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These devices, no larger than some mobile phones, can be used to perform partial, focused exams as an extension to the physical examination. The European Association of Cardiovascular Imaging (EACVI) acknowledges that the dissemination of appropriate HUD use is inevitable and desirable, because of its potential impact on patient management. However, as a scientific society of cardiac imaging, our role is to provide guidance in order to optimize patient benefit and minimize drawbacks from inappropriate use of this technology. This document provides updated recommendations for the use of HUD, including nomenclature, appropriateness, indications, operators, clinical environments, data management and storage, educational needs, and training of potential users. It also addresses gaps in evidence, controversial issues, and future technological developments.<\/jats:p>","DOI":"10.1093\/ehjci\/jey145","type":"journal-article","created":{"date-parts":[[2018,9,13]],"date-time":"2018-09-13T15:11:14Z","timestamp":1536851474000},"page":"245-252","source":"Crossref","is-referenced-by-count":123,"title":["The use of handheld ultrasound devices: a position statement of the European Association of Cardiovascular Imaging (2018 update)"],"prefix":"10.1093","volume":"20","author":[{"given":"Nuno","family":"Cardim","sequence":"first","affiliation":[{"name":"Cardiology Department, Hospital da Luz, Av. Lus\u00edada, n\u00b0 100, Lisbon, Portugal"},{"name":"Faculdade Ci\u00eancias M\u00e9dicas da Universidade nova de Lisboa, Campo M\u00e1rtires da P\u00e1tria 130, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Havard","family":"Dalen","sequence":"additional","affiliation":[{"name":"Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway"},{"name":"Clinic of Cardiology, St. Olav's University Hospital, Trondheim, Norway"},{"name":"Department of Medicine, Levanger Hospital, Nord-Tr\u00f8ndelag Hospital Trust, Levanger, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens-Uwe","family":"Voigt","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leuven, Herestraat 49, Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Ionescu","sequence":"additional","affiliation":[{"name":"Morriston Cardiac Regional Centre, ABMU LHB, Swansea, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Price","sequence":"additional","affiliation":[{"name":"Adult Intensive Care Unit, Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexsandar N","family":"Neskovic","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Clinical Hospital Center Zemun, Vukova 9, Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Belgrade, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thor","family":"Edvardsen","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Center for Cardiological Innovation, Oslo University Hospital, Rikshospitalet and University of Oslo, Sognsvannsveien 20, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Galderisi","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences, VIa S. Pansini 5, Napples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Sicari","sequence":"additional","affiliation":[{"name":"CNR, Institute of Clinical Physiology, Via G. Moruzzi, 1, Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erwan","family":"Donal","sequence":"additional","affiliation":[{"name":"Service de Cardiologie et CIC-IT INSERM 1414, CHU Pontchaillou, Rennes, France"},{"name":"LTSI, Universit\u00e9 de Rennes 1, INSERM, UMR, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandros","family":"Stefanidis","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Nikea Hospital, 3 P. 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