Point-of-Care Ultrasound Archives - Page 2 of 7

Published On - September 10, 2022

CASE REPORT • A Simple Algorithm for Differential Diagnosis in Hemodynamic Shock Based on Left Ventricle Outflow Tract Velocity–Time Integral Measurement: A Case Series

Echocardiography has been used in the critical care setting for a long time. Several echocardiographic algorithms have been developed with the aim to guide in the assessment of hemodynamic shock in critically ill patients. These algorithms, however, focus mainly on the heart structural and do not of...

Published On - September 10, 2022

emedv2b_zvusge UncategorizedTags: aortic stenosis, aortic valve replacement, AVR, bicuspid aortic valve, cardiac damage, congenital cardiac abnormality, strain echocardiography, valve replacement

STRAIN ECHOCARDIOGRAPHY IN AORTIC STENOSIS • Multichamber Strain Characterization Is a Robust Prognosticator for Both Bicuspid and Tricuspid Aortic Stenosis

Bicuspid aortic valve (BAV) is the most common congenital cardiac abnormality. It is detected in up to 50% of patients requiring aortic valve replacement (AVR) because of signiﬁcant aortic stenosis (AS). Patients with BAV-AS are two decades younger, have fewer comorbidities, and exhibit significan...

Published On - August 27, 2022

emedv2b_zvusge Pediatric UltrasoundTags: hemodynamic management, infant respiratory failure, pediatric ultrasound, PoCUS, vascular ultrasound

Unexpected Vascular Ultrasound Findings Prompting Hemodynamic Management in an Infant in Respiratory Failure

Often, use of point-of-care ultrasound modalities at the patient bedside is dichotomized into diagnostic versus procedural ultrasound. However, as described in this case, it is important to recognize the crossover that can occur in procedural ultrasound and the potential for making diagnostic discov...

Published On - August 27, 2022

emedv2b_zvusge Kidney UltrasoundTags: computed tomography, CT Scan, kidney stone diagnosis, nephrolithiasis, PoCUS, ultrasonography

Effect of an Ultrasound-First Clinical Decision (CD) Tool in Emergency Department Patients with Suspected Nephrolithiasis: A Randomized Trial

The author concluded that implementation of the US-ﬁrst CDS tool resulted in lower CT use for ED patients with suspected nephrolithiasis, and promoted US use without increasing costs, ED revisits, or additional CT scans performed during ED revisits......

Published On - August 12, 2022

emedv2b_zvusge UncategorizedTags: aortic stenosis, aortic valve, AS, cardiac ultrasound, cardiac ultrasound, left ventricular global longitudal strain, moderate AS

CLINICAL INVESTIGATIONS • Left Ventricular Global Longitudinal Strain in Patients with Moderate Aortic Stenosis

Recent data shows poor long-term survival in patients with moderate aortic stenosis, challenging traditional definitions of AS severity and timing of intervention in these patients. The presence of moderate AS in patients with reduced left ventricular ejection fraction (LVEF; ...

Published On - August 12, 2022

emedv2b_zvusge UncategorizedTags: cardiac magnetic resonance imaging study, mitral regurgitant volume, MR, primary mitral regurgitation, RVol

CLINICAL INVESTIGATIONS • Comparison of Mitral Regurgitant Volume Assessment between Proximal Flow Convergence and Volumetric Methods in Patients with Significant Primary Mitral Regurgitation: An Echocardiographic and Cardiac Magnetic Resonance Imaging Study

Assessment of primary mitral regurgitation (MR) severity is of paramount importance for clinical decision-making to determine the optimal timing of surgical intervention in these patients. Current guidelines recommend determination of mitral regurgitant volume (RVol) as part of the thorough assessme...

Published On - July 29, 2022

emedv2b_zvusge UncategorizedTags: echocardiography, LVEF, MAPSE, mitral annular plane systolic excursion, sepsis, septic cardiomyopathy, septic shock, SICM

RESEARCH • Feasibility and Discriminatory Value of Tissue Motion Annular Displacement in Sepsis-Induced Cardiomyopathy: A Single-Center Retrospective Observational Study

There is no formalized or consensus definition of SICM, yet frequently left ventricular ejection fraction (LVEF) of less than 50% in septic patients is often considered as indicative of SICM. The mortality among septic patients with SICM is 2 ~ 3 times higher than those without SICM. Echocardiograph...

Published On - July 29, 2022

emedv2b_zvusge UncategorizedTags: chronic thromboembolic pulmonary hypertension, heart catheterization, pulmonary hypertension, Transthoracic Echocardiography

Right Ventricular Postsystolic Strain Curve Morphology before and after Vasodilator Treatment in Idiopathic Pulmonary Arterial Hypertension

The authors discussed the current guidelines for diagnostic workup of pulmonary hypertension, which include right heart catheterization to establish diagnosis, a transthoracic echocardiography to rule out left heart disease, a ventilation/perfusion lung scan to exclude chronic thromboembolic pulmona...

Published On - July 16, 2022

emedv2b_zvusge UncategorizedTags: cardiac ultrasound, PH, RHC, right heart catherization, sPAP, systolic pulmonary artery pressure, Transthoracic Echocardiography

ECHOCARDIOGRAPHY AND PULMONARY HYPERTENSION • Echocardiographic Biventricular Coupling Index to Predict Precapillary Pulmonary Hypertension

Right heart catheterization (RHC) remains the gold standard in the diagnostic workup. However, transthoracic echocardiography is currently part of the screening process and is increasingly used in the longitudinal follow-up of patients with PH. Estimated systolic pulmonary artery pressure (sPAP) is ...

Published On - July 16, 2022

emedv2b_zvusge Beside UltrasoundTags: ALS, Needle Thoracostomy, NT, portable ultrasound, prehospital POCUS

ORIGINAL ARTICLE • Prehospital Portable Ultrasound for Safe and Accurate Prehospital Needle Thoracostomy: A Pilot Educational Study

Since prehospital POCUS is becoming more widely adopted for its diagnostic abilities to aid in decision-making in traumatically injured patients, the authors designed this pilot educational study intervention to train ALS prehospital personnel to use a handheld POCUS to aid in the detection of pneum...

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CASE REPORT • A Simple Algorithm for Differential Diagnosis in Hemodynamic Shock Based on Left Ventricle Outflow Tract Velocity–Time Integral Measurement: A Case Series

STRAIN ECHOCARDIOGRAPHY IN AORTIC STENOSIS • Multichamber Strain Characterization Is a Robust Prognosticator for Both Bicuspid and Tricuspid Aortic Stenosis

Unexpected Vascular Ultrasound Findings Prompting Hemodynamic Management in an Infant in Respiratory Failure

Effect of an Ultrasound-First Clinical Decision (CD) Tool in Emergency Department Patients with Suspected Nephrolithiasis: A Randomized Trial

CLINICAL INVESTIGATIONS • Left Ventricular Global Longitudinal Strain in Patients with Moderate Aortic Stenosis

CLINICAL INVESTIGATIONS • Comparison of Mitral Regurgitant Volume Assessment between Proximal Flow Convergence and Volumetric Methods in Patients with Significant Primary Mitral Regurgitation: An Echocardiographic and Cardiac Magnetic Resonance Imaging Study

RESEARCH • Feasibility and Discriminatory Value of Tissue Motion Annular Displacement in Sepsis-Induced Cardiomyopathy: A Single-Center Retrospective Observational Study

Right Ventricular Postsystolic Strain Curve Morphology before and after Vasodilator Treatment in Idiopathic Pulmonary Arterial Hypertension

ECHOCARDIOGRAPHY AND PULMONARY HYPERTENSION • Echocardiographic Biventricular Coupling Index to Predict Precapillary Pulmonary Hypertension

ORIGINAL ARTICLE • Prehospital Portable Ultrasound for Safe and Accurate Prehospital Needle Thoracostomy: A Pilot Educational Study

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