Systematic hand-held echocardiography in patients hospitalized with acute coronary syndrome
Performance · IQR 3-20Result — go to the resultMedian time earlier 5 hAuthors' conclusion
In patients with acute coronary syndrome, hand-held echocardiography provides comparable results to transthoracic echocardiography, can be more rapidly applied, and gives sufficient imaging information for decision-making in the vast majority of patients.
Study context
- Population
- Patients hospitalised with ACS65 ± 12 years, 71% male
- Participants
- 262 patients
- Comparison
- Hand-held echocardiography vs transthoracic echocardiography
- Outcome
- Feasibility, diagnostic accuracy and time efficiency of hand-held echocardiography; agreement with transthoracic echocardiography on key imaging parameters (kappa)
Performance
IQR 3-20
Median time earlier
5 h
By group
Hand-held echocardiography
- Agreement with transthoracic echocardiography (kappa)
- 0.60-1.00
- Overall NPV
- 95%
- Time to perform (mean ± SD)
- 7.7 ± 1.6 min
Hand-held echocardiography
Agreement with transthoracic echocardiography (kappa)0.60-1.00
Overall NPV95%
Time to perform (mean ± SD)7.7 ± 1.6 min
As reported in the abstract
Further findings
Clinical impact of systematic hand-held echocardiography
- Important cardiac abnormality identified
- 50%
- Clinical management plan changed
- 42%
- Hand-held echocardiography sufficient for decision-making; transthoracic echocardiography no longer deemed necessary
- 85%
Original publication
Systematic hand-held echocardiography in patients hospitalized with acute coronary syndrome. Eur Heart J Cardiovasc Imaging. Published 11 June 2024. doi:10.
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