Medicine of the Future in America

Immediate Echocardiography in the Management of Acute Respiratory Exacerbations of Cardiopulmonary Disease: Results (Part 2)

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Echocardiograms could be performed in 93 (89 percent) of 104 patients randomized to receive such studies; 11 patients either declined testing or were believed to be too ill for study. Of 93 echo studies, three (3 percent) were of poor quality and inadequate for diagnosis; 90 studies (97 percent) were technically satisfactory for diagnosis. Figure 1 summarizes echo findings in the 90 interpretable studies, nearly 70 percent of w hich had definite cardiac abnormalities. Results of echo testing w ere made available to physicians from less than 1 h to a maximum of 24 h after hospital admission (mean, 15 hours 13 minutes ±8 hours 12 minutes). One third of patients received echocardiography within 4 h of hospital admission, and more than half received it within 10 h of hospital admission. Eighteen patients (17 percent) randomized to receive echocardiograms and nine control patients (9 percent) had undergone elective echo study prior to hospitalization (p=.07); eight control patients (8 percent) also underwent echocardiography for clinical reasons during their current hospital stay. ventolin inhaler

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Figure 1. Abnormalities detected by echocardiography among 104 patients randomized to receive this study.

This entry was posted in Cardiopulmonary Disease and tagged Dyspnea, Echocardiography, Pulmonary disease, Valvular heart disease.
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