AI Article Synopsis
- A survey conducted in 2023 in Kumamoto Prefecture revealed that only 88% of the 106 hospitals offering cardiology services completed questionnaires on transthoracic echocardiography (TTE) practices for valvular heart disease.
- The study found that only a small percentage of hospitals utilized advanced techniques like dobutamine stress echocardiography for assessing aortic stenosis and exercise stress echocardiography for asymptomatic mitral regurgitation.
- Recommendations from remote meetings and use of an echocardiographic manual were linked to better adherence to TTE guidelines, indicating that these resources could improve practice standards in the region.
Article Abstract
Background: There are few reports on transthoracic echocardiography (TTE) for the evaluation of valvular heart disease in a specific area or region.
Methods And Results: This cross-sectional questionnaire-based survey was conducted in 2023 in Kumamoto Prefecture, where 106 hospitals provide cardiology services. Ninety-three (88%) of the hospitals completed questionnaires regarding TTE. The severity of low flow/low gradient AS was evaluated by dobutamine stress echocardiography in only 7% of hospitals and exercise stress echocardiography for asymptomatic mitral regurgitation in only 5%. Multivariate logistic regression analysis revealed that participation in remote multi-institutional echocardiographic meetings and use of the Kumamoto Prefecture echocardiographic manual were significantly associated with the use of a multi-window approach (P < 0.05).
Conclusions: In Kumamoto Prefecture, echocardiographic measurements are performed according to the recommendations at a relatively low rate. Dissemination of recommendations through remote meetings and the use of the echocardiographic manual may increase the likelihood of TTE being performed according to the recommendations.
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| http://dx.doi.org/10.1007/s12574-024-00648-w | DOI Listing |
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