Is this the end of the stethoscope in cardiovascular examination?
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Is this the end of the stethoscope in cardiovascular examination?
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Liebo MJ, Israel RL, Lillie EO, Smith MR, Rubenson DS, Topol EJ. Is Pocket Mobile Echocardiography the Next-Generation Stethoscope? A Cross-sectional Comparison of Rapidly Acquired Images With Standar
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Cat:OpenClinicalForum:083a12c9-861a-4a42-a5af-ddc3263b34bcDiscussion:136a64ea-fa3d-4336-ba22-54b9e8fcfec1
Forums » Open clinical » Cardiology » Is this the end of the stethoscope in cardiovascular examination?
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Is this the end of the stethoscope in cardiovascular examination?
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Is this the end of the stethoscope in cardiovascular examination?
posted at 10/8/2011 11:26 AM BST
on bmj.com
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Posts: 875
First: 17/6/2011 Last: 20/5/2013 |
Liebo MJ, Israel RL, Lillie EO, Smith MR, Rubenson DS, Topol EJ. Is Pocket Mobile Echocardiography the Next-Generation Stethoscope? A Cross-sectional Comparison of Rapidly Acquired Images With Standard Transthoracic Echocardiography. Ann Intern Med 2011;155(1):33-8. This paper caught my eye. It is a study looking at the utility of the very small handheld echo machines in the diagnosis of cardiovascular disease. How many doctors do we think would want to learn mobile echo and do you think it would be useful in your practice? |
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Re: Is this the end of the stethoscope in cardiovascular examination?
posted at 10/8/2011 12:14 PM BST
on bmj.com
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Posts: 2044
First: 12/3/2010 Last: 21/5/2013 |
My (!) cardiologist (The senior cardiologist in my Trust) is increasingly stressed by the lack of properly trained clinical physiologists, further trained in echocardiography. It takes three years. Yes, it might be possible to get a sketchy idea of the heart by pocket echocardiography, but not if you want a proper study. And a proper job costs $8000, so I think the stethoscope has a bit more life in it yet! http://www.theheart.org/article/1197799.do (Anyway, how will the anaesthetist listen to confirm endotracheal tube placement without a steth?) John |
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Re: Is this the end of the stethoscope in cardiovascular examination?
posted at 10/8/2011 7:02 PM BST
on bmj.com
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Posts: 1348
First: 25/1/2009 Last: 20/5/2013 |
No medical student will be able to afford the pocket echo machinces, nor will have the experience to use one. And without our stetchs hung proudly around our necks how will the public know who we are? My steth with never crash or run out of batteries. I dont need to have worried about it being hacked and patient data being taken from it. It can be easily wiped down between patients and is great to catch the attention of a baby when I'm trying to examine it or assess its developmental level of reaching for objects Long live the humble steth |
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Re: Is this the end of the stethoscope in cardiovascular examination?
posted at 11/8/2011 5:08 AM BST
on bmj.com
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Posts: 337
First: 12/7/2010 Last: 21/5/2013 |
Even if there were a pocket device to replace my good old steth .....I'd still be the "old fashioned" medic using the steth...unless they make it some kind of law lol! Besides, the pocket device has to be extremely superior to the steth in all aspects in order to wipe it out for good! So I wouldn't be too worried just yet. 
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Re: Is this the end of the stethoscope in cardiovascular examination?
posted at 11/8/2011 8:42 AM BST
on bmj.com
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Posts: 5
First: 6/8/2011 Last: 20/11/2012 |
In Response to Re: Is this the end of the stethoscope in cardiovascular examination?: And, how will a surgeon listen to peristalsis? Posted by yoram chaiter Do surgeons listen to anything or anybody?? |
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Re: Is this the end of the stethoscope in cardiovascular examination?
posted at 11/8/2011 9:53 PM BST
on bmj.com
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Posts: 875
First: 17/6/2011 Last: 20/5/2013 |
Definitely good surgeons (and all good doctors for that matter) still use the humble stethoscope but how good do you think it performs in your cardiovascular exam. Bearing in mind that echo is 50 years old (just) there are physicians around who used only their clinical examination skills and trusted steth to make their cardiac diagnoses. I remember being taught by one of them that they were wrong in about 20% of cases once good ech came along - do you think we all compare today in our clinical skills? |
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Re: Is this the end of the stethoscope in cardiovascular examination?
posted at 12/8/2011 10:34 AM BST
on bmj.com
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Posts: 1784
First: 7/3/2009 Last: 18/5/2013 |
No. We don't. But we are even less competent in interpreting the findings we see on echo. So, unless you are a trained cardiologist especially trained to look at echo the chances you will miss something or misunderstand what you see are high. More than that, there is a lot of dispute going on about the validity of the portable echos( not pocket but a size of laptop) compared to the large stationary echos. And you will agree with me that using a stethoscope is much easier. And you didn't answer the peristalsis issue. How would you hear or see persitalsis on a mobile echo? And how would you listen to lungs?
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Forums » Open clinical » Cardiology » Is this the end of the stethoscope in cardiovascular examination?
