Navigation Links
Experienced Physicians Diagnose Heart Disease’s Earlie

In a press release on the 28th regarding a study on stethoscope accuracy in cardiac patients at UCSF Medical Center it was found that physicians with more experience // are better able to detect a third heart sound that is an indicator of heart disease. The researchers felt that with a greater experience and skill for auscultation, comes a better knowledge of identifying pathologic heart disorders.

Publishing their findings in the March 27, 2006, edition of The Archives of Internal Medicine researchers have stressed the importance on the skilled usage of the stethoscope. The third heart sound, S3, is a low-pitched vibration that occurs in early diastole. It is present in children and adolescents, and reduces in adulthood. According to Dr.Andrew Michaels, MD, assistant professor of cardiology at UCSF and co-director of the Cardiac Catheterization Laboratory at UCSF Medical Center, the presence of S3 in adults can signify adverse cardiovascular conditions. The pathologic S3 indicates decreased compliance of the ventricles of the heart and may be the earliest sign of heart failure.

The studies were conducted on four groups of physicians, each representing a different level of training and experience board-certified cardiology attending physicians, cardiology fellows, internal medicine residents and internal medicine interns. Phonocardiography, a computerized heart sound analysis, was used as a comparison. About ninety patients between the ages of 24-91 preparing to undergo non-emergency left-sided heart catheterization for a clinical evaluation were enrolled in the study. The phonocardiography detected a third heart sound in 23 percent of these patients. The researchers found agreement between physician and phonocardiography results improved with a greater level of physician experience, with attendings and fellows having the highest amount of agreement. Interns had no significant agreement with the phonocardiography results. Phonocardiography per formed better than any physician group in identifying the third heart sound.

These findings help in showing the capacity for physicians to effectively auscultate a clinically important S3. Lead author Dr. Gregory Marcus, MD, cardiology fellow at UCSF felt that they could be generalized to the practicing physician and physician-in-training. The full realization of this capacity requires both continuing interest on the part of the learner and mentorship and teaching by those with expertise.

The researchers feel that poor performance by physicians in hearing the third heart sound may be a cause for a lack of clinician confidence in the value of using auscultation as a diagnostic tool. It also shows that there is not enough training for the current medical students and physicians are increasingly relying on more sophisticated technology, such as echocardiograms and BNP levels to provide information about heart function.

Dr. Marcus concluded that its important to identify S3 sound is important in the diagnosis of heart disease, requires relatively little time and is accessible to any physician with a stethoscope. It also becomes very important he concluded as many doctors and patients do not have immediate access to the latest technology and advancement for detecting problems with the heart.


'"/>




Related medicine news :

1. Are Women Seeing the Most Experienced Breast Cancer Surgeons?
2. Startling Expose – Physicians Often Have No Regular Source Of Health Car
3. "Make AIDS Therapy affordable" - Physicians demand
4. Physicians Consider Self-Prescribing Ethical
5. Physicians Lack Clinical Guidelines For Treating Elderly With Multiple Illnesses
6. Physicians Need To Treat Patients With Respect For Treatment To Be Effective
7. Resident Physicians Need More Preparations To Treat Patients From Different Cultures
8. Physicians To Discuss Ways To Save Premature Babies From RSV
9. Physicians should encourage US women to breastfeed
10. Yale University guidelines for Physicians and Pharmaceutical industry
11. Physicians Get To Choose Their Patients
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/19/2017)... ... ... Braun Industries will be participating as an exhibitor at EMS Today 2017. ... 23-25, 2017 at the Calvin L. Rampton Salt Palace Convention Center in Salt Lake ... on display. , “JEMS is a leader in EMS news and education. ...
(Date:2/19/2017)... ... February 19, 2017 , ... ... in better care, and MEDfx and the Delaware Health Information Network (DHIN) have ... As the nation’s first state-wide health information exchange, DHIN stores and shares real-time ...
(Date:2/18/2017)... ... February 17, 2017 , ... ... Axendia, **FDAnews Free Webinar**, March 1, 2017 — 1:30 p.m. – 2:30 ... regulatory burden? Pay dividends in enhanced and predictable product performance? Streamline processes ...
(Date:2/18/2017)... ... 17, 2017 , ... Butler Mobility invited Ken Matthews to visit its manufacturing ... Ken was impressed with the safety and reliability of the Stannah Stairlift as ... show. This endorsement by Ken Matthews can be heard on News Radio WHP ...
(Date:2/18/2017)... ... February 17, 2017 , ... Park Cities Pet Sitter ... Show on the Pet Life Radio network. The episode, which was posted this ... topics including: what factors led to Park Cities Pet Sitter’s being awarded the 2017 ...
Breaking Medicine News(10 mins):
(Date:2/16/2017)... Research and Markets has announced the addition of ... report to their offering. ... Traditional medical devices include devices (e.g., ... implantables, large endoscopes, needle based drug delivery, lab based diagnostics ... to three decades for the treatment and management of various ...
(Date:2/16/2017)... -- DaVita Inc. (NYSE: DVA ) today announced ... Net income attributable to DaVita Inc. for ... million, or $0.80 per share and $880 million, or $4.29 ... to DaVita Inc. for the quarter and year ended December ... million, or $0.98 per share, and $789 million, or $3.85 ...
(Date:2/16/2017)... 16, 2017  Aralez Pharmaceuticals Inc. (NASDAQ: ... today announced that executive management will participate in the ... February 22-23, 2017. Adrian Adams , Chief Executive ... 1:35 p.m. local time on Wednesday, February 22, 2017. ... the event may be accessed from the Investors section ...
Breaking Medicine Technology: