Diagnostic points used in CUUS at GP and RC diagnosis forms
Diagnostic points | Description | Supported by | |
ECG | CHART | ||
Arrhythmia, blocks | Rhythm problem, Premature complex beats, Heart blocks, Axis deviation Other: pacemaker, etc. | Yes | Yes |
LV dysfunction | Left Ventricular Systolic and Diastolic Dysfunction | No | HART LVSD HART LVDD |
Ischaemia | ST/STT deviation QT interval T-wave abnormality Wall motion abnormality Myocardial Infarction | Yes Yes Yes No Yes/partial | Yes Yes Yes HART WMA Yes+WMA |
Structural abnormality | LV Hypertrophy LA Enlargement RA Enlargement RV Enlargement Cardiomyopathy | LVH (Low sensitivity) LAE (Low sensitivity) RAE (Low sensitivity) RVH (Low sensitivity) LVH (Low sensitivity) | HART LVH HART LAE HART RAE HART RVE HART DCM |
Valve disease | Aortic Stenosis and Insufficiency Mitral Stenosis and Insufficiency Tricuspid Insufficiency Pulmonary hypertension | No | HART AS HART MS HART TR HART PH |
PCG-based murmur presence | S1 splitting Systolic and diastolic murmur Ejection sound Third and Fourth sound | No | Yes, CHART PCG |
MCG/PCG based Systolic time interval Abnormalities | EMAT, PEP, LVET interval IVCT, IVRT intervals SPI and MPI indexes | No | Yes, CHART MCG |
CHART, Cardio-HART; CUUS, Clinical Utility and Usability Study; EMAT, electro-mechanical activation time; GP, general practitioner; IVCT, isovolumic contraction time; IVRT, isovolumic relaxation time; LA, left atrial; LAE, left atrial enlargement; LV, left ventricular; LVDD, LV diastolic dysfunction; LVET, left ventricular ejection time ; LVSD, LV systolic dysfunction; MCG, mechano-physiological signal; MPI, myocardial performance index; PCG, phonocardiogram; PEP, pre-ejection period; RA, right atrial; RAE, right atrial enlargement; RC, referral cardiologist; RV, right ventricular; RVH, right ventricular hypertrophy; SPI, systolic performance index ; WMA, LV wall motion abnormality.