Abstract
The British Society of Echocardiography has previously outlined a minimum dataset for a standard transthoracic echocardiogram, and this remains the basis on which an echocardiographic study should be performed. The importance of ultrasound in excluding critical conditions that may require urgent treatment is well known. Several point-of-care echo protocols have been developed for use by non-echocardiography specialists. However, these protocols are often only used in specific circumstances and are usually limited to 2D echocardiography. Furthermore, although the uptake in training for these protocols has been reasonable, there is little in the way of structured support available from accredited sonographers in the ongoing training and re-accreditation of those undertaking these point-of-care scans. In addition, it is well recognised that the provision of echocardiography on a 24/7 basis is extremely challenging, particularly outside of tertiary cardiac centres. Consequently, following discussions with NHS England, the British Society of Echocardiography has developed the Level 1 echocardiogram in order to support the rapid identification of critical cardiac pathology that may require emergency treatment. It is intended that these scans will be performed by non-specialists in echocardiography and crucially are not designed to replace a full standard transthoracic echocardiogram. Indeed, it is expected that a significant number of patients, in whom a Level 1 echocardiogram is required, will need to have a full echocardiogram performed as soon as is practically possible. This document outlines the minimum dataset for a Level 1 echocardiogram. The accreditation process for Level 1 echo is described separately.
Highlights
The British Society of Echocardiography (BSE) has previously outlined a minimum dataset for a standard (Level 2) transthoracic echocardiogram [1], and this remains the basis on which a complete echocardiographic study should be performed
In the United Kingdom (UK), the majority of echocardiograms are performed within echocardiography departments by highly trained cardiac physiologists
The BSE felt that these standards could not be met by cardiac physiologists alone and that a different approach was required
Summary
The British Society of Echocardiography (BSE) has previously outlined a minimum dataset for a standard (Level 2) transthoracic echocardiogram [1], and this remains the basis on which a complete echocardiographic study should be performed. There needs to be a supportive structure in place that enables archiving, image sharing, options for experienced review, prompt access to formal Level 2 and Level 3 echocardiography and includes standards for re-accreditation, audit and service review It is against this backdrop that the British Society of Echocardiography has developed the Level 1 echocardiographic protocol and accreditation process [9]. Identification of a regional wall motion abnormality, ventricular dysfunction or significant valvular abnormality would necessitate further evaluation and should be considered for the patient who remains unwell despite no clear abnormality was found on a Level 1 study It is not designed as a ‘quick’ echo or a screening tool https://erp.bioscientifica.com.
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