Screening echocardiography in a developing country

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dc.creatorL. A. Pereira de Sousa
dc.creatorVinícius Tostes Carvalho
dc.creatorW. Wagner de Oliveira
dc.creatorM. V. Lins de Barros
dc.creatorT. Guimarães Teixeira
dc.creatorL. Alcantara de Abreu de Rosa
dc.creatoral Pinho Ribeiro
dc.date.accessioned2023-07-06T19:20:05Z
dc.date.accessioned2025-09-09T00:33:26Z
dc.date.available2023-07-06T19:20:05Z
dc.date.issued2020
dc.identifier.doihttps://doi.org/10.1093/eurpub/ckaa166.073
dc.identifier.issn11011262
dc.identifier.urihttps://hdl.handle.net/1843/55904
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofEuropean Journal of Public Health
dc.rightsAcesso Restrito
dc.subjectEcocardiografia
dc.subject.otherEcocardiografia
dc.titleScreening echocardiography in a developing country
dc.typeArtigo de periódico
local.citation.epage556
local.citation.issueSupplement_5
local.citation.spage556
local.citation.volume30
local.description.resumoBackground: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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://academic.oup.com/eurpub/article/30/Supplement_5/ckaa166.073/5914084

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