Recognized and Unrecognized Value of Echocardiography in Guideline and Consensus Documents Regarding Patients With Chest Pain

Vincent L. Sorrell; Jonathan R. Lindner; Patricia A. Pellikka; James N. Kirkpatrick; Denisa Muraru

doi:10.1016/j.echo.2022.10.024

Recognized and Unrecognized Value of Echocardiography in Guideline and Consensus Documents Regarding Patients With Chest Pain

Vincent L. Sorrell, Jonathan R. Lindner, Patricia A. Pellikka, James N. Kirkpatrick, Denisa Muraru

Research output: Contribution to journal › Article › peer-review

Abstract

Guideline and consensus documents have recently been published on the important topic of the noninvasive evaluation of patients presenting with chest pain (CP) or patients with known acute or chronic coronary syndromes. Authors for these documents have included members representing multispecialty imaging societies, yet the process of generating consensus and the need to produce concise written documents have led to a situation where the particular advantages of echocardiography are overlooked. Broad guidelines such as these can be helpful when it comes to “when to do” noninvasive cardiac testing, but they do not pretend to offer nuances on “how to do” noninvasive cardiac testing. This report details the particular value of echocardiography and potential explanations for its understated role in recent guidelines. This report is categorized into the following sections: (1) impact of the level of evidence on guideline creation; (2) versatility of echocardiography in the assessment of CP and the inimitable role for echo Doppler echocardiography in the assessment of dyspnea; (3) value of point-of-care ultrasound in assessing CP and dyspnea; and (4) the future role of echocardiography in ischemic heart disease.

Original language	English
Pages (from-to)	146-153
Number of pages	8
Journal	Journal of the American Society of Echocardiography
Volume	36
Issue number	2
DOIs	https://doi.org/10.1016/j.echo.2022.10.024
State	Published - Feb 2023

Bibliographical note

Funding Information:
Conflicts of Interest: Dr. Sorrell is supported as the Anthony N. DeMaria Endowed Chair of Cardiovascular Imaging and by grant nos. W81XWH1910533 and 2R44HL120370-02. Dr. Lindner is supported by grants R01-HL078610, R01-HL130046, R01-HL165422, and P51-OD011092 from the National Institutes of Health and by grant 18-18HCFBP_2-0009 from NASA. Dr. Pellikka is supported as the Betty Knight Scripps Professor of Cardiovascular Disease Clinical Research, Mayo Clinic. Drs. Muraru and Kirkpatrick have no disclosures.

Funding Information:
Conflicts of Interest: Dr. Sorrell is supported as the Anthony N. DeMaria Endowed Chair of Cardiovascular Imaging and by grant nos. W81XWH1910533 and 2R44HL120370-02 . Dr. Lindner is supported by grants R01-HL078610 , R01-HL130046 , R01-HL165422 , and P51-OD011092 from the National Institutes of Health and by grant 18-18HCFBP_2-0009 from NASA . Dr. Pellikka is supported as the Betty Knight Scripps Professor of Cardiovascular Disease Clinical Research , Mayo Clinic . Drs. Muraru and Kirkpatrick have no disclosures.

Publisher Copyright:
© 2022 American Society of Echocardiography

Keywords

Chest pain
Dyspnea
Echocardiography
Level of evidence
Stress testing

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1016/j.echo.2022.10.024

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title = "Recognized and Unrecognized Value of Echocardiography in Guideline and Consensus Documents Regarding Patients With Chest Pain",

abstract = "Guideline and consensus documents have recently been published on the important topic of the noninvasive evaluation of patients presenting with chest pain (CP) or patients with known acute or chronic coronary syndromes. Authors for these documents have included members representing multispecialty imaging societies, yet the process of generating consensus and the need to produce concise written documents have led to a situation where the particular advantages of echocardiography are overlooked. Broad guidelines such as these can be helpful when it comes to “when to do” noninvasive cardiac testing, but they do not pretend to offer nuances on “how to do” noninvasive cardiac testing. This report details the particular value of echocardiography and potential explanations for its understated role in recent guidelines. This report is categorized into the following sections: (1) impact of the level of evidence on guideline creation; (2) versatility of echocardiography in the assessment of CP and the inimitable role for echo Doppler echocardiography in the assessment of dyspnea; (3) value of point-of-care ultrasound in assessing CP and dyspnea; and (4) the future role of echocardiography in ischemic heart disease.",

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note = "Funding Information: Conflicts of Interest: Dr. Sorrell is supported as the Anthony N. DeMaria Endowed Chair of Cardiovascular Imaging and by grant nos. W81XWH1910533 and 2R44HL120370-02. Dr. Lindner is supported by grants R01-HL078610, R01-HL130046, R01-HL165422, and P51-OD011092 from the National Institutes of Health and by grant 18-18HCFBP_2-0009 from NASA. Dr. Pellikka is supported as the Betty Knight Scripps Professor of Cardiovascular Disease Clinical Research, Mayo Clinic. Drs. Muraru and Kirkpatrick have no disclosures. Funding Information: Conflicts of Interest: Dr. Sorrell is supported as the Anthony N. DeMaria Endowed Chair of Cardiovascular Imaging and by grant nos. W81XWH1910533 and 2R44HL120370-02 . Dr. Lindner is supported by grants R01-HL078610 , R01-HL130046 , R01-HL165422 , and P51-OD011092 from the National Institutes of Health and by grant 18-18HCFBP_2-0009 from NASA . Dr. Pellikka is supported as the Betty Knight Scripps Professor of Cardiovascular Disease Clinical Research , Mayo Clinic . Drs. Muraru and Kirkpatrick have no disclosures. Publisher Copyright: {\textcopyright} 2022 American Society of Echocardiography",

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Recognized and Unrecognized Value of Echocardiography in Guideline and Consensus Documents Regarding Patients With Chest Pain

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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