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Updated: Aug 22, 2026

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Hand-carried ultrasound improves the bedside cardiovascular examination
Sergio L Kobal1, Shaul Atar, Robert J Siegel
1Cardiac Non-Invasive Laboratory, Room 5335, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Insights
Hand-carried cardiac ultrasound (HCU) devices aid physicians in diagnosing cardiovascular disease during initial patient contact. These portable ultrasound tools are especially valuable in emergency care, community screenings, and remote healthcare settings.
Area of Science:
- Cardiology
- Medical Imaging
- Diagnostic Tools
Background:
- Physical examination has limitations in diagnosing cardiovascular disease.
- Current medical training shows reduced focus on physical diagnosis skills.
- There is a need for advanced diagnostic tools in clinical practice.
Purpose of the Study:
- To assess the clinical utility of hand-carried cardiac ultrasound (HCU) devices.
- To evaluate HCU's role in assisting physicians with cardiovascular disease diagnosis.
Main Methods:
- A systematic review of 42 articles published between 1978 and 2004 was conducted.
- Literature search focused on the application and effectiveness of HCU devices.
Main Results:
- HCU devices demonstrate capability and simplicity in aiding cardiovascular disease diagnosis.
- These devices are particularly useful during initial patient encounters.
- HCU is highly beneficial in emergency/critical care, community screening, and remote areas.
Conclusions:
- HCU devices can complement the physical examination by providing real-time cardiovascular imaging.
- The technology has the potential to modify traditional medical practices.
- HCU addresses the limitations of physical examination and evolving diagnostic training.
Objectives:
We assessed the clinical utility of hand-carried cardiac ultrasound (HCU) devices to assist physicians in the diagnosis of cardiovascular disease.
Materials And Methods:
We reviewed 42 articles published from 1978 to 2004.
Results:
The capability and simplicity of the HCU device assist physicians in the diagnosis of cardiovascular disease at the initial patients contact. HCU is particularly useful in the setting of emergency or critical care, community screening, or in remote areas with limited access to health care.
Conclusion:
The inherent limitations of the physical examination as well as the reduced focus and training in physical diagnosis of current and recent medical school graduates has set the stage for the HCU device to modify traditional medical practices by complementing the physical examination with real-time cardiovascular imaging.
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