Dispneik Hastalarda Acilde Yapilan Kardiyak USG/Cardiac USG for Dyspneic Patients Performed in Emergency Departments

• Published in: Eurasian journal of emergency medicine Vol. 10; no. 1; p. 22
• Main Authors: Gülalp, Betül, Kayipmaz, Afsin Emre, Altinörs, Mehmet Nur
• Format: Journal Article
• Language: Turkish
• Published: Ankara Galenos Publishing House 01-03-2011
• Subjects: Emergency medical care; Ultrasonic imaging
• ISSN: 2149-5807; 2149-6048

The aim is to investigate the efficiency of use of cardiac ultrasonography in patients brought in with respiratuary stress to the Emergency Department (ED). 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 classification, duration in ED, finalization, 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. There was a significant difference 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 significant difference found in the same groups for the duration, cost in ED (p=0.778, p=0.194), the finalization of patients admitted to cardiology 40.3% (n=29), chest diseases 31.9% (n=23) and others. Cardiac USG performed in ED is helpful in the differential diagnosis and evaluation of the left ventricular sizes in dyspneic patients and is effective in management and finalization.