Role of two-dimensional echocardiography in the emergency room

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

To assess the role of two-dimensional echocardiography in the emergency room, 2DE was performed with a portable unit in 70 patients with a wide spectrum of cardiovascular problems. The indications were acute chest pain syndromes in 28 patients and assessment of various other cardiovascular problems in 42 patients, including: ventricular function, 9; pericardial effusion or tamponade, 5; cardiac contusion, 8; cardiac source of embolus, 6; unexplained syncope, 4; aortic aneurysm, 5; and abnormal auscultation or electrocardiogram, 5. The 2DE studies were technically satisfactory in 68 patients (97%); they were not adequate in 2 patients with acute chest pain syndromes. Five of 26 patients with acute chest pain syndromes had left ventricular regional wall motion abnormalities, and each had a subsequent diagnosis of myocardial infarction. Two patients with non-Q-wave myocardial infarction did not show regional wall motion abnormalities. In the patients with various other cardiovascular problems, 2DE was useful in assessing: degree of pericardial effusion in 3 patients, which led to 2DE-guided pericardiocentesis in 2; cause of 'electromechanical dissociation' during cardiac resuscitation in 1; severity of ventricular dysfunction in 7; presence of cardiac thrombus in 2; and presence and size of aortic aneurysm in 3. Thus, in the emergency room, 2DE appears to be a valuable adjunctive technique for noninvasive cardiovascular diagnosis and may be particularly useful in the triage of patients with acute chest pain syndromes.

Original languageEnglish (US)
Pages (from-to)217-226
Number of pages10
JournalEchocardiography
Volume2
Issue number3
StatePublished - 1985

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Echocardiography
Hospital Emergency Service
Acute Chest Syndrome
Acute Pain
Chest Pain
Pericardial Effusion
Aortic Aneurysm
Myocardial Infarction
Dissociative Disorders
Pericardiocentesis
Ventricular Dysfunction
Auscultation
Cardiac Tamponade
Ventricular Function
Triage
Syncope
Embolism
Resuscitation
Electrocardiography
Thrombosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Role of two-dimensional echocardiography in the emergency room. / Oh, Jae Kuen; Shub, C.; Miller, Fletcher A Jr.

In: Echocardiography, Vol. 2, No. 3, 1985, p. 217-226.

Research output: Contribution to journalArticle

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