Hand-Held Echocardiography by Advanced Practice Providers in Patients with Congestive Heart Failure
Objectives: The performed hand-held echocardiography (HHE) was evaluated and interpreted by trained advanced practice providers (APPs) on hospitalized CHF patients for image quality and interpretation by comparing with expert echocardiographer and SE findings. Background: Congestive heart failure (C...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/2/312 |
| _version_ | 1797339722661494784 |
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| author | Maria Cecilia Tagle-Cornell Barbara S. Novais Songnan Wen Justin N. Shipman Deepa R. Mandale Andrew P. Flom Sandeep K. Sahnan Lindsey M. Kriz Michelle L. Alland Christen W. Bird Tasneem Z. Naqvi |
| author_facet | Maria Cecilia Tagle-Cornell Barbara S. Novais Songnan Wen Justin N. Shipman Deepa R. Mandale Andrew P. Flom Sandeep K. Sahnan Lindsey M. Kriz Michelle L. Alland Christen W. Bird Tasneem Z. Naqvi |
| author_sort | Maria Cecilia Tagle-Cornell |
| collection | DOAJ |
| description | Objectives: The performed hand-held echocardiography (HHE) was evaluated and interpreted by trained advanced practice providers (APPs) on hospitalized CHF patients for image quality and interpretation by comparing with expert echocardiographer and SE findings. Background: Congestive heart failure (CHF) is associated with increased hospital admissions and mortality. While a standard echocardiogram (SE) is the gold standard for cardiac assessment, it is not readily available. Hospitalized CHF patients require rapid assessment for expedited treatment. Methods: Over 6 months, five trained APPs performed HHE on hospitalized CHF patients and interpreted: (a) left ventricular (LV) size, (b) LV ejection fraction (LVEF), and (c) right atrial pressure (RAP). The study echocardiographer reviewed and blindly interpreted the HHE images and compared them with APPs and SE findings. Kappa statistics determined the degree of agreement between APPs and the study echocardiographer’s interpretation of the HHE images and SE. Results: A total of 80 CHF patients (age 73 ± 14 years, 58% males; LVEF (by SE) 45 ± 19%; 36.3% body mass indexes ≥ 30 kg/m<sup>2</sup>) were enrolled. HHE interpretation by APPs had a good agreement for LVEF (kappa 0.79) with the study echocardiographer and SE (kappa 0.74) and a good agreement for RAP (kappa 0.67) with the study echocardiographer. The correlation between the absolute LVEF interpretation by the study echocardiographer on HHE and SE was r = 0.88 (<i>p</i> < 0.0001). Conclusions: Trained APPs obtained diagnostic-quality HHE images and interpreted the LV function and RAP in CHF patients in good agreement with the study echocardiographer. LVEF by HHE correlated with LVEF by SE. Our study suggests trained APPs can use HHE to evaluate LVEF and RAP in CHF patients, leading to expedited and optimized treatment. |
| first_indexed | 2024-03-08T09:51:32Z |
| format | Article |
| id | doaj.art-09791cc06b3f44e090a1096807eee5ee |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T09:51:32Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-09791cc06b3f44e090a1096807eee5ee2024-01-29T14:00:28ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113231210.3390/jcm13020312Hand-Held Echocardiography by Advanced Practice Providers in Patients with Congestive Heart FailureMaria Cecilia Tagle-Cornell0Barbara S. Novais1Songnan Wen2Justin N. Shipman3Deepa R. Mandale4Andrew P. Flom5Sandeep K. Sahnan6Lindsey M. Kriz7Michelle L. Alland8Christen W. Bird9Tasneem Z. Naqvi10Division of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USADivision of Echocardiography, Department of Cardiovascular Medicine, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USAObjectives: The performed hand-held echocardiography (HHE) was evaluated and interpreted by trained advanced practice providers (APPs) on hospitalized CHF patients for image quality and interpretation by comparing with expert echocardiographer and SE findings. Background: Congestive heart failure (CHF) is associated with increased hospital admissions and mortality. While a standard echocardiogram (SE) is the gold standard for cardiac assessment, it is not readily available. Hospitalized CHF patients require rapid assessment for expedited treatment. Methods: Over 6 months, five trained APPs performed HHE on hospitalized CHF patients and interpreted: (a) left ventricular (LV) size, (b) LV ejection fraction (LVEF), and (c) right atrial pressure (RAP). The study echocardiographer reviewed and blindly interpreted the HHE images and compared them with APPs and SE findings. Kappa statistics determined the degree of agreement between APPs and the study echocardiographer’s interpretation of the HHE images and SE. Results: A total of 80 CHF patients (age 73 ± 14 years, 58% males; LVEF (by SE) 45 ± 19%; 36.3% body mass indexes ≥ 30 kg/m<sup>2</sup>) were enrolled. HHE interpretation by APPs had a good agreement for LVEF (kappa 0.79) with the study echocardiographer and SE (kappa 0.74) and a good agreement for RAP (kappa 0.67) with the study echocardiographer. The correlation between the absolute LVEF interpretation by the study echocardiographer on HHE and SE was r = 0.88 (<i>p</i> < 0.0001). Conclusions: Trained APPs obtained diagnostic-quality HHE images and interpreted the LV function and RAP in CHF patients in good agreement with the study echocardiographer. LVEF by HHE correlated with LVEF by SE. Our study suggests trained APPs can use HHE to evaluate LVEF and RAP in CHF patients, leading to expedited and optimized treatment.https://www.mdpi.com/2077-0383/13/2/312congestive heart failureechocardiographyhand-held echocardiogramheart failureimagesadvanced practice providers |
| spellingShingle | Maria Cecilia Tagle-Cornell Barbara S. Novais Songnan Wen Justin N. Shipman Deepa R. Mandale Andrew P. Flom Sandeep K. Sahnan Lindsey M. Kriz Michelle L. Alland Christen W. Bird Tasneem Z. Naqvi Hand-Held Echocardiography by Advanced Practice Providers in Patients with Congestive Heart Failure Journal of Clinical Medicine congestive heart failure echocardiography hand-held echocardiogram heart failure images advanced practice providers |
| title | Hand-Held Echocardiography by Advanced Practice Providers in Patients with Congestive Heart Failure |
| title_full | Hand-Held Echocardiography by Advanced Practice Providers in Patients with Congestive Heart Failure |
| title_fullStr | Hand-Held Echocardiography by Advanced Practice Providers in Patients with Congestive Heart Failure |
| title_full_unstemmed | Hand-Held Echocardiography by Advanced Practice Providers in Patients with Congestive Heart Failure |
| title_short | Hand-Held Echocardiography by Advanced Practice Providers in Patients with Congestive Heart Failure |
| title_sort | hand held echocardiography by advanced practice providers in patients with congestive heart failure |
| topic | congestive heart failure echocardiography hand-held echocardiogram heart failure images advanced practice providers |
| url | https://www.mdpi.com/2077-0383/13/2/312 |
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