{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:44:55Z","timestamp":1726505095418},"reference-count":9,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2020,7,3]],"date-time":"2020-07-03T00:00:00Z","timestamp":1593734400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Dyspnea is commonly evaluated in the emergency department (ED).The differential diagnosis is broad. Due to the large volume of dyspneic patients evaluated, emergency physicians (EP) will encounter uncommon diagnoses. Early, liberal application of point-of-care ultrasound (POCUS) may decrease diagnostic error and improve care for these patients.\n\nCase Report: We report a 48-year-old male presenting to the ED with cough and progressively worsening dyspnea for 11 months after multiple healthcare visits. Using POCUS, the EP was immediately able to diagnose a severe dilated cardiomyopathy (DCM) with left ventricular thrombus. \n\nConclusion: Given that non-ischemic DCM is one of the most common etiologies of heart failure, often presenting with respiratory symptoms, POCUS is key to rapid diagnosis and, along with modalities such as electrocardiography and chest radiograph, should be standard practice in the workup of dyspnea, regardless of age or comorbidities.<\/jats:p>","DOI":"10.5811\/cpcem.2020.5.47012","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T19:32:14Z","timestamp":1597260734000},"page":"424-427","source":"Crossref","is-referenced-by-count":0,"title":["Point-of-care Echocardiogram as the Key to Rapid Diagnosis of a Unique Presentation of Dyspnea: A Case Report"],"prefix":"10.5811","volume":"4","author":[{"given":"Michael","family":"Moore","sequence":"first","affiliation":[{"name":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Dilcher","sequence":"additional","affiliation":[{"name":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"MInardi","sequence":"additional","affiliation":[{"name":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Quedado","sequence":"additional","affiliation":[{"name":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Shaver","sequence":"additional","affiliation":[{"name":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,7,3]]},"reference":[{"key":"ref0","unstructured":"Rui P, Kang K, Ashman JJ. National Hospital Ambulatory Medical Care Survey: 2016 Emergency Department Summary Tables. Available at: https:\/\/www.cdc.gov\/nchs\/data\/ahcd\/nhamcs_emergency\/2016_ed_web_tables.pdf. Accessed May 6, 2020."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"The Heart Outcomes Prevention Evaluation Study Investigators, Yusuf S,\u00a0Sleight P, et al. Effects of an angiotensin-converting\u2013enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med. 2000;342(18):1376.","DOI":"10.1056\/nejm200005043421819"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Vantrimpont P, Rouleau JL, Wun CC, et al. Additive Beneficial Effects of Beta-Blockers to Angiotensin-Converting Enzyme Inhibitors in the Survival and Ventricular Enlargement (SAVE) Study. SAVE Investigators. J Am Coll Cardiol. 1997;29(2):229-36.","DOI":"10.1016\/s0735-1097(96)00489-5"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Bozkurt B, Colvin M, Cook J, et al. Current Diagnostic and Treatment Strategies for Specific Dilated Cardiomyopathies: a scientific statement from the American Heart Association. Circulation. 2016;134(23):e579-646.","DOI":"10.1161\/cir.0000000000000474"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Japp AG, Gulati A, Cook SA, et al. The diagnosis and evaluation of dilated cardiomyopathy. J Am Coll Cardiol. 2016;67(25):2996-3010.","DOI":"10.1016\/j.jacc.2016.03.590"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Betensky BP and Dixit S. Sudden cardiac death in patients with nonischemic cardiomyopathy. Indian Heart J. 2014;66(Suppl 1):S35-45.","DOI":"10.1016\/j.ihj.2013.12.047"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Doleeb S, Kratz A, Salter M, et al. Strong Muscles, Weak Heart: Testosterone-Induced Cardiomyopathy. ESC Heart Fail. 2019;6(5):1000-4.","DOI":"10.1002\/ehf2.12494"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Minardi J, Marshall T, Massey G, et al. Focused cardiac ultrasound: uncommon but critical diagnoses made at the point of care. J Ultrasound Med. 2015;34(4):727-36.","DOI":"10.7863\/ultra.34.4.727"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Farsi D, Hajsadeghi S, Hajighanbari MJ, et al. Focused cardiac ultrasound (FOCUS) by emergency medicine residents in patients with suspected cardiovascular diseases. J Ultrasound. 2017;20(2):133-8.","DOI":"10.1007\/s40477-017-0246-5"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T19:14:36Z","timestamp":1600283676000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/2fs497sr"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,3]]},"references-count":9,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,8,6]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.5.47012","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,7,3]]}}}