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1.
J Am Soc Echocardiogr ; 33(6): 654-657, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32503701

RESUMO

Sonographers need to be familiar with and prepared to implement strategies for reducing the risk of exposure to and transmission of the COVID-19 virus. Strategies to employ can be grouped into three broad categories: (1) whom to scan, (2) where to scan, and (3) how to scan. Whom to scan addresses sonographer strategies for determining essential and emergent scan status. Where to scan addresses sonographer practice strategies for selecting equipment, use of rooms, portable examinations, and training personnel. How to scan addresses the topics of scanning techniques (tailored protocols, right-handed scanning, use of barrier devices) and equipment cleaning and disinfecting.


Assuntos
Betacoronavirus , Consenso , Infecções por Coronavirus/epidemiologia , Surtos de Doenças , Transmissão de Doença Infecciosa/prevenção & controle , Ecocardiografia/normas , Pneumonia Viral/epidemiologia , Sociedades Médicas , Pessoal Técnico de Saúde/normas , COVID-19 , Infecções por Coronavirus/complicações , Humanos , Pandemias , Pneumonia Viral/complicações , SARS-CoV-2 , Estados Unidos/epidemiologia
2.
J Am Soc Echocardiogr ; 25(5): 568-75, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22326132

RESUMO

BACKGROUND: The reduction in the size of full-capability echocardiographic machines facilitates "out-of-hospital" transthoracic echocardiography (TTE). Data documenting the feasibility, yield, and logistical considerations of out-of-hospital TTE for preparticipation evaluation of athletes are sparse. METHODS: A multiyear study was conducted to examine the role of 12-lead electrocardiography for athlete screening in which TTE was used to document or exclude underlying structural heart disease. Using a commercially available portable transthoracic echocardiographic system, the rate of technically adequate imaging, diagnostic yield, and the time required for the completion of TTE (including setup, performance, and interpretation) were examined. TTE was performed in university medical offices and at "out-of-office" athletic facilities. Measurements were recorded during each year of the study to determine the impact of targeted attempts to improve efficiency. RESULTS: Four hundred sixty-seven of 510 participants had transthoracic echocardiographic images that were technically adequate for complete interpretation (imaging success rate, 92%). Echocardiographic evidence of physiologic, exercise-induced cardiac remodeling was observed in 110 of 510 (22%). Cardiac abnormalities with relevance to sports participation risk were detected in 11 of 508 participants (2.2%). Over 3 years, the average time for the completion of TTE (including setup, imaging, and interpretation) decreased (year 1, 17.4 ± 3 min; year 2, 14.0 ± 2.1 min; year 3, 11.0 ± 1.8 min; P < .001). This was driven by a significant decrease in the time required for TTE at out-of-office athletic facilities. CONCLUSIONS: Community-based TTE in athletes is feasible and is associated with a high rate of technically adequate imaging. Importantly, there appears to be a significant learning curve associated with out-of-hospital TTE.


Assuntos
Doenças Cardiovasculares/diagnóstico por imagem , Ecocardiografia/métodos , Programas de Rastreamento/métodos , Sistemas Automatizados de Assistência Junto ao Leito , Atletas/estatística & dados numéricos , Doenças Cardiovasculares/diagnóstico , Serviços de Saúde Comunitária/estatística & dados numéricos , Ecocardiografia Doppler em Cores/métodos , Eletrocardiografia/métodos , Desenho de Equipamento , Segurança de Equipamentos , Estudos de Viabilidade , Feminino , Humanos , Curva de Aprendizado , Modelos Logísticos , Masculino , Programas de Rastreamento/instrumentação , Adulto Jovem
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