ArticleInternal medicine journal2025
A tale of two echoes: ultraportable versus standard echocardiography in patients with left ventricular dysfunction.
Article in Internal medicine journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Handheld Ultrasound: Technical Review and International Expert Consensus Recommendations.Diagnostics (Basel, Switzerland) · 2026Review
- Correction to 'A tale of two echoes: ultraportable versus standard echocardiography in patients with left ventricular dysfunction'.Internal medicine journal · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
10 authors.
Funding
Abstract
backgroundHandheld echocardiography (HHE) is an emerging tool offering portability and convenience for cardiac imaging. However, its validity in hospitalised patients with left ventricular (LV) dysfunction is unclear.
aimsTo determine the concordance of key LV and right ventricular (RV) echocardiographic parameters obtained by HHE and standard echocardiography (SE) in hospitalised patients with LV dysfunction.
methodsThis prospective study evaluated hospitalised patients with an echocardiogram during admission demonstrating LV ejection fraction (LVEF) <50%. Key LV and right ventricular (RV) echocardiographic parameters were measured using both standard echocardiography (SE) and HHE. Concordance and differences between both imaging modalities were evaluated using Pearson correlation and paired Student t test, with significance defined as P < 0.05.
resultsA total of 156 patients were included. No significant differences were observed between SE and HH for LV end-diastolic diameter (5.23 ± 0.87 vs. 5.28 ± 0.72 cm respectively, P = 0.348), LVEF (33.36 ± 9.2 vs. 33.17 ± 9.09, P = 0.521), LV outflow tract velocity time integral (15.83 ± 4.95 vs. 15.80 ± 5.05, P = 0.856) and inferior vena cava diameter (1.96 ± 0.48 vs. 1.92 ± 0.44, P = 0.122). Significant differences were noted for RV basal diameter (3.87 ± 0.63 cm vs. 3.76 ± 0.68 cm, P < 0.001) and tricuspid annular systolic excursion (1.76 ± 0.46 cm vs. 1.83 ± 0.47 cm, P = 0.025).
conclusionsHHE demonstrates strong concordance with SE for LV parameters. Discrepancies were observed for RV parameters, although the clinical implications of these differences are unclear. These findings highlight the evolving role of HHE as a reliable and accessible tool for experienced users, particularly for monitoring hospitalised patients such as those with acute heart failure, where the use of serial SE may enhance clinical decision-making but is limited by logistical barriers.
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