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Published on: January 16, 2019
Audit of Echocardiographic Services at the University College Hospital Ibadan
A Aje1, A A Adebiyi, O O Oladapo
1Department of Medicine, Cardiology Unit, University College Hospital, Ibadan, Nigeria.
Insights
Echocardiography is a valuable tool for diagnosing cardiovascular diseases, with hypertension being the most common indication. This study highlights its importance in improving patient management in teaching hospitals.
Area of Science:
- Cardiology
- Medical Imaging
- Diagnostic Tools
Background:
- Echocardiography is crucial for diagnosing cardiovascular diseases and guiding patient management.
- Despite its cost, echocardiography is increasingly available in teaching hospitals.
- Assessing the diagnostic value of echocardiography is essential.
Purpose of the Study:
- To evaluate the diagnostic utility of echocardiography in a teaching hospital setting.
- To identify common indications and referral sources for echocardiography.
- To analyze the diagnostic outcomes of echocardiography.
Main Methods:
- A retrospective study of 1,544 patients undergoing transthoracic echocardiography over 19 months.
- Utilized M-mode, 2D, and Doppler echocardiography with an ALOKA SSD 1700 system.
Main Results:
- Hypertension (47.1%) was the most frequent indication, followed by pre-chemotherapy assessment (8.2%) and heart failure (7.6%).
- Cardiology units were the primary source of referrals (48.3%).
- Hypertensive Heart Disease (44.6%) and Normal Study (36.5%) were the most common diagnoses.
Conclusions:
- Echocardiography plays a significant role in diagnosing various cardiovascular conditions.
- The findings underscore a growing need for echocardiography to enhance patient care and management.
Background:
Echocardiography is useful in the diagnosis of cardiovascular diseases and it influences management. It is becoming widely available in our Teaching Hospitals though expensive. It is therefore important to know the value of echocardiography in patients' diagnosis.
Methods:
One thousand five hundred and forty four patients referred for transthoracic echocardiography over 19-month period (March 2003 to September 2004) were studied. M mode, two dimensional and Doppler studies were out using ALOKA SSD 1700.
Results:
One thousand five hundred and forty four patients (778 males and 766 females) had echocardiography. Mean age was 51.4 +/- 15.5. Minimal age was 15 years while maximum was 100 years. The commonest indication for echocardiography include Hypertension 727 (47.1%), Pre-Chemotherapy assessment 127 (8.2%), Heart failure 117 (7.6%) and Routine Medical Check Up 99 (6.4%). The highest source of referral came from Cardiology unit 746 (48.3%). Staff Clinic 128 (8.3%), Surgery 127 (8.2%) and Nephrology 88 (5.7%). Six hundred and eighty seven (44.6%) were diagnosed as Hypertensive Heart Disease, 674 (36.5%) were Normal Study and 54 (3.5%) had Valvular Heart Disease.
Conclusion:
The study showed the different indications for echocardiography, source of referral and diagnosis. There is an emerging need for echocardiography in our patients so as to improve their management.
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