Current awareness and use of transthoracic echocardiography in evaluation of valvular heart disease in Kumamoto Prefecture -a report from the Kumamoto cardiovascular echocardiography standardization project

期刊论文
发表日期：

2024年4月6日

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Hiroki Usuku,
Eiichiro Yamamoto,
Fumi Oike,
Kenichi Yoshida,
Yuji Ogata,
Saori Kato,
Syota Fukushige,
Ayako Tomita,
Seiki Matsumoto,
Yoshio Iwayama,
Kanako Honda,
Shinji Tanaka,
Yoko Fukuyoshi,
Tamami Ousaka,
Eiichiro Tanaka,
Ikuo Misumi,
Kazuhiro Nishigami,
Hiroyuki Shono,
Kenichi Tsujita

摘要

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.