Medicine of the Future in America

Immediate Echocardiography in the Management of Acute Respiratory Exacerbations of Cardiopulmonary Disease: Results (Part 4)

Overall, when diagnoses were categorized as cardiac, pulmonary, both, or neither, these w ere observed to change as infrequently in patients w’ho received echocardiography (9.6 percent of patients) as in control patients (8.6 percent; p>.9). Likewise, medications prescribed during hospitalization changed categories from cardiac, pulmonary, both, or neither in 21 percent of echo patients and 25 percent of controls (p>.6). buy prednisone

Other Diagnostic Tests
Other tests of cardiac or pulmonary function, including subspecialty consultations, were obtained as commonly among patients who were randomized to receive echocardiograms as among controls (Table 2). Nearly half of each group had no other special diagnostic tests performed during their hospital stay (p>.6). Among the total of 12 patients in whom echo and clinical findings conflicted, further diagnostic studies were obtained as often as in the group as a whole (p> .35); seven (58 percent) of these 12 patients had no further testing.

Table 2—Diagnostic Studies Ordered among Echo and Control-Randomized Patients

Diagnostic Study

No. of Pat Echo

ients (%) Control

P

Cardiac catheterization

3

1

NSD

Cardiology consultation

9

4

NSD

Exercise toleraice testing

1

2

NSD

Radionuclide ventriculography

9

7

NSD

Swai-Caiz catheterization

7

6

NSD

Bronchoscopy

6

3

NSD

Pulmonary aigiography

1

2

NSD

Pulmonary consultation

10

3

>.07

Pulmonary function testing

10

8

NSD

Ventilation perfusion seaming

7

6

NSD

None

48

47

NSD

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