Faculty of Medicine, Cairo University, Cairo, Egypt.
Faculty of Medicine, Cairo University, Cairo, Egypt.
Curr Probl Cardiol. 2022 Jun;47(6):100847. doi: 10.1016/j.cpcardiol.2021.100847. Epub 2021 Mar 30.
Cardiovascular disease (CVD) has been showing patterns of extensive rise in prevalence in the contemporary era, affecting the quality of life of millions of people and leading the causes of death worldwide. It has been a provocative challenge for modern medicine to diagnose CVD in its crib, owing to its etiological factors being attributed to a large array of systemic diseases, as well as its non-binary hideous nature that gradually leads to functional disability. Novel echocardiography techniques have enabled the cardiac ultrasound to provide a comprehensive analysis of the heart in an objective, feasible, time- and cost-effective manner. Speckle tracking echocardiography, contrast echocardiography, and 3D echocardiography have shown the highest potential for widespread use. The uses of novel modalities have been elaborately demonstrated in this study as a proof of concept that echocardiography has a place in routine general practice with supportive evidence being as recent as its role in the concurrent COVID-19 pandemic. Despite such evidence, many uses remain off-label and unexploited in practice. Generalization of echocardiography at the point of care can become a much-needed turning point in the clinical approach to case management. To actualize such aspirations, we recommend further prospective and interventional studies to examine the effect of implementing advanced techniques at the point of care on the decision-making process and evaluate their effectiveness in prevention of cardiovascular morbidities and mortalities.
心血管疾病（CVD）在当代呈现出广泛流行的趋势，影响了数百万人的生活质量，并成为全球死亡的主要原因。由于其病因归因于多种系统性疾病，以及其逐渐导致功能障碍的非二元性丑陋性质，因此在摇篮中诊断 CVD 一直是现代医学的一个挑衅性挑战。新型超声心动图技术使心脏超声能够以客观、可行、省时和具有成本效益的方式对心脏进行全面分析。斑点追踪超声心动图、对比超声心动图和 3D 超声心动图显示出最广泛应用的潜力。本研究详细阐述了新型模式的用途，证明了超声心动图在常规全科实践中的地位，其证据与 COVID-19 大流行期间的作用一样新。尽管有这样的证据，但许多用途在实践中仍然是未经批准和未开发的。在护理点推广超声心动图可以成为病例管理临床方法的一个急需的转折点。为了实现这些愿望，我们建议进行进一步的前瞻性和干预性研究，以检查在护理点实施先进技术对决策过程的影响，并评估其在预防心血管发病率和死亡率方面的有效性。
