Volume 6 Supplement 1

9th WINFOUS World Congress on Ultrasound in Emergency and Critical Care

Open Access

Left ventricular hipertrophy and ultrasound at emergency department

  • A Oviedo-García1,
  • M Algaba-Montes1,
  • A Segura Grau2,
  • J Lopez-Libano3,
  • JM Alvarez-Franco4,
  • N Diaz-Rodriguez5 and
  • A Rodriguez-Lorenzo6
Critical Ultrasound Journal20146(Suppl 1):A11

https://doi.org/10.1186/2036-7902-6-S1-A11

Published: 31 January 2014

Background

in Spain, the skills of Emergency Physicians (EP) in the process of echocardiography have been discussed for more than three decades. The current scientific evidence supports strongly the use of echocardiography by the EP, for its speed, agility and safety for the patient providing an early diagnosis of serious or potentially serious diseases. In this sense, echocardiographic technique training makes that in the clinical practice of Emergency Departments is used as diagnostic support tool in initial attention to the patient suffering.

Objective

To train in the management and diagnosis of the echocardiographic technique among professionals in the ED, and promoting their use on the basis of the advantages that this presents, due to its characteristics of safety, efficiency and safety for the patient.

Patients and methods

The diagnosis of the left ventricle hypertrophy by echocardiographic evaluation. We used and ultrasound Sonosite M-Turbo, equipped with P21 between 1 and 5 MHz probe.

Results

When a study shows left ventricle hypertrophy, we must stop to assess two important details:
  1. 2.

    The diastolic function: In the hypertrophic ventricles, in which performance is decreased, wave E has a slower curve for deceleration and A wave is higher, which means a worse diastolic funtion.

     
  2. 3.

    The presence of dynamic obstruction of the outflow tract, which can go with previous systolic motion of the previous mitral valve.

     

Conclusion

To incorporate echocardiography at ED decreases overall care times, since the EP are more effective, efficient and dynamic in the management of emergency "time-dependent", providing a greater clinical safety.

Authors’ Affiliations

(1)
Emergency Department, Valme Hospital, Seville, Members of the Working Group of Ultrasound SEMES_Andalucía and SEMERGEN
(2)
MFYC, Médico ecografista en Centro Diagnostico Ecográfico y en Unidad de ecografía general del Hospital San Francisco de Asis
(3)
Critical Care Department, Miramar Hospital, Mallorca. Member of the Working Group of Ultrasound SEMERGEN
(4)
Emergency Department, IB-Salut, Ibiza, Member of the Working Group of Ultrasound SEMERGEN
(5)
Primary Care, Barbadás Primary Care Center, Ourense, Member of the Working Group of Ultrasound SEMERGEN
(6)
Radiology Department, Perpetuo Socorro Hospital, Vigo, Member of the Working Group of Ultrasound SEMERGEN

References

  1. Uché Blackstock, Michael B. Stone: Emergency ultrasound and error reduction. Ann Emerg Med 2009, 54: 53–55. 10.1016/j.annemergmed.2009.02.015View ArticleGoogle Scholar
  2. Durham B: Emergency Medicine Physicians Saving Time With Ultrasound. Am J Emerg Med 1996, 14: 309–313. 10.1016/S0735-6757(96)90184-9PubMedView ArticleGoogle Scholar
  3. Mandavia DP, Hoffner RJ, Mahaney K, et al.: Bedside echocardiography by emergency physicians. Ann Emerg Med 2001, 38: 377–382. 10.1067/mem.2001.118224PubMedView ArticleGoogle Scholar

Copyright

© Oviedo-García et al; licensee Springer. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.