Cardiology Division, Department of Internal Medicine, University of Iowa Hospitals, Iowa City, Iowa, USA.
authors.forename: Kristina
authors.initials: K
authors.lastname: Lemola
authors.forename: Elina
authors.initials: E
authors.lastname: Yamada
authors.forename: Dinesh
authors.initials: D
authors.lastname: Jagasia
authors.forename: Richard E
authors.initials: RE
authors.lastname: Kerber
mesh_terms: D004452:Echocardiography / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging*; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D019095:Point-of-Care Systems; D015203:Reproducibility of Results; D018608:Ultrasonography, Doppler / Q000295:instrumentation* / Q000379:methods; D016277:Ventricular Function, Left / Q000502:physiology*