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Pocket-Size Hand-Held Echocardiography

  • Vasileios F. Panoulas
  • Petros NihoyannopoulosEmail author
Chapter

Abstract

Pocket-size hand-held echocardiography (PHE) devices have recently emerged as a new category of miniaturized echo machines. They are relatively cheap, smartphone-size hand-held echo machines with limited technical capabilities. They aim to improve upon physician diagnostic skills rather than provide a tool for a comprehensive diagnostic echocardiographic examination. They are often used in both emergency and outpatient clinic settings, leading physicians to correct differential diagnoses and treatment pathways. With the exception of cardiologists who are certified for transthoracic echocardiography according to national legislation, specific training and certification is recommended by European and American guidelines for all other users, to avoid misuse and misinterpretation of the findings of PHE. The length and the duration of training, however, remains a matter of debate. In the current chapter we discuss the history, technical characteristics and use of PHE with examples taken from real-life scenarios.

Keywords

Pocket size Hand held Echocardiography Miniaturisation 2D Colour doppler Device 

Supplementary material

Video 39.1

Parasternal long axis of a patient with dilated cardiomyopathy and severe mitral regurgitation (MP4 133 kb)

Video 39.2

Subcostal views of a patient who presented with haemodynamic compromise, showing large pericardial effusion causing right ventricular compression (tamponade) (MP4 267 kb)

Video 39.3

Patient presenting with anterior ST elevation myocardial infarction. V-scan parasternal long axis revealed extensive anteroseptal, akinesia, consistent with acute thrombotic occlusion of the left anterior descending (MP4 300 kb)

Video 39.4

Four chamber view of the same patient with anterior ST elevation myocardial infarction reveals apical and mid to apical lateral akinesia (MP4 159 kb)

Video 39.5

V-scan of a patient presenting with pulmonary oedema. Parasternal long axis reveals heavily calcified aortic cusps with restricted mobility, findings consistent with severe aortic stenosis (MP4 198 kb)

Video 39.6

Normal V-scan echocardiography in a young lady with atypical symptoms (parasternal long axis) (MP4 238 kb)

Video 39.7

V-scan: parasternal long axis revealing asymmetric septal hypertrophy in a young athlete with deep lateral T wave inversions on screening ECG. Patient was diagnosed with hypertrophic cardiomyopathy (MP4 229 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Vasileios F. Panoulas
    • 1
  • Petros Nihoyannopoulos
    • 2
    Email author
  1. 1.Department of CardiologyRoyal Brompton and Harefield NHS Foundation TrustLondonUK
  2. 2.Imperial College London, Hammersmith HospitalLondonUK

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