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Methods and results Five final-year medical students and three junior doctors without prior echocardiographic experience participated in a standardized 2 h PHHE bedside tutorial. Subsequently, they assessed 122 cardiology patients using history, physical examination, ECG and PHHE. Their final clinical diagnosis was compared against that of a consultant clinician's and also expert in echocardiography. A total of 122 PHHE were performed of which 64 (53%) by final-year medical students and 58 (47%) by junior doctors. Mean ± SD for diagnostic accuracy after history, physical examination, and ECG interpretation was 0.49 ± 0.22 (maximum = 1), whereas the addition of PHHE increased its value to 0.75 ± 0.28 (Z = −7.761, P<0.001). When assessing left ventricular systolic dysfunction by means of history and physical examination, specificity was 84.9% and sensitivity only 25.9%, whereas after including findings from PHHE, these figures rose to 93.6 and 74.1%, respectively.
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Conclusion The use of PHHE after brief bedside training in the form of a tutorial greatly improved the clinical diagnosis of medical students and junior doctors, over and above history, physical examination, and ECG findings.
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Enquanto isso no Brasil...
Enquanto isso...No Brasil e em grandes escolas de Cardiologia inclusive do estado de São Paulo (onde fiz minha residência), nem pegar em um transdutor os docentes nos deixam...lastimável !
ResponderExcluirPHHE: vou comprar o meu assim que der para não ficar na mão enquanto espero por um exame mais detalhado...
É uma pena o que ocorre, pelo menos no Brasil. Esse aparelho é uma revolução na medicina e não é valorizado.
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