Calderon Martinez Ernesto, Diarte Edna, Othon Martinez Diana, Rodriguez Reyes Leonardo, Aguirre Cano Daniel A, Cantu Navarro Carolina, Ycaza Zurita Maria G, Arriaga Escamilla David, Choudhari Jinal, Michel George
Digital Health, Universidad Nacional Autónoma de México, Ciudad de Mexico, MEX.
Medicine, Universidad Autónoma de Sinaloa, Culiacán, MEX.
Cureus. 2023 Dec 24;15(12):e51032. doi: 10.7759/cureus.51032. eCollection 2023 Dec.
Point-of-care ultrasound (POCUS) has emerged as an indispensable diagnostic tool in cardiology, particularly within the emergency department. This narrative synthesis provides a comprehensive exploration of POCUS applications in cardiovascular diseases, elucidating its multifaceted roles and addressing challenges. The review delves into the technical attributes of POCUS, emphasizing its non-invasive nature, radiation-free qualities, and suitability for non-radiologists. It navigates through educational strategies, stressing the importance of structured programs for the seamless integration of POCUS into clinical practice. Highlighting its efficacy, the synthesis discusses POCUS applications in various scenarios such as dyspnea, chest pain, cardiac arrest, aortic dissection, pericardial effusion, and pulmonary embolism. Beyond acute care, the review explores the role of POCUS in outpatient and inpatient settings, focusing on chronic and acute heart failure, valvular heart diseases, and more. Acknowledging operator-dependent challenges and the need for continuous education, the review underscores the transformative potential of POCUS across diverse healthcare settings. This narrative synthesis accentuates POCUS as a valuable and versatile diagnostic tool in cardiology, offering efficiency, safety, and cost-effectiveness. Despite challenges, POCUS stands out as a transformative addition to clinical practices, poised to enhance patient outcomes and reshape the landscape of cardiovascular diagnostics.
床旁超声（POCUS）已成为心脏病学中不可或缺的诊断工具，尤其是在急诊科。本叙述性综述全面探讨了POCUS在心血管疾病中的应用，阐明了其多方面的作用并应对挑战。该综述深入研究了POCUS的技术特性，强调其无创性、无辐射性以及对非放射科医生的适用性。它探讨了教育策略，强调结构化项目对于将POCUS无缝融入临床实践的重要性。该综述突出其有效性，讨论了POCUS在各种情况下的应用，如呼吸困难、胸痛、心脏骤停、主动脉夹层、心包积液和肺栓塞。除了急性护理，该综述还探讨了POCUS在门诊和住院环境中的作用，重点关注慢性和急性心力衰竭、心脏瓣膜疾病等。认识到依赖操作者的挑战以及持续教育的必要性，该综述强调了POCUS在不同医疗环境中的变革潜力。本叙述性综述强调POCUS是心脏病学中一种有价值且用途广泛的诊断工具，具有高效、安全和成本效益。尽管存在挑战，但POCUS作为临床实践中的变革性补充脱颖而出，有望改善患者预后并重塑心血管诊断格局。
