{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:36:23Z","timestamp":1786984583964,"version":"build-2736575974"},"reference-count":48,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,12,10]],"date-time":"2018-12-10T00:00:00Z","timestamp":1544400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.es","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Atenci\u00f3n Primaria"],"published-print":{"date-parts":[[2019,3]]},"DOI":"10.1016\/j.aprim.2018.11.008","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T10:45:38Z","timestamp":1548326738000},"page":"172-183","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Utilidad y fiabilidad de la ecograf\u00eda cl\u00ednica en Medicina Familiar: ecocardioscopia y ecograf\u00eda pulmonar"],"prefix":"10.1016","volume":"51","author":[{"given":"Santiago","family":"Diaz S\u00e1nchez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Conangla Ferr\u00edn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio Manuel","family":"S\u00e1nchez Barrancos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Pujol Salud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Antonio","family":"Tarrazo Su\u00e1rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Manuel","family":"Morales Cano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.aprim.2018.11.008_bib0245","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1001\/jamacardio.2018.0001","article-title":"Time to add a fifth pillar to bedside physical examination: Inspection, palpation, percussion, auscultation, and insonation","volume":"3","author":"Narula","year":"2018","journal-title":"JAMA Cardio."},{"key":"10.1016\/j.aprim.2018.11.008_bib0250","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1056\/NEJMra0909487","article-title":"Point-of-care ultrasonography","volume":"364","author":"Moore","year":"2011","journal-title":"N Engl J Med"},{"key":"10.1016\/j.aprim.2018.11.008_bib0255","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.aprim.2015.04.001","article-title":"Razones para la pertinencia de la ecograf\u00eda realizada por m\u00e9dicos de familia","volume":"47","author":"S\u00e1nchez","year":"2015","journal-title":"Aten Primaria"},{"key":"10.1016\/j.aprim.2018.11.008_bib0260","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.rce.2018.02.001","article-title":"Documento de posicionamiento sobre la incorporaci\u00f3n de la ecograf\u00eda cl\u00ednica en los servicios de Medicina Interna","volume":"218","author":"Torres","year":"2018","journal-title":"Rev Clin Esp"},{"key":"10.1016\/j.aprim.2018.11.008_bib0265","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.medin.2013.07.003","article-title":"Documento de consenso para la formaci\u00f3n en ecograf\u00eda en Medicina Intensiva. Proceso asistencial, uso de la t\u00e9cnica y adquisici\u00f3n de competencias profesionales","volume":"38","author":"Ayuela","year":"2014","journal-title":"Med Intensiva"},{"key":"10.1016\/j.aprim.2018.11.008_bib0270","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.aprim.2017.03.003","article-title":"Ecograf\u00eda y Atenci\u00f3n Primaria","volume":"49","author":"S\u00e1nchez","year":"2017","journal-title":"Aten Primaria"},{"issue":"Supl 5","key":"10.1016\/j.aprim.2018.11.008_bib0275","first-page":"2","article-title":"Normas para la correcta formaci\u00f3n en ecocardiograf\u00eda. Recomendaciones de la Secci\u00f3n de Registros Gr\u00e1ficos y Ecocardiograf\u00eda de la Sociedad Espa\u00f1ola de Cardiolog\u00eda","volume":"50","author":"Garcia","year":"1997","journal-title":"Rev Esp Cardiol"},{"key":"10.1016\/j.aprim.2018.11.008_bib0280","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.jacc.2007.11.012","article-title":"Task Force 4: Trainingin echocardiography","volume":"51","author":"Ryan","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.aprim.2018.11.008_bib0285","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.medcli.2011.12.006","article-title":"Ecocardiograf\u00eda cl\u00ednica en Medicina Interna","volume":"138","author":"Torres-Macho","year":"2012","journal-title":".Med Clin (Barc)"},{"key":"10.1016\/j.aprim.2018.11.008_bib0290","unstructured":"Evangelista A. Formaci\u00f3n en ecocardiograf\u00eda: recomendaciones para otras especialidades. En: Aguilar RJ, Par\u00e9 JC, coordinadores. Libro Blanco de la Secci\u00f3n de Imagen Card\u00edaca de la Sociedad Espa\u00f1ola de Cardiolog\u00eda. Madrid: Acci\u00f3n M\u00e9dica; 2011. p. 297-318."},{"key":"10.1016\/j.aprim.2018.11.008_bib0295","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.recesp.2016.04.005","article-title":"Ecocardiograf\u00eda fuera del \u00e1mbito de la cardiolog\u00eda. Posici\u00f3n y recomendaciones de la Sociedad Espa\u00f1ola de Cardiolog\u00eda","volume":"69","author":"Barba","year":"2016","journal-title":"Rev Esp Cardiol"},{"key":"10.1016\/j.aprim.2018.11.008_bib0300","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.amjmed.2008.07.022","article-title":"Hand-carried ultrasound performed by hospitalists: Does it improve the cardiac physical examination?","volume":"122","author":"Martin","year":"2009","journal-title":"Am J Med"},{"key":"10.1016\/j.aprim.2018.11.008_bib0305","unstructured":"Rodr\u00edguez Padial L. Principios f\u00edsicos. El ec\u00f3grafo. En: Rodr\u00edguez Padial L, editor. Ecocardiograf\u00eda. Madrid: Edicomplet; 2006."},{"key":"10.1016\/j.aprim.2018.11.008_bib0310","doi-asserted-by":"crossref","DOI":"10.1016\/j.echo.2014.05.001","article-title":"International evidence-based recommendations for focused cardiac ultrasound","volume":"27","author":"Via","year":"2014","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.aprim.2018.11.008_bib0315","first-page":"665","article-title":"Feasibility and reliability of point-of-care pocket-sized echocardiography","volume":"12","author":"Andersen","year":"2011","journal-title":"Eur J Echocardiogr"},{"key":"10.1016\/j.aprim.2018.11.008_bib0320","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.ijcard.2004.03.027","article-title":"Visually estimated left ventricular ejection fraction by echocardiography is closely correlated with formal quantitative methods","volume":"101","author":"Gudmundsson","year":"2005","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.aprim.2018.11.008_bib0325","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1093\/ehjci\/jes240","article-title":"Clinical implication of mitral annular plane systolic excursion for patients with cardiovascular disease","volume":"14","author":"Hu","year":"2013","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"10.1016\/j.aprim.2018.11.008_bib0330","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.echo.2012.06.011","article-title":"Mitral annular plane systolic excursion as a surrogate for left ventricular ejection fraction","volume":"25","author":"Matos","year":"2012","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.aprim.2018.11.008_bib0335","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.ajem.2014.01.045","article-title":"E-point septal separation: A bedside tool for emergency physician assessment of left ventricular ejection fraction","volume":"32","author":"McKaigney","year":"2014","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.aprim.2018.11.008_bib0340","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1002\/jhm.1944","article-title":"Observations during development of an internal medicine residency training program in cardiovascular limited ultrasound examination","volume":"7","author":"Kimura","year":"2012","journal-title":"J Hosp Med"},{"key":"10.1016\/j.aprim.2018.11.008_bib0345","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.ajem.2016.10.018","article-title":"Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism","volume":"35","author":"Daley","year":"2017","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.aprim.2018.11.008_bib0350","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1093\/ehjci\/jes140","article-title":"Pocket-size hand-held cardiac ultrasound as an adjunct to clinical examination in the hands of medical students and junior doctors","volume":"14","author":"Panoulas","year":"2013","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"10.1016\/j.aprim.2018.11.008_bib0355","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.jcrc.2017.05.008","article-title":"Inferior vena cava collapsibility detects fluid responsiveness among spontaneously breathing critically-ill patients","volume":"41","author":"Corl","year":"2017","journal-title":"J Crit Care"},{"key":"10.1016\/j.aprim.2018.11.008_bib0360","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1016\/j.amjcard.2005.05.060","article-title":"Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination","volume":"96","author":"Kobal","year":"2005","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.aprim.2018.11.008_bib0365","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.resuscitation.2004.09.009","article-title":"The value of portable ultrasound for evaluation of cardiomegaly patients presenting at the emergency department","volume":"64","author":"Liu","year":"2005","journal-title":"Resuscitation"},{"key":"10.1016\/j.aprim.2018.11.008_bib0370","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1016\/j.ajem.2012.03.025","article-title":"Measuring cardiac index with a focused cardiac ultrasound examination in the ED","volume":"30","author":"Dinh","year":"2012","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.aprim.2018.11.008_bib0375","doi-asserted-by":"crossref","first-page":"1787","DOI":"10.1093\/eurheartj\/ehs104","volume":"33","author":"McMurray","year":"2012","journal-title":"Eur Heart J"},{"key":"10.1016\/j.aprim.2018.11.008_bib0380","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.annemergmed.2013.08.016","article-title":"Right ventricular dilatation on bedside echocardiography performed by emergency physicians aids in the diagnosis of pulmonary embolism","volume":"63","author":"Dresden","year":"2014","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.aprim.2018.11.008_bib0385","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1111\/j.1365-2044.2011.06786.x","article-title":"Evaluation of systolic murmurs using transthoracic echocardiography by anaesthetic trainees","volume":"66","author":"Cowie","year":"2011","journal-title":"Anaesthesia"},{"key":"10.1016\/j.aprim.2018.11.008_bib0390","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1007\/s00134-012-2513-4","article-title":"International evidence-based recommendations for point-of-care lung ultrasound","volume":"38","author":"Volpicelli","year":"2012","journal-title":"Intensive Care Med."},{"key":"10.1016\/j.aprim.2018.11.008_bib0395","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.ajem.2010.11.035","article-title":"A comparison of different diagnostic tests in the bedside evaluation of pleuritic pain in the ED","volume":"30","author":"Volpicelli","year":"2012","journal-title":"Am J Emerg Med."},{"key":"10.1016\/j.aprim.2018.11.008_bib0400","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1007\/s001340050771","article-title":"A lung ultrasound sign allowing bedside distinction between pulmonary edema and COPD: The comet-tail artifact","volume":"24","author":"Lichtenstein","year":"1998","journal-title":"Intensive Care Med."},{"key":"10.1016\/j.aprim.2018.11.008_bib0405","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1111\/acem.12435","article-title":"Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: A systematic review and meta-analysis","volume":"21","author":"Al Deeb","year":"2014","journal-title":"Acad Emerg Med."},{"key":"10.1016\/j.aprim.2018.11.008_bib0410","doi-asserted-by":"crossref","first-page":"R114","DOI":"10.1186\/cc10140","article-title":"Combination of lung ultrasound (a comet-tail sign) and N-terminal pro-brain natriuretic peptide in differentiating acute heart failure from chronic obstructive pulmonary disease and asthma as cause of acute dyspnea in prehospital emergency setting","volume":"15","author":"Prosen","year":"2011","journal-title":"Crit Care."},{"key":"10.1016\/j.aprim.2018.11.008_bib0415","doi-asserted-by":"crossref","first-page":"1640","DOI":"10.1164\/ajrccm.156.5.96-07096","article-title":"The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome","volume":"156","author":"Lichtenstein","year":"1997","journal-title":"Am J Respir Crit Care Med."},{"key":"10.1016\/j.aprim.2018.11.008_bib0420","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/echo.12346","article-title":"Echocardiographic and lung ultrasound characteristics in ambulatory patients with dyspnea or prior heart failure","volume":"31","author":"Platz","year":"2014","journal-title":"Echocardiography."},{"key":"10.1016\/j.aprim.2018.11.008_bib0425","first-page":"120-128","article-title":"Focused echocardiography and lung ultrasound protocol for guiding treatment in acute heart failure","volume":"5","author":"\u00d6hman","year":"2018","journal-title":"ESC Heart Fail."},{"key":"10.1016\/j.aprim.2018.11.008_bib0430","doi-asserted-by":"crossref","first-page":"27-33","DOI":"10.1007\/s11739-017-1738-1","article-title":"Lung ultrasound in internal medicine efficiently drives the management of patients with heart failure and speeds up the discharge time","volume":"13","author":"Mozzini","year":"2018","journal-title":"Intern Emerg Med."},{"key":"10.1016\/j.aprim.2018.11.008_bib0435","doi-asserted-by":"crossref","first-page":"39426","DOI":"10.1038\/srep39426","article-title":"Prognostic value of pulmonary congestion assessed by lung ultrasound imaging during heart failure hospitalisation: A two-center cohort study","volume":"6","author":"Coiro","year":"2016","journal-title":"Sci Rep."},{"key":"10.1016\/j.aprim.2018.11.008_bib0440","doi-asserted-by":"crossref","first-page":"1154-1163","DOI":"10.1002\/ejhf.839","article-title":"Dynamic changes and prognostic value of pulmonary congestion by lung ultrasound in acute and chronic heart failure: A systematic review","volume":"19","author":"Platz","year":"2017","journal-title":"Eur J Heart Fail."},{"key":"10.1016\/j.aprim.2018.11.008_bib0445","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1007\/s00134-010-2079-y","article-title":"Sonographic diagnosis of pneumothorax","volume":"37","author":"Volpicelli","year":"2011","journal-title":"Intensive Care Med."},{"key":"10.1016\/j.aprim.2018.11.008_bib0450","doi-asserted-by":"crossref","DOI":"10.1186\/cc13016","article-title":"Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: Review of the literature and meta-analysis","volume":"17","author":"Alrajab","year":"2013","journal-title":"Crit Care."},{"key":"10.1016\/j.aprim.2018.11.008_bib0455","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s13089-017-0059-y","article-title":"Systematic review and meta-analysis for the use of ultrasound versus radiology in diagnosing of pneumonia","volume":"9","author":"Alzahrani","year":"2017","journal-title":"Crit Ultrasound J"},{"key":"10.1016\/j.aprim.2018.11.008_bib0460","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/j.chest.2016.10.039","article-title":"Accuracy of lung ultrasonography in the diagnosis of pneumonia in adults: Systematic review and meta-analysis","volume":"151","author":"Llamas-\u00c1lvarez","year":"2017","journal-title":"Chest"},{"key":"10.1016\/j.aprim.2018.11.008_bib0465","doi-asserted-by":"crossref","first-page":"e5713","DOI":"10.1097\/MD.0000000000005713","article-title":"Lung ultrasound for the diagnosis of pneumonia in adults: A meta-analysis","volume":"96","author":"Long","year":"2017","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.aprim.2018.11.008_bib0470","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1186\/s13054-017-1897-5","article-title":"Thoracic ultrasound for pleural effusion in the intensive care unit: A narrative review from diagnosis to treatment","volume":"21","author":"Brogi","year":"2017","journal-title":"Crit Care"},{"key":"10.1016\/j.aprim.2018.11.008_bib0475","doi-asserted-by":"crossref","first-page":"254","DOI":"10.14366\/usg.17050","article-title":"Ultrasonographic quantification of pleural effusion: Comparison of four formulae","volume":"37","author":"Ibitoye","year":"2018","journal-title":"Ultrasonography"},{"key":"10.1016\/j.aprim.2018.11.008_bib0480","doi-asserted-by":"crossref","first-page":"126","DOI":"10.12788\/jhm.2940","article-title":"Recommendations on the use of ultrasound guidance for adult thoracentesis: A position statement of the Society of Hospital Medicine","volume":"13","author":"Dancel","year":"2018","journal-title":"J Hosp Med"}],"container-title":["Atenci\u00f3n Primaria"],"original-title":[],"language":"es","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0212656718307121?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0212656718307121?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2019,6,21]],"date-time":"2019-06-21T09:10:09Z","timestamp":1561108209000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0212656718307121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":48,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["S0212656718307121"],"URL":"https:\/\/doi.org\/10.1016\/j.aprim.2018.11.008","relation":{},"ISSN":["0212-6567"],"issn-type":[{"value":"0212-6567","type":"print"}],"subject":[],"published":{"date-parts":[[2019,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Utilidad y fiabilidad de la ecograf\u00eda cl\u00ednica en Medicina Familiar: ecocardioscopia y ecograf\u00eda pulmonar","name":"articletitle","label":"Article Title"},{"value":"Atenci\u00f3n Primaria","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aprim.2018.11.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}]}}