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http://hdl.handle.net/1843/55904| Tipo: | Artigo de Periódico |
| Título: | Screening echocardiography in a developing country |
| Autor(es): | L. A. Pereira de Sousa Vinícius Tostes Carvalho W. Wagner de Oliveira M. V. Lins de Barros T. Guimarães Teixeira L. Alcantara de Abreu de Rosa al Pinho Ribeiro |
| Resumo: | Background:The use of tele-echocardiograms could be useful for improving access of patients to echocardiographic evaluation in places where there is a shortage of trained physicians. It was evaluated the agreement between a physician sonographer and another health professional with basic training to acquire transthoracic images, assessed by a remote echocardiographer. Methods:174 patients underwent echocardiography by a physician level III training in Echo. A moving image protocol (MPEG format, 3 cycles for each image) was stored: 2D parasternal long axis, apical four chambers with and without color. Soon after, a nurse with 20 hours of training in Echo, unaware of the result of the report, acquired the same protocol. The exams were randomized and sent to a remote observer, another echocardiographer level III, blinded to the sonographer’s status, to recognize the presence of the any of the following abnormalities: left ventricular enlargement, hypertrophy and systolic dysfunction; right ventricular enlargement, left atrium enlarge ment and left sided valvopathy at least moderate. Agreement was evaluated by kappa concordance.Results: It was analyzed 108 females and 66 males, median age= 61 y [P.25=50-P.75=72]; LV ejection fraction= 64 % [58-69] and body mass index= 27.6 kg/m2 [24.5-32.5]. There was a good concordance between the evaluators. All the indices analyzed showed agreement above 0.55 and statistic significance (left ventricular enlargement - 0.84; left ventricular hypertrophy - 0.84; systolic left ventricular dysfunction - 0.82; right ventricle enlargement - 0.72; left atrial enlargement - 0.80; valvopathy - 0.56). Conclusions: The image acquisition by a tele-echocardiogram screening may be acquired by non-physician professionals with minimum training. |
| Assunto: | Ecocardiografia |
| Idioma: | eng |
| País: | Brasil |
| Editor: | Universidade Federal de Minas Gerais |
| Sigla da Instituição: | UFMG |
| Departamento: | MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
| Tipo de Acesso: | Acesso Restrito |
| Identificador DOI: | https://doi.org/10.1093/eurpub/ckaa166.073 |
| URI: | http://hdl.handle.net/1843/55904 |
| Data do documento: | 2020 |
| metadata.dc.url.externa: | https://academic.oup.com/eurpub/article/30/Supplement_5/ckaa166.073/5914084 |
| metadata.dc.relation.ispartof: | European Journal of Public Health |
| Aparece nas coleções: | Artigo de Periódico |
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