How is echocardiography used? An audit of 11,701 studies

to review the utilisation of 2-D and Doppler echocardiography between 1984 and 1990.

analysis of request forms and echocardiogram reports for patient demographics, major clinical indications and principal echocardiogram findings.

between May 1984 and December 1990 11,701 studies were done in 8101 patients. Requests for scans increased by an average of 225 per year. Most frequently scanned were male (55%), inpatients (52%) and patients aged 60-69 yr (19%). In 1984 cardiologists made 100% of the requests and did 78% of the studies. In 1990 noncardiologists requested 48% of scans and 91% of studies were done by technicians. Echocardiograms were requested most often for assessment of valve disease (39%), left ventricular function (18%) and congenital heart disease (15%). Thirty-five percent of studies showed valve disease, 17% myocardial disorders and 10% congenital heart disease. Normal findings were shown in 25%.

in this 6.5 year period there was a rapid increase in the utilisation of echocardiography and the practice changed from one requested by and done by cardiologists to a generally available service provided by technicians. The greatest application for scanning was in the assessment of acquired valvar disease and myocardial disorders. One-quarter of echocardiograms showed normal cardiac structure and function.