Corewell Health West
The purpose of the study is to implement point of care ultrasound (POCUS) to generate preliminary, or pilot, data to support a full future POCUS study across multiple Corewell Health outpatient rural facilities. The study aims to demonstrate feasibility of the procedure utilizing input from the patient, provider, and the clinic staff. Preliminary data will also be used to estimate the magnitude of effect in estimating sample size and power in participants who receive the POCUS procedure versus those who continue with standard of care. Up to 100 participants will be enrolled.
The Investogators will harness the power of a novel turn-by-turn guidance software embedded within a point-of-care ultrasound (POCUS) device that can generate an accurate estimate of left ventricular ejection fraction in \<5 minutes by medical assistants (MA) with minimal training at a single Corewell Health outpatient practice. Using a randomized clinical trial design in patients with new cardiac symptoms, POCUS-HF will quantify the benefits of using POCUS for heart failure reduced ejection fraction (HFrEF) diagnosis and establishment of Guideline-Directed Medical Therapy (GDMT). Point of ca…
Patient Inclusion/Exclusion Criteria Inclusion Criteria: * 18 years of age or older at time of consent * Presenting to an enrolled CH study site with visit type: * A. PCP - New onset cardiac complaints (e.g., dyspnea on exertion, orthopnea, etc) * B. Cardiology - New Patient * Weight ≥ 40kg Exclusion Criteria: * Documented echocardiogram in the past 3 years * History of cardiac surgery or congenital heart disease * O2-dependent pulmonary disease * BMI ≥40kg/m2 * Pregnancy * Non-native English speakers who have limited spoken or written understanding of the English language to be able to co…
Point of care ultrasound will be used in patients as an early diagnostic tool for HFrEF
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