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Recognized and Unrecognized Value of Echocardiography in Guideline and Consensus Documents Regarding Patients With

Vincent L Sorrell1, Jonathan R Lindner2, Patricia A Pellikka3

  • 1Division of Cardiovascular Medicine, University of Kentucky, Lexington, Kentucky.

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|November 14, 2022
PubMed

Insights

Echocardiography

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Recent guidelines address noninvasive cardiac testing for chest pain (CP) and coronary syndromes.
  • Multispecialty input exists, but echocardiography's specific benefits may be understated.
  • Guidelines focus on "when" to test, not "how" to perform tests.

Purpose of the Study:

  • To highlight the unique value of echocardiography in noninvasive cardiac evaluation.
  • To explore reasons for echocardiography's diminished role in recent guidelines.
  • To discuss echocardiography's application in assessing CP and dyspnea.

Main Methods:

  • Review of recent guideline documents and their evidence base.
  • Analysis of echocardiography's capabilities in diagnosing cardiac conditions.
  • Discussion of point-of-care ultrasound applications.

Main Results:

  • Echocardiography offers distinct advantages in assessing chest pain and dyspnea.
  • The consensus process and document brevity may obscure echocardiography's specific contributions.
  • Echo Doppler echocardiography plays a crucial role in evaluating dyspnea.

Conclusions:

  • Echocardiography's role in noninvasive cardiac evaluation warrants greater emphasis.
  • Further research and guideline refinement are needed to fully integrate echocardiography's potential.
  • Point-of-care ultrasound shows promise for rapid CP and dyspnea assessment.

Keywords:
Chest painDyspneaEchocardiographyLevel of evidenceStress testing

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