Real-World Evaluation of the Eko Electronic Teleauscultation System
Real-World Evaluation of the Eko Electronic Teleauscultation System
复制标题
DOI：
10.1007/s00246-018-1972-y
复制
发表时间：
2019-01-01
影响因子：
1.6
通讯作者：
Slamon, Nicholas
中科院分区：
文献类型：
--
作者：
Behere, Shashank;Baffa, Jeanne Marie;Slamon, Nicholas
心脏杂音评估是转诊至心脏科的最常见原因，使用听诊器听诊心音仍然是初始心血管检查的关键组成部分。我们开始比较在人的听诊结果与核心听诊器（Eko，伯克利，加利福尼亚州）记录的心音与正常的心音，无辜的心脏杂音，和各种病理结果的患者。我们的研究表明，Eko记录有很高的一致性百分比与人的听诊结果和超声心动图结果，具有中等的评分者间的可靠性。这是有用的，以确定患者的病理性杂音，谁将受益于进一步的评估。它能够辨别主要类型的病理性杂音。阅读心脏病专家发现，记录的声音与现场听诊相比存在某些质的差异。他们能够适应这些微妙的差异。该系统被认为易于使用，研究中的大多数心脏病专家会考虑在临床环境中使用它。Eko Core系统可能是一种有用的杂音评估筛查工具。
Heart murmur evaluation is the most common cause of referral to cardiology, and auscultation of heart sounds with a stethoscope remains a key component of the initial cardiovascular exam. Adoption of telecardiology has been limited by challenges in teleauscultation. We set out to compare in-person auscultatory findings with heart sounds recorded by the Core stethoscope (Eko, Berkeley, CA) in patients with normal heart sounds, innocent heart murmurs, and a variety of pathologic findings. Our study demonstrates that Eko recordings had a high percent of agreement with in-person auscultation findings and echocardiogram findings, with moderate inter-rater reliability. It was useful in identifying patients with pathologic murmurs who would benefit from further assessment. It was able to discern major types of pathological murmurs. Certain qualitative differences in the recorded sounds as compared to in-person auscultation were identified by the reading cardiologists. They were able to acclimate to these subtle differences. The system was felt to be easy to use, and most cardiologists in the study would consider using it in clinical settings. The Eko Core system may be a useful screening tool for murmur evaluation.