Mobile Echocardiography and Echoscopy Patricia Rant, MCU-PH - - PowerPoint PPT Presentation

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Mobile Echocardiography and Echoscopy Patricia Rant, MCU-PH Cardiologie, Bordeaux Janvier 2013 Conflict of interest disclosure (4yrs) In link with the Research, Congres present Communication studies displacement communication

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Mobile Echocardiography and Echoscopy

Patricia Réant, MCU-PH Cardiologie, Bordeaux Janvier 2013

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Conflict of interest disclosure (4yrs)

In link with the present communication Communication Research, studies Congres displacement BMS No Practical teaching 2012

Toshiba

JESFC 2012

and Printemps 2011 Servier No

EuroEcho 2011

Sanofi No Biarritz dec 2012

Saint Jude

Yes
Astra Zeneca

No PUT nov 2012

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1942 : Karl Dussik, the first doctor having used ultrasounds for medical diagnosis

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‘Blue goose’ 1970

L’oie bleue…

Standard ultrasonic system 1990

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First portative system 1999

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Portative ultrasonic systems All the functionalities 2004 Vivid I

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Weiner et al J Am Soc Echocardiogr 2012;25:568-575

Vivid I

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Pocket-sized ultrasound system 2009 : Vscan

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Validation of imaging capabilities

 Qualitative detection of the mean

cardiac abnormalities

 100 patients for cardiologic

evaluation

 Comparison to standard

echocardiography

 Inclusion criteria : all patient

addressed to the echocardiographic department

 Exclusion criteria : none  2 observers : VSCAN & Echo Versus Lafitte S et al Ultrasound Med Biol 2011;37:798-804

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Concordance

Lafitte S et al Ultrasound Med Biol 2011;37:798-804

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Choi BG et al J Am Soc Echocardiogr 2011;24:1325-30

Vscan

89 patients from a small isolated village of the Honduras…

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Clinical application

 VSCAN and abdominal aorta

aneurism detection

 Inclusion criteria : hospitalized

patients (cardio or others)

 Exclusion criteria : none  Sample : 200 patients  Comparison of the management

with and without echoscopic evaluation

Dijos M et al Echocardiography 2012;29:285-290

Prevalence = 7.5%

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Clinical application

 Echoscopy to evaluate pericardial effusion  Detection of the pericardial effusion in hospitalized

patients

 Inclusion criteria : after coronary bypass graft or AF

ablation

Reant P et al Arch CV Dis 2011;104:171-7  Exclusion criteria : absence of pre-op

echocardiography in the echolab

 Sample : 59 patients echoscopy

(Vscan)

 Comparison of the conventional

management at the echolab vs « bedside » by echoscopy

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Reant P et al Arch CV Dis 2011;104:171-7

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Other pocket ultrasound system : Acuson P10:

LV dimensions and function evaluation

Fukuda S et al Circ J 2009;73:1092-1096

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EAE Guidelines 2011

Sicari et al Eur Asso Echocardiogr. Eur Heart J 2011;32:385-392

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Sicari et al Eur Asso Echocardiogr. Eur Heart J 2011;32:385-392

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Conclusions

 Mobile echocardiography is useful in term of descrambling

(consultations, SAMU, emergencies,..), validated in the detection of the mean cardiac abnormalities

 Need of certification  EAE considers echoscopy as a prolongation of the

physical examination (as the stethoscope) and does not position itself in term of repayment

 Echoscopy does not replace complete echocardiography

and should indicate its necessity