The GEL trio discuss the effectiveness of MAPSE in estimating left ventricular function, comparing it to other methods. They analyze studies on MAPSE in emergency departments, ultrasound scans for heart failure diagnosis, and combining cardiac ultrasound measurements. Concerns are raised about the clinical reliability of MAPSE through POCUS in emergency department patients.
Ultrasound GEL podcast discusses the potential benefits and limitations of MAPSE in assessing left ventricular function.
Prompt identification and management of abnormal air presence in cardiac chambers are crucial to prevent adverse outcomes like venous air embolism.
Deep dives
Econos Ultrasound's AI Capabilities
The Cosmos ultrasound by Econos boasts advanced AI features that facilitate ultrasound education. It automatically labels anatomy, assesses image quality, and aids learners in improving their imaging. Moreover, it includes an auto-EF calculation validated in real patient studies, potentially smoothing the learning process for learners through self-directed or proctored learning.
Case Study on Fatal Venous Air Embolism
A case highlighted the importance of recognizing abnormal air presence in concerning locations, such as the cardiac chambers, indicating a venous air embolism. Despite efforts, the 82-year-old patient faced a fatal outcome, stressing the significance of promptly identifying and addressing abnormal air presence within the anatomy.
Evaluation of MAPSI for LV Dysfunction
A study explored focused cardiac ultrasound with MAPSI for left ventricular (LV) dysfunction detection compared to standard methods like EPSS and visual estimation. While MAPSI showed specificity of 89% and a positive likelihood ratio of 3.9, its sensitivity was limited, suggesting potential utility but not sufficient superiority over traditional assessments. The study emphasized the need for further research to determine the practical impact of MAPSI in clinical settings for assessing LV function.
The GEL trio return to discuss an old idea made new again - the mitral annular plane systolic excursion, aka MAPSE. How good is it compared to other methods for estimating left ventricular function?