Hand-held echocardiography during complex electrophysiologic procedures
Introduction: Complex electrophysiologic (EP) procedures are time consuming and open to complications. Accurate and rapid recognition of cardiac pathologies is essential before, during, and immediately after such procedures. In this study, we aimed to compare hand-held echocardiography (HHE) with st...
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| Format: | Article |
| Language: | English |
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Tabriz University of Medical Sciences
2023-06-01
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| Series: | Journal of Cardiovascular and Thoracic Research |
| Subjects: | |
| Online Access: | https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-15-80.pdf |
| _version_ | 1827805733062705152 |
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| author | Selda Murat Taner Ulus Ahmet Serdar Yılmaz Halit Emre Yalvaç Ezgi Çamlı Muhammet Dural |
| author_facet | Selda Murat Taner Ulus Ahmet Serdar Yılmaz Halit Emre Yalvaç Ezgi Çamlı Muhammet Dural |
| author_sort | Selda Murat |
| collection | DOAJ |
| description | Introduction: Complex electrophysiologic (EP) procedures are time consuming and open to complications. Accurate and rapid recognition of cardiac pathologies is essential before, during, and immediately after such procedures. In this study, we aimed to compare hand-held echocardiography (HHE) with standard echocardiography (SE) to determine whether HHE can be used as a practical and reliable diagnostic tool during such procedures. Methods: One hundred consecutive patients undergoing complex EP procedures and catheter ablation were included in the study. All patients were evaluated with SE or HHE in terms of main cardiac pathologies at the beginning and immediately after the procedure. The diagnostic accuracy and evaluation time of both methods were compared at the beginning and after the procedure. The agreement between both methods was calculated. Results: At the beginning and after the procedure, opening and evaluation times with HHE were significantly shorter than with SE (P<0.001 for all). There was significant agreement between the two methods in the diagnosis of cardiac pathologies (Agreement was 95% for minimal mild aortic regurgitation (AR), 99% for moderate/ severe AR, 93% for minimal/ mild mitral regurgitation (MR), 95% for moderate/ severe MR, 100% for pericardial effusion, and 100% for left ventricular thrombus at the beginning of the procedure). Conclusion: With the use of HHE during complex EP procedures, cardiac pathologies can be diagnosed with similar accuracy as SE. In addition, HHE has a significant advantage over SE in terms of time to diagnosis. |
| first_indexed | 2024-03-11T21:30:25Z |
| format | Article |
| id | doaj.art-fdb32815c20f417582b00fcdb735071e |
| institution | Directory Open Access Journal |
| issn | 2008-5117 2008-6830 |
| language | English |
| last_indexed | 2024-03-11T21:30:25Z |
| publishDate | 2023-06-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Cardiovascular and Thoracic Research |
| spelling | doaj.art-fdb32815c20f417582b00fcdb735071e2023-09-27T11:13:59ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302023-06-01152808510.34172/jcvtr.2023.31621jcvtr-31621Hand-held echocardiography during complex electrophysiologic proceduresSelda Murat0Taner Ulus1Ahmet Serdar Yılmaz2Halit Emre Yalvaç3Ezgi Çamlı4Muhammet Dural5Department of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, TurkeyDepartment of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, TurkeyDepartment of Cardiology, Kahta State Hospital, Kahta, Adıyaman, TurkeyDepartment of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, TurkeyDepartment of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, TurkeyDepartment of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, TurkeyIntroduction: Complex electrophysiologic (EP) procedures are time consuming and open to complications. Accurate and rapid recognition of cardiac pathologies is essential before, during, and immediately after such procedures. In this study, we aimed to compare hand-held echocardiography (HHE) with standard echocardiography (SE) to determine whether HHE can be used as a practical and reliable diagnostic tool during such procedures. Methods: One hundred consecutive patients undergoing complex EP procedures and catheter ablation were included in the study. All patients were evaluated with SE or HHE in terms of main cardiac pathologies at the beginning and immediately after the procedure. The diagnostic accuracy and evaluation time of both methods were compared at the beginning and after the procedure. The agreement between both methods was calculated. Results: At the beginning and after the procedure, opening and evaluation times with HHE were significantly shorter than with SE (P<0.001 for all). There was significant agreement between the two methods in the diagnosis of cardiac pathologies (Agreement was 95% for minimal mild aortic regurgitation (AR), 99% for moderate/ severe AR, 93% for minimal/ mild mitral regurgitation (MR), 95% for moderate/ severe MR, 100% for pericardial effusion, and 100% for left ventricular thrombus at the beginning of the procedure). Conclusion: With the use of HHE during complex EP procedures, cardiac pathologies can be diagnosed with similar accuracy as SE. In addition, HHE has a significant advantage over SE in terms of time to diagnosis.https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-15-80.pdfhand-held echocardiographystandard echocardiographyelectrophysiologycatheter ablation |
| spellingShingle | Selda Murat Taner Ulus Ahmet Serdar Yılmaz Halit Emre Yalvaç Ezgi Çamlı Muhammet Dural Hand-held echocardiography during complex electrophysiologic procedures Journal of Cardiovascular and Thoracic Research hand-held echocardiography standard echocardiography electrophysiology catheter ablation |
| title | Hand-held echocardiography during complex electrophysiologic procedures |
| title_full | Hand-held echocardiography during complex electrophysiologic procedures |
| title_fullStr | Hand-held echocardiography during complex electrophysiologic procedures |
| title_full_unstemmed | Hand-held echocardiography during complex electrophysiologic procedures |
| title_short | Hand-held echocardiography during complex electrophysiologic procedures |
| title_sort | hand held echocardiography during complex electrophysiologic procedures |
| topic | hand-held echocardiography standard echocardiography electrophysiology catheter ablation |
| url | https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-15-80.pdf |
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