ECHO 2013 / Echocardiography in 2013 and Beyond Where We Are and Where We Are Going
.pdf
37M with Dyspnea
Large VSD
VSD P = 40 mmHg
MR2010:41
PS Protecting Lungs
Doming PV
p = 30/17
End-dias PR p = 20 mmHg
MR2010:42
And Then There’s REAL Telemedicine!
Stress echo 330 km above Gibraltar
MR2010:43
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
MR2010:44
Peak Stress Function (LVEF 76%)
Rest/Peak Stress Perfusion |
Rest Function (LVEF 67%) |
CACS
CTA
Quantitative MBF (ml/min/gm)
MR2010:45
Radiation Dosimetry Risk Models
Alternative „Low-Dose‟ Radiation Risk Models
Increased Risk
|
Verified |
Assumed |
Effects |
|
|
Effects |
Well-Verified |
|
|
|
Effects |
0 |
50 |
100 |
|
|
mSv |
Different models showing the risk vs the dose
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Recent Joint Commission Statement on Radiation Risks of Diagnostic Imaging
“In order to reduce the exposure of the patient to ionizing radiation, use other imaging techniques, such as ultrasound or MRI, whenever these tests will produce the required diagnostic information at a similar quality level”
Sentinel Event Alert, Issue 47: Radiation risks of Diagnostic Imaging available at: http://www.jointcommission.org/sea_issue_47/
MR2010:47
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
MR2010:48
Echocardiography
“The One Stop Shop”
•Myocardial Ischemia
•Myocardial Viability
•Valvular Heart Disease
•Pericardial Disease
•Hemodynamic Assessment
•Left Ventricular Systolic Function
•Aortic Disease
•Vascular Duplex Imaging
•Athletic Screening
MR2010:49
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
MR2010:50