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Echocardiography in the Emergency Department
J. M. Van Dantzig, MD, PhD
Department of Cardiology, Catharina Ziekenhuis, PO Box 1350, 5602 ZA Eindhoven, The Netherlands
In the busy emergency department, time-effective and accurate diagnostic and prognostic evaluation is essential Although clinical examination remains the mainstay of appropriate evaluation, remaining diagnostic uncertainty may need to be resolved by use of additional techniques. Echocardiography appears very well suited to the unique environment in the emergency department. It is portable to the patient's bedside, can be performed in minimal time, and results are immediately available. This facilitates correct triage and disposition of complicated cases. Small, hand-carried echocardiography systems have been developed with full imaging and Doppler capabilities. Thus, availability of echocardiography is increasing. Because both image acquisition and interpretation are operator-dependent, realization of full diagnostic potential requires extensive training and post-training experience to maintain proficiency.
References
- Vignon P, Gueret P, Vedrinne JM, et al: Role of transesophageal echocardiography in the diagnosis and management of traumatic aortic disruption. Circulation 92: 2959-2968, 1995.[Abstract/Free Full Text]
- Smith MD, Cassidy JM, Souther S, et al: Transesophageal echocardiography in the diagnosis of traumatic rupture of the aorta. N Engl J Med 332:356-362, 1995.[Abstract/Free Full Text]
- Erbel R, Engberding R, Daniel W, et al: Echocardiography in diagnosis of aortic dissection. Lancet 1:457-461, 1989.[Web of Science][Medline]
[Order article via Infotrieve]
- Nienaber CA, von Kodolitsch Y, Nicolas V, et al: The diagnosis of thoracic aortic dissection by noninvasive imaging procedures. N Engl J Med 328:1-9, 1993.[Abstract/Free Full Text]
- Peels CH, Visser CA, Kupper AJ, et al: Usefulness of two-dimensional echocardiography for immediate detection of myocardial ischemia in the emergency room. Am J Cardiol 65:687-691, 1990.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Bholasingh R, Cornel JH, Kamp O, et al: Prognostic value of predischarge dobutamine stress echocardiography in chest pain patients with a negative cardiac troponin T. J Am Coll Cardiol 41:596-602, 2003.[Abstract/Free Full Text]
- Cheriex EC, Sreeram N, Eussen YF, et al: Cross sectional Doppler echocardiography as the initial technique for the diagnosis of acute pulmonary embolism. Br Heart J 72:52-57, 1994.[Abstract/Free Full Text]
- Kucher N, Rossi E, De Rosa M, et al: Prognostic role of echocardiography among patients with acute pulmonary embolism and a systolic arterial pressure of 90 mm Hg or higher. Arch Intern Med 165:1777-1781, 2005.[Abstract/Free Full Text]
- Gibson NS, Sohne M, Buller HR: Prognostic value of echocardiography and spiral computed tomography in patients with pulmonary embolism. Curr Opin Pulm Med 11:380-384, 2005.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Konstantinides S, Geibel A, Kasper W, et al: Patent foramen ovale is an important predictor of adverse outcome in patients with major pulmonary embolism. Circulation 97:1946-1951, 1998.[Abstract/Free Full Text]
- Task Force on Pulmonary Embolism, European Society of Cardiology: Guidelines on diagnosis and management of acute pulmonary embolism. Eur Heart J 21:1301-1336, 2000.[Free Full Text]
Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 10, No. 1,
79-81 (2006)
DOI: 10.1177/108925320601000114

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