Echo in the palm of your hand Anthony

Echo in the palm of your hand Anthony De. Maria, MD Chief of Cardiovascular Medicine University of California at San Diego, CA

Echo in the palm of your hand Handheld machines © 2000 Sono. Site, Inc

Echo in the palm of your hand Where are we now? Echocardiography offers access to intercardiac anatomy and dynamics. Heavy, large, expensive equipment limited usefulness. The diminishing size and cost is expanding who and when can receive it.

Echo in the palm of your hand Machine specs Sono. Site received FDA 510(k) premarket clearance for the Sono. Heart in Dec 1999 5. 4 lbs (2. 4 kg) $10, 000 -15, 000 2 D and Color Power Doppler scan

Echo in the palm of your hand Primary applications “I think that there is a value to think of these devices not as echocardiographs but as screening ultrasound devices. ” Anthony De. Maria, MD Chief of Cardiovascular Medicine University of California at San Diego, CA

Echo in the palm of your hand Evolution of use Four steps of future use: emergency imaging screening extended physical examination fully portable echo

Echo in the palm of your hand Expanding potential “These devices enable us to potentially do ultrasound on more patients than we’ve done before, and enable us to perhaps expand the number of people who are using ultrasound. ” Anthony De. Maria, MD Chief of Cardiovascular Medicine University of California at San Diego, CA

Echo in the palm of your hand Stroke-distance and AMI survival UK researchers followed 378 patients for 5 years after AMI Post AMI mortality rate Stroke distance* at discharge > 100% of age-predicted normal < 65% of age-predicted normal 1 month 5 years 0% < 20% 18% 43% *the systolic velocity integral of blood flow in the aortic arch Trent RJ, Rawles JM. Heart 1999; 82: 187 -191

Echo in the palm of your hand Clinical use Echoes in the emergency room allows for an increase in diagnostic yield. This potential is furthered by handheld devices. Can you teach people to perform a reasonable ultrasound examination and extract useful information? There is significant improvement with a short educational process.

Echo in the palm of your hand Screening Has been used in pre-athletic screening. A Heart for Sports Foundation (http: //www. aheartforsports. org/) Size of the device made it possible to screen large number of athletes in a short period of time.

Echo in the palm of your hand Ubiquity Technology will make ultrasound more available and easier to use. Expertise and technique are incredibly important. Ultrasound may never be as ubiquitous as ECG for emergency equipment.

Echo in the palm of your hand © 2000 Sono. Site, Inc