Abstract
Advances in cardiac ultrasound have included the development of larger, more powerful platforms with advanced imaging features and quantitative analysis packages. However, a parallel yet polar opposite development has also occurred: the introduction of smaller, less powerful platforms with limited imaging capabilities has sparked a new genre of cardiac imaging. Several terms are used to describe these platforms. The American Society of Echocardiography Task Force on New Technology has recommended the term hand-carried cardiac ultrasound. The clinical use models for hand-carried ultrasound take advantage of their portability and ease of use compared with larger platforms. These benefits and use models are the subject of this review.
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References and Recommended Reading
Roelandt J, Wladimiroff JW, Baars AM: Ultrasonic real time imaging with a hand-held-scanner. Part II-initial clinical experience. Ultrasound Med Biol 1978, 4:93–97.
Coletta C, De Marchis E, Lenoli M, et al.: Reliability of cardiac dimensions and valvular regurgitation assessment by sonographers using hand-carried ultrasound devices. Eur J Echo 2006, 7:275–283.
Kobal SL, Tolstrup K, Luo H, et al.: Usefulness of a hand-carried cardiac ultrasound device to detect clinically significant valvular regurgitation in hospitalized patients. Am J Cardiol 2004, 93:1069–1072.
Scholten C, Rosenhek R, Binder T, et al.: Hand-held miniaturized cardiac ultrasound instruments for rapid and effective bedside diagnosis and patient screening. J Eval Clin Pract 2005, 11:67–72.
de Groot-de Laat LE, ten Cate FJ, Vourvouri EC, et al.: Impact of hand-carried cardiac ultrasound on diagnosis and management during cardiac consultation rounds. Eur J Echocardiogr 2005, 6:196–201.
Giannotti G, Mondillo S, Galderisi M, et al.: Hand-held echocardiography: added value in clinical cardiological assessment. Cardiovasc Ultrasound 2005, 3:7.
Gorcsan J 3rd, Pandey P, Sade LE: Influence of hand-carried ultrasound on bedside patient treatment decisions for consultative cardiology. J Am Soc Echocardiogr 2004, 17:50–55.
Vourvouri EC, Poldermans D, Deckers JW, et al.: Evaluation of a hand carried cardiac ultrasound device in an outpatient cardiology clinic. Heart 2005, 91:171–176.
DeCara JM, Lang RM, Koch R, et al.: The use of small personal ultrasound devices by internists without formal training in echocardiography. Eur J Echocardiography 2002, 4:141–147.
Kobal SL, Atar S, Siegel RJ: Hand-carried ultrasound improves the bedside cardiovascular examination. Chest 2004, 126:693–701.
Xie T, Chamoun AJ, McCulloch M, et al.: Rapid screening of cardiac patients with a miniaturized hand-held ultrasound imager-comparisons with physical examination and conventional two-dimensional echocardiography. Clin Cardiol 2004, 27:241–245.
Liu SC, Chang WT, Huang CH, et al.: The value of portable ultrasound for evaluation of cardiomegaly patients presenting at the emergency department. Resuscitation 2005, 64:327–331.
Spencer KT, Anderson AS, Bhargava A, et al.: Physicianperformed point-of-care echocardiography using a laptop platform compared with physical examination in the cardiovascular patient. J Am Coll Cardiol 2001, 37:2013–2018.
Kobal SL, Trento L, Baharami S, et al.: Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination. Am J Cardiol 2005, 96:1002–1006.
Brennan JM, Blair JE, Goonewardena S, et al.: A comparison by medicine residents of physical examination versus handcarried ultrasound for estimation of right atrial pressure. Am J Cardiol 2007, 99:1614–1616.
Kobal SL, Czer LS, Czer PC, et al.: Making an impossible mission possible. Chest 2004, 125:293–296.
Kobal SL, Lee SS, Willner R, et al.: Hand-carried cardiac ultrasound enhances healthcare delivery in developing countries. Am J Cardiol 2004, 94:539–541.
Kirkpatrick JN, Davis A, Decara JM, et al.: Hand-carried cardiac ultrasound as a tool to screen for important cardiovascular disease in an underserved minority health care clinic. J Am Soc Echocardiogr 2004, 17:399–403.
Huffer LL, Bauch TD, Furgerson JL, et al.: Feasibility of remote echocardiography with satellite transmission and real-time interpretation to support medical activities in the austere medical environment. J Am Soc Echocardiogr 2004, 17:670–674.
Weston P, Alexander JH, Patel MR, et al.: Hand-held echocardiographic examination of patients with symptoms of acute coronary syndromes in the emergency department: the 30-day outcome associated with normal left ventricular wall motion. Am Heart J 2004, 148:1096–1101.
Manasia AR, Nagaraj HM, Kodali RB, et al.: Feasibility and potential clinical utility of goal-directed transthoracic echocardiography performed by noncardiologist intensivists using a small hand-carried device (SonoHeart) in critically ill patients. J Cardiothorac Vasc Anesth 2005, 19:155–159.
Vignon P, Frank MB, Lesage J, et al.: Hand-held echocardiography with Doppler capability for the assessment of critically-ill patients: is it reliable? Intensive Care Med 2004, 30:718–723.
Brennan JM, Blair JE, Hampole C, et al.: Radial artery pulse pressure variation correlates with brachial artery peak velocity variation in ventilated subjects when measured by internal medicine residents using hand-carried ultrasound devices. Chest 2007, 131:1301–1307.
Alexander JH, Peterson ED, Chen AY, et al.: Feasibility of point-of-care echocardiography by internal medicine house staff. Am Heart J 2004, 147:476–481.
Croft LB, Duvall WL, Goldman ME: A pilot study of the clinical impact of hand-carried cardiac ultrasound in the medical clinic. Echocardiography 2006, 23:439–446.
Martin LD, Howell EE, Ziegelstein RC, et al.: Hospitalist performance of cardiac hand-carried ultrasound after focused training. Am J Med 2007, 120:1000–1004.
Royse CF, Seah JL, Donelan L, Royse AG: Point of care ultrasound for basic hemodynamic assessment: novice compared with an expert operator. Anaesthesia 2006, 61:849–855.
Hellmann DB, Whiting-O’Keefe Q, Shapiro EP, et al.: The rate at which residents learn to use hand-held echocardiography at the bedside. Am J Med 2005, 118:1010–1018.
Kirkpatrick JN, Belka V, Furlong K, et al.: Effectiveness of echocardiographic imaging by nurses to identify left ventricular systolic dysfunction in high-risk patients. Am J Cardiol 2005, 95:1271–1272.
Korcarz CE, Hirsch AT, Bruce C, et al.: Carotid intima-media thickness testing by non-sonographer clinicians: the office practice assessment of carotid atherosclerosis study. J Am Soc Echocardiogr 2008, 21:117–122.
Goonewardena SN, Gemignani A, Ronan A, et al.: Comparison of BNP to handcarried ultrasound assessment of IVC size and collapsibility to predict hospital re-admission in patients with acute decompensated heart failure. J Am Coll Cardiol 2007, 49:80A.
Brennan JM, Ronan A, Goonewardena S, et al.: Handcarried ultrasound measurement of the inferior vena cava for assessment of intravascular volume status in the outpatient hemodialysis clinic. Clin J Am Soc Nephrol 2006, 1:749–753.
Fedson S, Neithardt G, Thomas P, et al.: Unsuspected clinically important findings detected with a small portable ultrasound device in patients admitted to a general medicine service. J Am Soc Echocardiogr 2003, 16:901–905.
Vidakovic R, Feringa HH, Kuiper RJ, et al.: Comparison with computed tomography of two ultrasound devices for diagnosis of abdominal aortic aneurysm. Am J Cardiol 2007, 100:1786–1791.
Lin PH, Bush RL, McCoy SA, et al.: A prospective study of a hand-held ultrasound device in abdominal aortic aneurysm evaluation. Am J Surg 2003, 186:455–459.
Kimura BJ, Fowler SJ, Fergus TS, et al.: Detection of left atrial enlargement using hand-carried ultrasound devices to screen for cardiac abnormalities. Am J Med 2005, 118:912–916.
Vourvouri EC, Poldermans D, Schinkel AF, et al.: Left ventricular hypertrophy screening using a hand-held ultrasound device. Eur Heart J 2002, 23:1516–1521.
Senior R, Galasko G, Hickman M, et al.: Community screening for left ventricular hypertrophy in patients with hypertension using hand-held echocardiography. J Am Soc Echocardiogr 2004, 17:56–61.
Tzou WS, Korcarz CE, Aeschlimann SE, Stein JH: Use of hand-held ultrasound by a nonsonographer clinician to measure carotid intima-media thickness. J Am Soc Echocardiogr 2006, 19:1286–1292.
Wyman RA, Gimelli G, McBride PE, et al.: Does detection of carotid plaque affect physician behavior or motivate patients? Am Heart J 2007, 154:1072–1077.
Galasko GI, Barnes SC, Collinson P, et al.: What is the most cost-effective strategy to screen for left ventricular systolic dysfunction: natriuretic peptides, the electrocardiogram, hand-held echocardiography, traditional echocardiography, or their combination? Eur Heart J 2006, 27:193–200.
Vourvouri EC, Schinkel AF, Roelandt JR, et al.: Screening for left ventricular dysfunction using a hand-carried cardiac ultrasound device. Eur J Heart Fail 2003, 5:767–774.
Kimura BJ, Amundson SA, Willis CL, et al.: Usefulness of a hand-hold ultrasound device for bedside examination of left ventricular function. Am J Cardiol 2002, 90:1038–1039.
Ghani SN, Kirkpatrick JN, Spencer KT, et al.: Rapid assessment of left ventricular systolic function in a pacemaker clinic using a hand-carried ultrasound device. J Interv Card Electrophysiol 2006, 16:39–43.
Kimura BJ, Shaw DJ, Agan DL, et al.: Value of a cardiovascular limited ultrasound examination using a hand-carried ultrasound device on clinical management in an outpatient medical clinic. Am J Cardiol 2007, 100:321–325.
Decara JM, Kirkpatrick JN, Spencer KT, et al.: Use of handcarried ultrasound devices to augment the accuracy of medical student bedside cardiac diagnoses. J Am Soc Echocardiogr 2005, 18:257–263.
Wittich CM, Montgomery SC, Neben MA, et al.: Teaching cardiovascular anatomy to medical students by using a handheld ultrasound device. JAMA 2002, 288:1062–1063.
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Spencer, K.T. Hand-carried cardiac ultrasound. curr cardiovasc imaging rep 1, 66–71 (2008). https://doi.org/10.1007/s12410-008-0011-4
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DOI: https://doi.org/10.1007/s12410-008-0011-4