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2016 ; 8
(10
): 566-574
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Thoracic ultrasound: A complementary diagnostic tool in cardiology
#MMPMID27847557
Trovato GM
World J Cardiol
2016[Oct]; 8
(10
): 566-574
PMID27847557
show ga
Clinical assessment and workup of patients referred to cardiologists may need an
extension to chest disease. This requires more in-depth examination of
respiratory co-morbidities due to uncertainty or severity of the clinical
presentation. The filter and integration of ecg and echocardiographic
information, addressing to the clues of right ventricular impairment, pulmonary
embolism and pulmonary hypertension, and other less frequent conditions, such as
congenital, inherited and systemic disease, usually allow more timely diagnosis
and therapeutic choice. The concurrent use of thoracic ultrasound (TUS) is
important, because, despite the evidence of the strict links between cardiac and
respiratory medicine, heart and chest US imaging approaches are still separated.
Actually, available expertise, knowledge, skills and training and equipment's
suitability are not equally fitting for heart or lung examination and not always
already accessible in the same room or facility. Echocardiography is useful for
study and monitoring of several respiratory conditions and even detection, so
that this is nowadays an established functional complementary tool in pulmonary
fibrosis and diffuse interstitial disease diagnosis and monitoring. Extending the
approach of the cardiologist to lung and pleura will allow the achievement of
information on pleural effusion, even minimal, lung consolidation and
pneumothorax. Electrocardiography, pulse oximetry and US equipment are the
friendly extension of the physical examination, if their use relies on adequate
knowledge and training and on appropriate setting of efficient and working
machines. Lacking these premises, overshadowing or misleading artefacts may
impair the usefulness of TUS as an imaging procedure.
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