![]() ![]() Nagueh SF, Smiseth OA, Appleton CP, et al. Can emergency physicians diagnose and correctly classify diastolic dysfunction using bedside echocardiography? Am J Emerg Med. A review of echocardiograms in hypertensive patients greater than 60 years in a community based family medicine program. Assessing the risk of progression from asymptomatic left ventricular dysfunction to overt heart failure: a systematic overview and meta-analysis. doi: 10.1038/ajh.2010.235.Įchouffo-Tcheugui JB, Erqou S, Butler J, Yancy CW, Fonarow GC. ![]() Diagnosis and management of left ventricular diastolic dysfunction in the hypertensive patient. Future studies should investigate this simplified approach as a one-step method of screening for LV diastolic dysfunction in the ED. There is a good agreement between (e' A) by EP and cardiologist interpretation of LBEs. EPs identified 18 out of 20 LBEs diagnosed with diastolic dysfunction by the cardiologist. The unweighted kappa coefficient was 0.74 (95% CI 0.57-0.92). Agreement was reached in 41 out of 48 cases (85.4%). Six LBEs were deemed indeterminate by the cardiologist and excluded from the analysis. An unweighted kappa measure was calculated to determine agreement between EP and cardiologist. ![]() A blinded board-certified cardiologist reviewed LBEs to estimate LA filling pressures following ASE guidelines. EPs diagnosed DD based on e' A < 9 cm/s alone. This was a secondary analysis of 48 limited bedside echocardiograms (LBE) performed as a part of a research study of patients presenting to the Emergency Department (ED) with elevated blood pressure but without decompensated heart failure. This study evaluates the agreement between emergency physician (EP) assessment of diastolic dysfunction (DD) by a simplified approach using average peak mitral excursion velocity (e' A) and an independent cardiologist's diagnosis of DD by estimating left atrial (LA) pressure using American Society of Echocardiography (ASE) guidelines. ![]()
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