Saturday, December 26, 2015

Ecocardiografía PoCUS en SCA

ALiEM - By Jeffrey Shih - December 9th, 2015
"Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” Case Series. In this peer-reviewed case series, we focus on real clinical cases where bedside ultrasound changed management or aided in diagnoses. In this case, a 55-year-old man presents with acute-onset chest pain...
In summary, in patients with concern for ACS and a non-diagnostic EKG, a bedside echo performed by the Emergency Physician can be a useful diagnostic tool that can be used to supplement the clinical scenario.
  1. Bedside echocardiography can be a useful supplemental diagnostic tool to risk-stratify patients who present to the Emergency Department with chest pain.
  2. Regional wall motion abnormalities on echo is the earliest clinically evident sign of ischemia and is more sensitive for predicting cardiac events than both EKG changes and onset of chest pain.
  3. Caveats to the bedside echo to identify regional wall motion abnormalities include prior infarcts and inadequate cardiac views."
Figure 2 Identification of areas of the left ventricle (LV), “SALPI”: Septal (S), Anterior (A), Lateral (L), Posterior (P), Inferior (I). Right ventricle (RV) is also seen