Focused cardiac ultrasound is feasible in the general practice setting and alters diagnosis and management of cardiac disease
AuthorYates, J; Royse, CF; Royse, C; Royse, AG; Canty, DJ
Source TitleECHO RESEARCH AND PRACTICE
University of Melbourne Author/sYates, James; Royse, Alistair; Canty, David; Royse, Colin; Royse, Carolyn
AffiliationMedicine, Dentistry & Health Sciences
Document TypeJournal Article
CitationsYates, J., Royse, C. F., Royse, C., Royse, A. G. & Canty, D. J. (2016). Focused cardiac ultrasound is feasible in the general practice setting and alters diagnosis and management of cardiac disease. ECHO RESEARCH AND PRACTICE, 3 (3), pp.63-69. https://doi.org/10.1530/ERP-16-0026.
Access StatusOpen Access
Open Access at PMChttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045516
BACKGROUND: Ultrasound-assisted examination of the cardiovascular system with focused cardiac ultrasound by the treating physician is non-invasive and changes diagnosis and management of patient's with suspected cardiac disease. This has not been reported in a general practice setting. AIM: To determine whether focused cardiac ultrasound performed on patients aged over 50 years changes the diagnosis and management of cardiac disease by a general practitioner. DESIGN AND SETTING: A prospective observational study of 80 patients aged over 50years and who had not received echocardiography or chest CT within 12months presenting to a general practice. METHOD: Clinical assessment and management of significant cardiac disorders in patients presenting to general practitioners were recorded before and after focused cardiac ultrasound. Echocardiography was performed by a medical student with sufficient training, which was verified by an expert. Differences in diagnosis and management between conventional and ultrasound-assisted assessment were recorded. RESULTS AND CONCLUSION: Echocardiography and interpretation were acceptable in all patients. Significant cardiac disease was detected in 16 (20%) patients, including aortic stenosis in 9 (11%) and cardiac failure in 7 (9%), which were missed by clinical examination in 10 (62.5%) of these patients. Changes in management occurred in 12 patients (15% overall and 75% of those found to have significant cardiac disease) including referral for diagnostic echocardiography in 8 (10%), commencement of heart failure treatment in 3 (4%) and referral to a cardiologist in 1 patient (1%).Routine focused cardiac ultrasound is feasible and frequently alters the diagnosis and management of cardiac disease in patients aged over 50years presenting to a general practice.
- Click on "Export Reference in RIS Format" and choose "open with... Endnote".
- Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References