Point-of-care ultrasound: Closing guideline gaps in screening for valvular heart disease

Abstract

Background: A linear increase in the number of valvular heart disease is expected due to the aging population, yet most patients with severe valvular heart disease remain undiagnosed. Hypothesis: POCUS can serve as a screening tool for valvular heart disease. Methods: We reviewed the literature to assess the strengths and limitations of POCUS in screening and diagnosing valvular heart disease. Results: POCUS is an accurate, affordable, accessible, and comprehensive tool. It has a fast learning curve and can prevent unnecessary and more expensive imaging. Challenges include training availability, lack of simplified screening protocols, and reimbursement. Large scale valvular screening data utilizing POCUS is not available. Conclusion: POCUS can serve as a screening tool and guide the management of patients with valvular heart disease. More data is needed about its efficacy and cost-effectiveness in the screening of patients with valvular heart disease.