Echocardiography, Heart Diseases, Medicine, Emergency, Technology Assessment, Biomedical
Conditions
Brief summary
Clinical ultrasound has become essential in emergency medicine. The guidelines are to use of echocardiography in specific contexts: dyspnea, hypotension or chest pain. The evaluation of left ventricle ejection fraction (LVEF) is one of the basic objectives of echocardiography. The reference assessment in emergency medicine is visual assessment. It suffers from poor inter-observer reproducibility. Pocket ultrasound scanners seem to meet the constraints of point-of-care ultrasound. A new tool is available on a pocket ultrasound device: the automatic evaluation of LVEF. Its interest could be to have a better inter-observer reproducibility than visual evaluation.
Interventions
PROCEDUREechocardiography
Four measurements in echocardiography performed in addition to standard care
Sponsors
Centre Hospitalier Universitaire de Nīmes
Study design
Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient over 18 years of age * Management in the investigator centre * Admitted for dyspnea or hypotension or chest pain
Exclusion criteria
* Age \< 18 years * Patient not benefiting from a social security system * Patient deprived of liberty * Patient under the protection of justice, under guardianship or curatorship * Patient refusing to participate in the study * Inability to provide the patient with informed information
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evaluate the interobserver reproducibility | Day 0 | evaluate the interobserver reproducibility of the automatic measurement of LVEF with a pocket ultrasound device |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assess the interobserver reproducibility of visual LVEF | day 0 | Assess the interobserver reproducibility of visual LVEF |
| Interobserver reproducibility of the visual LVEF measurement; | Day 0 | Assess the interobserver reproducibility of the visual LVEF measurement; |
| Evaluate the intraobserver reproducibility of the automatic LVEF measurement | Day 0 | Evaluate the intraobserver reproducibility of the automatic LVEF measurement |
| Ability of the pocket ultrasound scanner to give an ultrasound image useable by the doctor performing the examination. | Day 0 | Compare the feasibility of each method (visual and automatic) to obtain an ultrasound image useable by the doctor performing the examination. |
| Ability of the pocket ultrasound scanner to give an ultrasound image useable by the doctor performing the examination considering image quality | Day 0 | Evaluation of Image quality obtained by each méthod (Visual and Automatic) |
Countries
France
Outcome results
None listed