Comparing Point-of-Care Ultrasound in Multiple Body Positions in Dogs to Key Cardiac Measurements by Echocardiography.

Cardiac point-of-care ultrasound (cPOCUS) is used to obtain key information about the heart's structure and function when an echocardiogram is not available. This prospective, cross-sectional study aimed to compare fractional shortening (FS%) and left-atrium-to-aorta ratio (LA:Ao) obtained by cPOCUS in different body positions to echocardiography. Thirty-nine dogs had cPOCUS performed in three different body positions: left lateral recumbency (RT), right lateral recumbency (LT), and standing or sternal recumbency (RST). The cPOCUS values from each body position for FS% and LA:Ao were tested for agreement with the echocardiogram by Bland-Altman plots, correct clinical assessment by generalized estimated equation models, and quality score of the cPOCUS images as a percentage. Bland-Altman analysis showed a positive bias for FS% (0.9% to 9.8%) and both positive and negative bias for LA:Ao (within 0.2) for the cPOCUS values. The correct clinical assessment was made in the majority of cases for FS% in RST (67%) and RT (67%), and for LA:Ao in RST (55%). The clinical assessment was more often correct when the image quality score was higher. Intraclass correlation showed good agreement (≥0.61) between investigators for FS% in all body positions and LA:Ao in RT and RST. This study showed that cPOCUS performed from the right hemithorax can provide estimates and correct clinical assessment of FS% and LA:Ao. Obtaining measurements in the LT position is not recommended.