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Updated: Aug 5, 2025

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Handheld ultrasound in cardiology: Current perspective.
Dominika Filipiak-Strzecka1, Piotr Lipiec1, Jarosław D Kasprzak1
1Chair and Department of Cardiology, Bieganski Hospital, Medical University of Lodz, Poland.
Handheld ultrasound devices (HUDs) offer portable bedside cardiac assessment, complementing traditional echocardiography. While not for full exams, HUDs aid in evaluating cardiac function, effusions, and congestion.
Area of Science:
- Medical Imaging
- Cardiology
- Point-of-Care Ultrasound
Background:
- Technological advancements have led to miniaturized handheld ultrasound devices (HUDs).
- HUDs are designed for bedside use, enhancing physical examinations.
- These devices are increasingly integrated into clinical practice.
Discussion:
- HUDs are valuable for goal-oriented, limited echocardiographic screening at the bedside (Focus Cardiac Ultrasound - FoCUS).
- They assist in assessing left ventricular function, cardiac chambers, valvular abnormalities, and intracardiac masses.
- HUDs can also detect pleural effusion, consolidations, and estimate pulmonary congestion via "lung comets".
Key Insights:
- HUDs provide essential bedside assessment capabilities, particularly in cardiology.
- Their ultraportability makes them crucial for rapid clinical evaluations.
- HUDs are effective for specific, targeted ultrasonographic assessments.
Outlook:
- Further development will likely expand HUD diagnostic capabilities.
- HUDs are positioned as complementary tools to stationary echocardiography.
- Their role in diverse clinical scenarios is expected to grow.
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