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Updated: Oct 13, 2025

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Use of aortic point-of-care ultrasound in conventional and emergent echocardiography
1Miyuki Hospital LTAC Heart Failure Center, 6-7-40 Miyukifueda, Minamiku, Kumamoto, 861-4172, Japan. k-nishigami@miyukinosato.or.jp.
Insights
Point-of-care ultrasound (POCUS) shows promise for screening aortic aneurysms and diagnosing acute aortic dissection. This accessible tool could improve early detection of these life-threatening conditions.
Area of Science:
- Cardiovascular Medicine
- Medical Imaging
- Emergency Medicine
Background:
- Aortic aneurysms and acute aortic dissection are life-threatening cardiovascular emergencies.
- Early detection is crucial for improving patient outcomes.
- Current diagnostic methods have limitations.
Purpose of the Study:
- To evaluate the potential of point-of-care ultrasound (POCUS) for aortic aneurysm screening.
- To assess the utility of POCUS in the primary diagnosis of acute aortic dissection.
Main Methods:
- Review of existing literature on cardiovascular ultrasonography and POCUS applications.
- Analysis of the feasibility and accessibility of POCUS for aortic conditions.
Main Results:
- Cardiovascular ultrasonography, while noninvasive and accessible, has suboptimal accuracy for aortic dissection.
- POCUS offers a portable and user-friendly approach for bedside diagnosis.
- Aortic POCUS demonstrates potential as a valuable tool for initial assessment.
Conclusions:
- Aortic POCUS is a promising tool for screening aortic aneurysms.
- POCUS can aid in the primary diagnosis of acute aortic dissection.
- Wider adoption of POCUS may enhance early detection and management of aortic diseases.
Abstract:
Aortic aneurysms expand asymptomatically and rupture lethally. Acute aortic dissection is also a highly lethal cardiovascular emergency and requires prompt recognition. Although cardiovascular ultrasonography has a suboptimal accuracy rate for detecting aortic dissection, it is noninvasive, readily available, and easy to use. Recently, the concept of point-of-care ultrasound (POCUS) refers to the use of portable and/or implemented ultrasound at the patient's bedside for diagnostic and therapeutic purposes. Aortic POCUS could become an important tool for aortic aneurysm screening and primary diagnosis of acute aortic dissection.
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