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Updated: Jun 26, 2025
Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Handheld echocardiography for the screening and diagnosis of rheumatic heart disease: a systematic review to inform
Rui Providência1, Ghazaleh Aali2, Fang Zhu3
1Genes Health and Social Care Evidence Synthesis Unit, Institute of Health Informatics, University College London, London, UK; Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Handheld echocardiography demonstrates high accuracy for diagnosing and screening rheumatic heart disease in high-prevalence areas. This low-cost tool offers a viable alternative to standard echocardiography for early detection.
Area of Science:
- Cardiology
- Medical Imaging
- Public Health
Background:
- Early detection of acute rheumatic fever and rheumatic heart disease is crucial for preventing progression.
- Standard echocardiography is vital but often infeasible in high-prevalence regions due to cost and complexity.
- Handheld echocardiography presents a potentially accessible, low-cost alternative requiring further performance evaluation.
Conclusions:
- Handheld echocardiography exhibits high accuracy and diagnostic performance for rheumatic heart disease.
- It serves as a valuable tool for both screening and diagnosis in resource-limited, high-prevalence areas.
- The findings support handheld echocardiography as a feasible alternative to standard echocardiography.
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