The role of transthoracic echocardiography in the management of patients seen in an outpatient cardiology clinic

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
A D WaggonerE M Geltman

Abstract

Transthoracic two-dimensional (2D) Doppler echocardiography may provide new or additional information in patients, but it is often not known whether the results alter the treatment plan. We investigated whether results of clinically indicated 2D echocardiography were different from the physician's clinical examination or led to changes in management in 200 consecutive outpatients seen in a university-based clinic. A questionnaire was completed by the physician regarding physical findings and treatment plan before 2D echocardiography was performed. After results were known, the physician was asked to report any differences compared with clinical examination or changes in patient management. Most patients (83%) were studied to evaluate left ventricular (LV) or valvular function. 2D echocardiography confirmed clinical assessment in 182 patients (one inadequate 2D echocardiogram) and disclosed a new diagnosis in 17. 2D echocardiography provided additional information, not expected from clinical assessment or history, in 94 patients. Clinical assessment, compared with 2D echocardiography, was concordant in 154 (77%) of 199 patients with regard to LV systolic function but in only 22 (50%) of 44 with valve disease. Alterations in mana...Continue Reading

Citations

Feb 6, 1999·Journal of the American College of Cardiology·M SenniM M Redfield
Mar 4, 2006·The Australian Journal of Rural Health·Rick McLeanGarry Sienkiewicz
Feb 15, 2001·Echocardiography·Kevin M. HarrisBenico Barzilai
Mar 13, 2014·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Shelby KuttyDavid A Danford
Sep 8, 1999·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·J W TamK Wolfe
Aug 7, 2007·Best Practice & Research. Clinical Rheumatology·Anjali NatarajaRaashid Luqmani

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