ISSN 2149-5807 | E-ISSN 2149-6048
Original Article
Cardiac USG for Dyspneic Patients Performed in Emergency Departments
1 Department of Emergency Medicine, Faculty of Medicine, Başkent University, Ankara, Turkey  
2 Başkent Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Ankara, Türkiye  
Eurasian J Emerg Med 2011; 10: 22-26
DOI: 10.5152/jaem.2011.006
Key Words: Cardiac ultrasonography, emergency department
Abstract

Objective: The aim is to investigate the effi ciency of use of cardiac ultrasonography

in patients brought in with respiratuary stress to the Emergency

Department (ED).

 

Materials and Methods: This prospective study included 72 patients between

January 2009 and February 2010 in a third degree ED. It was accepted

by the Ethics Committee of the University and informed signed consent was

obtained from every patient after explanation. Age, sex, consultation, Killip

and New York classifi cation, duration in ED, fi nalization, cost in ED, whether

there are echocardiography and computerized tomography (CT) results and

LVD (left ventricule diastole, LVS (left ventricule systole) longitudinal total

lengths evaluated by a blind emergency physician (EP) were evaluated. All

cardiac screens were archived by printing with lengths. The sonographic machine

used was GE Proseries Logic 200. X2 and Fisher’s Exact test for the relations

between categorical data and Mann-Whitney U test for comparison in

dual groups were used in statistical analysis.

 

Results: There was a signifi cant diff erence in LVD and LVS lengths between

the patients admitted to the cardiology clinic and the others (p=0.001,

p=0.001). There was no signifi cant diff erence found in the same groups for

the duration, cost in ED (p=0.778, p=0.194), the fi nalization of patients admitted

to cardiology 40.3% (n=29), chest diseases 31.9% (n=23) and others.

 

Conclusion: Cardiac USG performed in ED is helpful in the diff erential diagnosis

and evaluation of the left ventricular sizes in dyspneic patients and is

eff ective in management and fi nalization.

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