Cardiac Evaluation with Vscan Leads to Quick and Confident Diagnosis
David Liang, MD, Associate Professor of Medicine, in California,
recently used Vscan when examining a number of patients,
and says he’s excited about high quality point-of-care (POC)
ultrasound and what it means for the future of medicine. In one
patient, Vscan helped him quickly and confidently diagnose a
patient with Marfan syndrome.
“The patient, who came to the clinic, was being seen for routine
annual follow-up,” Dr. Liang explains. “The echocardiogram
performed prior to the visit showed a stable aortic root
and valve after prior valve sparing root replacement. Since
abdominal aortic aneurysms are seen rarely in Marfan
syndrome, the abdominal aorta was screened quickly with
the point of care ultrasound.”
Says Liang: “The immediate availability of POC ultrasound opens
many opportunities for improving the quality and timeliness of
patient care, resulting in convenience and reassurance for both
patients and physicians.”
Normal abdominal aorta (Ao) in patient with
echocardiography. The reasons for lab referral after MS were
exclusively related to the need for spectral Doppler, which is not
available with the MS for various in-depth studies. No patient was
sent to the lab because of inadequate image quality with the MS.
Moreover, in 67 patients (35.4%), there was agreement between
physical examination and the use of MS to not refer to the lab.
There was agreement between the two methods to refer 37
patients ( 19.6%) to the lab.
For 27 patients ( 14.3%), the use of the MS modified the clinical
decision of whether to send them to the lab based exclusively on
unexpected echocardiographic findings requiring spectral Doppler
assessment. Additionally, with the use of the MS, the physicians
changed their decision and they did not refer 57 patients.
Right patients to the right tests
The use of MS in outpatient cardiology consultations as an
extension of physical examination showed additive clinical value
over the physical examination – demonstrating the ability to
help clinicians refer the right patients to the right tests. Its use
also allowed many patients to be released from the outpatient
clinic without the need for further testing after the initial
consultation. Further, the use of the MS showed a negligible
increase in the duration of consultations.
Professor Jose L. Zamorano, MD
A Professor of Medicine at the University Alcala de Henares,
Madrid, and the Chief of Cardiology at the University
Hospital Ramón y Cajal in Madrid, Spain. Professor
Zamorano obtained his medical degree from the University
Complutense in 1987 and his doctor in Medicine in 1991. He
received his board certification in Cardiology in 1993 before
joining as an Associate Professor the faculty at the University
Complutense. Dr. Zamorano has a broad range of research
interests including heart failure, ischaemic heart disease,
cardiovascular risk factors and cardiovascular imaging
modalities. Within these fields, he has published over 300
articles and twenty books including the European Textbook
of Cardiovascular Imaging. His impact factor is > 1000 and
Hirsch Index of 40 with more than 10,000 citations.