ECHO 2013 / Echocardiography in 2013 and Beyond Where We Are and Where We Are Going
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Improved Estimation of LV Function
No contrast 
Contrast
Thomson et al: JACC 2001; 38: 867-75 |
MR2010:31 |
LV Assessment Using 3D Echo
Provides Quantification Similar to MRI
MR2010:32
3DE vs MRI EF with LV Aneurysms
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0.8 |
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0.7 |
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3D |
0.6 |
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0.5 |
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by |
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EF |
0.4 |
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0.3 |
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y = 0.98 x + 0.01 |
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0.2 |
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r = 0.98 |
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p < 0.0001 |
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0.1 |
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SEE = 0.04 |
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0 |
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0 |
0.1 |
0.2 |
0.3 |
0.4 |
0.5 |
0.6 |
0.7 |
EF by MRI
Qin et al. JACC 2000; 36: 900-7 |
MR2010:33 |
Single Beat 3D Echo
Advanced Visualization and Analysis Tools
Incredible technical advances
MR2010:34
What About Myocardial Strain?
MRI |
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Echo |
Myocardial tagging |
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Speckle tracking |
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Unique insight into LV function
Bilchik et al. JACCi 2008; 1: 561-8 |
MR2010:35 |
7 Trends in Healthcare (And How Echocardiography Can Lead The Way)
•The Value Proposition
•The Triple Aim
•Focus on Patient Safety
•1 Patient, 1 Test
•Patients as Partners
•From Fee for Service to Population Health
•A Focus on Appropriateness
MR2010:36
Dr. Berwick’s Triple Aim
•Better Care for Individuals
•Better Health for Populations
•Lower Cost for the Nation
MR2010:37
Echocardiography and the Triple Aim
•Portability
•Lack of ionizing radiation
•Population screening
•Non invasive
•High patient satisfaction
•Low cost per unit of service
•Low capital expenditure
•Rural health and critical access hospital applicability
MR2010:38
Telemedicine From NW India
Partho Sengupta performing an echo
MR2010:39
ASE Medical Mission to India!
January 23-24, 2012
•Partho Sengupta lead a team of sonographers and physicians to NW India
•Over 10M gathered for meditation camp of Saint Gurmeet Ram Rahim Singh Ji Insan
-1000 screening echoes performed over 2 days
-Echoes uploaded to internet cloud for interpretation all over the world, including Echo Hawaii!