Clinical and biological assessments of volemia are challenging in older patients as they are more likely to present non-typical signs. Point of care ultrasonography (POCUS) using heart and lung exploration is a relevant tool to assess volemia in adults with little data in older adults. The primary objective of the study is to evaluate feasibility of positional POCUS in aging patients. The secondary objectives are to assess the variability of measurements between decubitus and sitting position.
This is a monocentric study. Twenty patients will be enrolled, aged of 70 years and older. POCUS parameters, duration of procedure and measurements will be recorded for each patients.
Study Type
OBSERVATIONAL
Enrollment
20
Geriatric medecine department, Ambroise Paré hospital, APHP
Boulogne-Billancourt, France
Duration of recording during positional echography
Feasibility of positional echography assessed by \- Duration of recording (minutes)
Time frame: 3 months
Feasibility of positional echography
Feasibility of positional echography assessed by \- Number of good quality imaging (out of 5 pre specified views : parasternal long axis view, parasternal short axis view, apical views 4 and 5 chamber, subxiphoid view, inferior vena cava view)
Time frame: 3 months
Cardiac ultra sound parameters: left ventricle diastolic diameter
\- Left ventricle diastolic diameter mm/m2
Time frame: 3 months
Cardiac ultra sound parameters: left ventricle ejection fraction
\- Left ventricle ejection fraction (%)
Time frame: 3 months
Cardiac ultra sound parameters: E and A waves velocity
\- E and A waves velocity (cm/sec) (mitral Doppler)
Time frame: 3 months
Cardiac ultra sound parameters: Inferior vena cava size and compliance
\- Inferior vena cava size (mm) and compliance (%)
Time frame: 3 months
Cardiac ultra sound parameters: left atrial size
\- Left atrial size (cm2)
Time frame: 3 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.