Observational Study to Validate a Family Physician Echocardiography Training Programme
NCT ID: NCT07339007
Last Updated: 2026-01-14
Study Results
Results pending
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.
Recruitment Status
ENROLLING_BY_INVITATION
Total Enrollment
500 participants
Study Classification
OBSERVATIONAL
Study Start Date
2023-09-12
Study Completion Date
2027-12-31
Brief Summary
Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.
Observational Study on the Validation of Family Doctors' Training in Echocardiography
The Catalan Society of Family and Community Medicine (CAMFiC) developed a structured training program for Family Physicians in focused cardiac ultrasound (FoCUS). This study evaluates GP FoCUS performance against comprehensive echocardiography and assesses training competence.
Developed between September 2023 and November 2025 (92 hours total, including 70 hours supervised practice), participants perform FoCUS on patients with suspected cardiac pathology. The study measures concordance between GP FoCUS and cardiologist echocardiography, and evaluates FoCUS integration into primary care pathways to enhance diagnostic capacity for common cardiac conditions.
The Catalan Society of Family and Community Medicine (CAMFiC) developed a structured training program for Family Physicians in focused cardiac ultrasound (FoCUS). This study evaluates GP FoCUS performance against comprehensive echocardiography and assesses training competence.
Developed between September 2023 and November 2025 (92 hours total, including 70 hours supervised practice), participants perform FoCUS on patients with suspected cardiac pathology. The study measures concordance between GP FoCUS and cardiologist echocardiography, and evaluates FoCUS integration into primary care pathways to enhance diagnostic capacity for common cardiac conditions.
Related Clinical Trials
Explore similar clinical trials based on study characteristics and research focus.
Focused Cardiac Ultrasound
NCT03887286
Ventricular Dysfunction
Pericardial Effusion
Valvular Disease
+1 more
COMPLETED
NA
Implementing Standards of Care for Heart Failure Patients in General Practice - A Regional Disease Management Program
NCT04334447
Heart Failure
UNKNOWN
PHASE4
Computerized Guideline in Heart Failure: Implementation Process and Impact Evaluation
NCT00792402
Chronic Heart Failure
COMPLETED
Heart Failure Events Reduction With Remote Monitoring and eHealth Support Investigator Initiated Trial
NCT03663907
Heart Failure
COMPLETED
NA
PROSPECTIVE EVALUATION OF HEARTFOCUS
NCT05874128
Cardiac Disease
COMPLETED
NA
Detailed Description
Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.
ACKGROUND \& JUSTIFICATION Cardiovascular disease generates long cardiology waiting lists in Spain (\>90 days echocardiography). Elderly patients discharged from hospital require cardiac follow-up in primary care, but Family Medicine residency (MIR) excludes point-of-care ultrasound (POCUS) training. This gap limits GP triage capacity for common cardiac pathology.
The Catalan Society of Family and Community Medicine (CAMFiC), in collaboration with the Catalan Society of Cardiology (SCC), developed a structured FoCUS training program (2022, 92 hours total: 18h theory + 4h workshop for cardiac views + 70h supervised hospital practice) to empower primary care physicians.
HYPOTHESIS
Primary Hypotheses:
1. Structured FoCUS training enables GPs to achieve competency across ≥6/7 predefined domains (standard views, LVEF estimation, RV/volume assessment, valvular disease detection, pericardial effusion, LVH recognition, theoretical knowledge).
2. This training program achieves ≥80% concordance between GP-performed FoCUS and cardiologist-performed standard echocardiography on predefined cardiac parameters (κ≥0.6).
Secondary Hypotheses:
3. Trained GP will be able to integrate this technique into routine practice (≥1 scan/week).
4. FoCUS enables documentation of key cardiac pathologies (LVEF impairment, RV dilation, significant valve disease, pericardial effusion) among primary care scans performed for clinical indications (dyspnea, heart murmur, suspected HF, arrhythmia).
5. FoCUS plus clinical data identifies ≥3 distinct patient profiles among primary care patients assessed.
6. FoCUS in primary care achieves appropriate triage of patients requiring formal echocardiography.
7. The programme will be acceptable to stakeholders, with high satisfaction reported by patients, family doctors, and cardiologists participating in the programme.
8. FoCUS in primary care will increase identification of suspected heart failure among assessed patients and may reduce time to appropriate management.
STUDY OVERVIEW Prospective observational study (CEIm IDIAP 23/072-P). 46 CAMFiC GPs perform FoCUS on consecutive adult patients (\>18 years) with clinical cardiac indication during primary care visits, followed by cardiologist echocardiography confirmation. Data captured via REDCap eCRF.
See Outcomes, Eligibility Criteria, and Arms/Interventions for specific measures, criteria, and procedures.
PHASES
* Phase 0: Preparation (2022)
* Phase 1: Training (2022-2025)
* Phase 2: Data collection (2024-2027)
* Phase 3: Analysis (kappa/ICC/Bland-Altman, mixed models) (2027-2028)
* Phase 4: Dissemination (PhD thesis, peer-reviewed publications) (2028)
CLINICAL IMPACT Reduces time-to-diagnosis, shortens cardiology waiting lists, enables primary care triage of common cardiac conditions, cost-effective, scalable model.
PROTOCOL AVAILABILITY Full protocol available upon request from IDIAP Jordi Gol Primary Care Research Institute.
See structured sections (Outcomes, Eligibility Criteria, Arms/Interventions) for specific measures, criteria, and procedures.
The Catalan Society of Family and Community Medicine (CAMFiC), in collaboration with the Catalan Society of Cardiology (SCC), developed a structured FoCUS training program (2022, 92 hours total: 18h theory + 4h workshop for cardiac views + 70h supervised hospital practice) to empower primary care physicians.
HYPOTHESIS
Primary Hypotheses:
1. Structured FoCUS training enables GPs to achieve competency across ≥6/7 predefined domains (standard views, LVEF estimation, RV/volume assessment, valvular disease detection, pericardial effusion, LVH recognition, theoretical knowledge).
2. This training program achieves ≥80% concordance between GP-performed FoCUS and cardiologist-performed standard echocardiography on predefined cardiac parameters (κ≥0.6).
Secondary Hypotheses:
3. Trained GP will be able to integrate this technique into routine practice (≥1 scan/week).
4. FoCUS enables documentation of key cardiac pathologies (LVEF impairment, RV dilation, significant valve disease, pericardial effusion) among primary care scans performed for clinical indications (dyspnea, heart murmur, suspected HF, arrhythmia).
5. FoCUS plus clinical data identifies ≥3 distinct patient profiles among primary care patients assessed.
6. FoCUS in primary care achieves appropriate triage of patients requiring formal echocardiography.
7. The programme will be acceptable to stakeholders, with high satisfaction reported by patients, family doctors, and cardiologists participating in the programme.
8. FoCUS in primary care will increase identification of suspected heart failure among assessed patients and may reduce time to appropriate management.
STUDY OVERVIEW Prospective observational study (CEIm IDIAP 23/072-P). 46 CAMFiC GPs perform FoCUS on consecutive adult patients (\>18 years) with clinical cardiac indication during primary care visits, followed by cardiologist echocardiography confirmation. Data captured via REDCap eCRF.
See Outcomes, Eligibility Criteria, and Arms/Interventions for specific measures, criteria, and procedures.
PHASES
* Phase 0: Preparation (2022)
* Phase 1: Training (2022-2025)
* Phase 2: Data collection (2024-2027)
* Phase 3: Analysis (kappa/ICC/Bland-Altman, mixed models) (2027-2028)
* Phase 4: Dissemination (PhD thesis, peer-reviewed publications) (2028)
CLINICAL IMPACT Reduces time-to-diagnosis, shortens cardiology waiting lists, enables primary care triage of common cardiac conditions, cost-effective, scalable model.
PROTOCOL AVAILABILITY Full protocol available upon request from IDIAP Jordi Gol Primary Care Research Institute.
See structured sections (Outcomes, Eligibility Criteria, Arms/Interventions) for specific measures, criteria, and procedures.
Conditions
See the medical conditions and disease areas that this research is targeting or investigating.
Heart Failure
Valvular Heart Diseases
Atrial Fibrillation (AF)
Arterial Hypertension
Cardiomyopathies
Study Design
Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.
Observational Model Type
COHORT
Study Time Perspective
PROSPECTIVE
Study Groups
Review each arm or cohort in the study, along with the interventions and objectives associated with them.
Cohort of GPs
Cohort of GPs:
Board-certified Family and Community Medicine specialists in Catalonia who will complete a structured FoCUS training programme and participate in a validation study.
Intervention of interest: FoCUS training (online theory + supervised hands-on practice, including simulator assessment) followed by routine FoCUS use in primary care with data capture in REDCap and paired comparison with cardiologist echocardiography.
Inclusion criteria: Family and Community Medicine specialist; CAMFiC member; workplace access to an ultrasound device suitable for FoCUS; commitment to complete the programme.
Exclusion criteria: Not meeting any inclusion criterion.
Cohort of GPs: Training program
Intervention Type
OTHER
1. Accredited curriculum: 18 hours of online theory (2.7 CCFCPS credits) with a mandatory 20-item MCQ assessing knowledge and image interpretation.
2. Structured, supervised scanning volume: 4-hour hands-on introductory session on core cardiac views using healthy volunteers, followed by 70 hours of supervised clinical training with a hospital cardiologist, including a predefinied target of 60 FoCUS examinations per GP.
Cohort of Patients
Cohort of Patients:
Individuals aged \>18 years who require cardiac imaging for any clinical indication in routine care at a site where a participating GP works.
Intervention of interest: A FoCUS assessment performed by the trained GP as part of usual clinical care; no additional study tests or follow-up visits.
Sampling: Non-random, consecutive/clinician-driven recruitment based on routine clinical need and medical judgment.
Exclusion criteria: Refusal to participate (no written informed consent) and severe mental illness or significant cognitive impairment preventing informed consent.
Cohort of patients
Intervention Type
DIAGNOSTIC_TEST
Eligible patients are those seen in routine primary care by participating GPs who, based on usual clinical judgment, need an echocardiographic assessment. In these cases, the GP will perform a FoCUS scan as part of the consultation and record a standard set of variables in the study eCRF. When the patient subsequently undergoes a comprehensive echocardiography in cardiology, both assessments (GP FoCUS and cardiology echocardiography) will be paired to evaluate agreement. No additional tests or extra study visits are required beyond usual care.
Interventions
Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.
Cohort of GPs: Training program
1. Accredited curriculum: 18 hours of online theory (2.7 CCFCPS credits) with a mandatory 20-item MCQ assessing knowledge and image interpretation.
2. Structured, supervised scanning volume: 4-hour hands-on introductory session on core cardiac views using healthy volunteers, followed by 70 hours of supervised clinical training with a hospital cardiologist, including a predefinied target of 60 FoCUS examinations per GP.
Intervention Type
OTHER
Cohort of patients
Eligible patients are those seen in routine primary care by participating GPs who, based on usual clinical judgment, need an echocardiographic assessment. In these cases, the GP will perform a FoCUS scan as part of the consultation and record a standard set of variables in the study eCRF. When the patient subsequently undergoes a comprehensive echocardiography in cardiology, both assessments (GP FoCUS and cardiology echocardiography) will be paired to evaluate agreement. No additional tests or extra study visits are required beyond usual care.
Intervention Type
DIAGNOSTIC_TEST
Eligibility Criteria
Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.
Inclusion Criteria
* Board-certified specialist in Family and Community Medicine.
* Member of the Catalan Society of Family and Community Medicine (CAMFiC).
* Access at the workplace to an ultrasound device suitable for FoCUS.
* Age over 18 years old.
* Clinical indication for FoCUS/echocardiographic assessment in routine care.
* Attended at a site where a participating GP provides care.
* Able to provide written informed consent.
* Member of the Catalan Society of Family and Community Medicine (CAMFiC).
* Access at the workplace to an ultrasound device suitable for FoCUS.
* Age over 18 years old.
* Clinical indication for FoCUS/echocardiographic assessment in routine care.
* Attended at a site where a participating GP provides care.
* Able to provide written informed consent.
Exclusion Criteria
* Refusal to participate (no written informed consent)
* Severe mental illness
* Significant cognitive impairment preventing informed consent.
* Severe mental illness
* Significant cognitive impairment preventing informed consent.
Minimum Eligible Age
15 Years
Eligible Sex
ALL
Accepts Healthy Volunteers
No
Sponsors
Meet the organizations funding or collaborating on the study and learn about their roles.
University of Barcelona
OTHER
Sponsor Role
collaborator
Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
OTHER
Sponsor Role
collaborator
Societat Catalana de Medicina Familiar i Comunitària, Assoc. (CAMFiC)
OTHER
Sponsor Role
lead
Responsible Party
Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.
Monica Solanes Cabus
Vice President, Societat Catalana de Medicina Familiar i Comunitaria (CAMFiC)
Responsibility Role
PRINCIPAL_INVESTIGATOR
Principal Investigators
Learn about the lead researchers overseeing the trial and their institutional affiliations.
Antoni Sisó-Almirall, Ph.D.
Role: STUDY_DIRECTOR
IDIBAPS. CAMFiC.
Laura Conangla-Ferrín, Ph.D.
Role: STUDY_DIRECTOR
Institut Catlà de la Salut. CAMFiC
Locations
Explore where the study is taking place and check the recruitment status at each participating site.
Societat Catalana de Medicina Familiar i Comunitària (CAMFiC)
Barcelona, Catalonia, Spain
Site Status
Countries
Review the countries where the study has at least one active or historical site.
Spain
References
Explore related publications, articles, or registry entries linked to this study.
Solanes-Cabús M, Pujol-Salud J, Alonso-Aliaga J, Mayench-Ariza F, Marsal-Mora JR, Sabaté-Navarro A, et al. Inter-rater agreement and reliability among general practitioners and radiologists on ultrasound examinations after a specialized training program [Internet]. Journal of Primary Health Care & General Practice. 2019;3(1):026 [cited 2025 Oct 25]. Available from: https://www.scribd.com/document/877574246/
Reference Type
BACKGROUND
Sorensen B, Hunskaar S. Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations. Ultrasound J. 2019 Nov 19;11(1):31. doi: 10.1186/s13089-019-0145-4.
Reference Type
BACKGROUND
British Medical Ultrasound Society; Royal College of Radiologists. Recommendations for specialists practising ultrasound independently of radiology departments: safety, governance and education [Internet]. London: Royal College of Radiologists; 2023 Apr [cited 2025 Oct 26]. Available from: https://www.rcr.ac.uk/publication/recommendations-for-specialists-practising-ultrasound-independently-of-radiology-departments-safety-governance-and-education/
Reference Type
BACKGROUND
Conangla-Ferrin L, Guirado-Vila P, Solanes-Cabus M, Teixido-Gimeno D, Diez-Garcia L, Pujol-Salud J, Evangelista-Robleda L, Bertran-Culla J, Ortega-Vila Y, Canal-Casals V, Siso-Almirall A. Ultrasound in primary care: Consensus recommendations on its applications and training. Results of a 3-round Delphi study. Eur J Gen Pract. 2022 Dec;28(1):253-259. doi: 10.1080/13814788.2022.2150163.
Reference Type
BACKGROUND
Homar V, Gale ZK, Lainscak M, Svab I. Knowledge and skills required to perform point-of-care ultrasonography in family practice - a modified Delphi study among family physicians in Slovenia. BMC Fam Pract. 2020 Mar 26;21(1):56. doi: 10.1186/s12875-020-01130-z.
Reference Type
BACKGROUND
Diaz-Gomez JL, Mayo PH, Koenig SJ. Point-of-Care Ultrasonography. N Engl J Med. 2021 Oct 21;385(17):1593-1602. doi: 10.1056/NEJMra1916062. No abstract available.
Reference Type
BACKGROUND
Andersen CA, Lundbye-Christensen S, Riis A, Mehnert U, Lokkegaard T, Mengel-Jorgensen T, Rasmussen LD, Soll N, Stork B, Andersen SK, Pil L, Stjernebjerg C, Graumann O, Jensen MB. General practitioners' scanning competence following tailored ultrasound training: a hybrid effectiveness-implementation study. BMC Med Educ. 2025 May 20;25(1):733. doi: 10.1186/s12909-025-07356-8.
Reference Type
BACKGROUND
von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007 Oct 20;335(7624):806-8. doi: 10.1136/bmj.39335.541782.AD.
Reference Type
BACKGROUND
Cascos E, Sitges M. The inevitable lightness of echocardioscopy: teamwork, training and quality assurance are indispensable. Rev Esp Cardiol (Engl Ed). 2023 Feb;76(2):83-85. doi: 10.1016/j.rec.2022.09.003. Epub 2022 Sep 19. No abstract available. English, Spanish.
Reference Type
BACKGROUND
Evangelista Robleda L. Utilidad de la ecoscopia realizada por un médico de familia en el diagnóstico de la enfermedad cardiovascular en atención primaria [doctoral thesis]. Barcelona: Universidad Autónoma de Barcelona; 2015. Available at: https://ddd.uab.cat/pub/tesis/2015/hdl_10803_328411/ler1de1.pdf
Reference Type
BACKGROUND
Bult MM, van de Ree TF, Wind AM, Hurley KM, van de Ree MA. The use of echocardiography compared to electrocardiogram when screening for left ventricular hypertrophy in hypertensive patients: A cross-sectional study. J Clin Hypertens (Greenwich). 2024 Aug;26(8):977-985. doi: 10.1111/jch.14867. Epub 2024 Jul 4.
Reference Type
BACKGROUND
Cheng S, He J, Han Y, Han S, Li P, Liao H, Guo J. Global burden of atrial fibrillation/atrial flutter and its attributable risk factors from 1990 to 2021. Europace. 2024 Jul 2;26(7):euae195. doi: 10.1093/europace/euae195.
Reference Type
BACKGROUND
Programa formativo de la especialidad de Medicina Familiar y Comunitaria. Ministerio de Sanidad y Consumo. 7188. BOE num. 105. Orden SCO/1198/2005, de 3 de marzo, por la que se aprueba y publica el programa formativo de la especialidad de Medicina Familiar y Comunitaria. https://www.boe.es/buscar/doc.php?id=BOE-A-2005-7188
Reference Type
BACKGROUND
Camm CF, Von Ende A, Gajendragadkar PR, Pessoa-Amorim G, Mafham M, Allen N, Parish S, Casadei B, Hopewell JC. Role of primary and secondary care data in atrial fibrillation ascertainment: impact on risk factor associations, patient management, and mortality in UK Biobank. Europace. 2025 Feb 5;27(2):euae291. doi: 10.1093/europace/euae291.
Reference Type
BACKGROUND
World Health Organization. Global burden of stroke [Internet]. [accessed 30-07-2024]. Available at: https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html
Reference Type
BACKGROUND
King's College London, for the Stroke Alliance for Europe. The burden of stroke in Europe. Atrial fibrillation [Internet]. [consultat 1 gener 2024].
Reference Type
BACKGROUND
Cameli M, Mandoli GE, Ambrosio G, Cerbai E, Coiro S, Emdin M, Marcucci R, Morrone D, Palazzuoli A, Savino K, Padeletti L, Mondillo S, Pedrinelli R; Societa Italiana di Cardiologia, Sezione Regionale Tosco-Umbra. Arterial hypertension and atrial fibrillation: standard and advanced echocardiography from diagnosis to prognostication. J Cardiovasc Med (Hagerstown). 2018 Feb;19(2):51-61. doi: 10.2459/JCM.0000000000000607.
Reference Type
BACKGROUND
d'Arcy JL, Coffey S, Loudon MA, Kennedy A, Pearson-Stuttard J, Birks J, Frangou E, Farmer AJ, Mant D, Wilson J, Myerson SG, Prendergast BD. Large-scale community echocardiographic screening reveals a major burden of undiagnosed valvular heart disease in older people: the OxVALVE Population Cohort Study. Eur Heart J. 2016 Dec 14;37(47):3515-3522. doi: 10.1093/eurheartj/ehw229. Epub 2016 Jun 26.
Reference Type
BACKGROUND
Williams C, Mateescu A, Rees E, Truman K, Elliott C, Bahlay B, Wallis A, Ionescu A. Point-of-care echocardiographic screening for left-sided valve heart disease: high yield and affordable cost in an elderly cohort recruited in primary practice. Echo Res Pract. 2019 Jul 16;6(3):71-79. doi: 10.1530/ERP-19-0011. eCollection 2019 Sep.
Reference Type
BACKGROUND
Thoenes M, Bramlage P, Zamorano P, Messika-Zeitoun D, Wendt D, Kasel M, Kurucova J, Steeds RP. Patient screening for early detection of aortic stenosis (AS)-review of current practice and future perspectives. J Thorac Dis. 2018 Sep;10(9):5584-5594. doi: 10.21037/jtd.2018.09.02.
Reference Type
BACKGROUND
Potter A, Pearce K, Hilmy N. The benefits of echocardiography in primary care. Br J Gen Pract. 2019 Jul;69(684):358-359. doi: 10.3399/bjgp19X704513. No abstract available.
Reference Type
BACKGROUND
Davidsen AH, Andersen S, Halvorsen PA, Schirmer H, Reierth E, Melbye H. Diagnostic accuracy of heart auscultation for detecting valve disease: a systematic review. BMJ Open. 2023 Mar 24;13(3):e068121. doi: 10.1136/bmjopen-2022-068121.
Reference Type
BACKGROUND
Gardezi SKM, Myerson SG, Chambers J, Coffey S, d'Arcy J, Hobbs FDR, Holt J, Kennedy A, Loudon M, Prendergast A, Prothero A, Wilson J, Prendergast BD. Cardiac auscultation poorly predicts the presence of valvular heart disease in asymptomatic primary care patients. Heart. 2018 Nov;104(22):1832-1835. doi: 10.1136/heartjnl-2018-313082. Epub 2018 May 24.
Reference Type
BACKGROUND
Vahanian A, Beyersdorf F, Praz F, Milojevic M, Baldus S, Bauersachs J, et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease: developed by the Task Force of the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery. Eur Heart J. 2022;43(7):561-632. doi:10.1093/eurheartj/ehab395.
Reference Type
BACKGROUND
Anderson K, Ross HJ, Austin PC, Fang J, Lee DS. Health Care Use Before First Heart Failure Hospitalization: Identifying Opportunities to Pre-Emptively Diagnose Impending Decompensation. JACC Heart Fail. 2020 Dec;8(12):1024-1034. doi: 10.1016/j.jchf.2020.07.008. Epub 2020 Nov 11.
Reference Type
BACKGROUND
Abdin A, Anker SD, Butler J, Coats AJS, Kindermann I, Lainscak M, Lund LH, Metra M, Mullens W, Rosano G, Slawik J, Wintrich J, Bohm M. 'Time is prognosis' in heart failure: time-to-treatment initiation as a modifiable risk factor. ESC Heart Fail. 2021 Dec;8(6):4444-4453. doi: 10.1002/ehf2.13646. Epub 2021 Oct 16.
Reference Type
BACKGROUND
Panisello-Tafalla A, Haro-Montoya M, Caballol-Angelats R, Montelongo-Sol M, Rodriguez-Carralero Y, Lucas-Noll J, Clua-Espuny JL. Prognostic Significance of Lung Ultrasound for Heart Failure Patient Management in Primary Care: A Systematic Review. J Clin Med. 2024 Apr 23;13(9):2460. doi: 10.3390/jcm13092460.
Reference Type
BACKGROUND
Conangla-Ferrin L. Validez de la ecografía pulmonar en el diagnóstico de la insuficiencia cardiaca en atención primaria [doctoral thesis]. Barcelona: Universitat Autònoma de Barcelona; 2024.
Reference Type
BACKGROUND
Maestre A, Gallego J, Aznar J, Mora A, Martín-Hidalgo A. Precisión diagnóstica de los criterios clínicos para identificar la insuficiencia cardíaca sistólica y diastólica: estudio transversal. Rev Eval Práct Clin. 2017;15(1):55-6.
Reference Type
BACKGROUND
Cohen SS, Roger VL, Weston SA, Jiang R, Movva N, Yusuf AA, Chamberlain AM. Evaluation of claims-based computable phenotypes to identify heart failure patients with preserved ejection fraction. Pharmacol Res Perspect. 2020 Dec;8(6):e00676. doi: 10.1002/prp2.676.
Reference Type
BACKGROUND
Koudstaal S, Pujades-Rodriguez M, Denaxas S, Gho JMIH, Shah AD, Yu N, Patel RS, Gale CP, Hoes AW, Cleland JG, Asselbergs FW, Hemingway H. Prognostic burden of heart failure recorded in primary care, acute hospital admissions, or both: a population-based linked electronic health record cohort study in 2.1 million people. Eur J Heart Fail. 2017 Sep;19(9):1119-1127. doi: 10.1002/ejhf.709. Epub 2016 Dec 23.
Reference Type
BACKGROUND
Bachtiger P, Kelshiker MA, Petri CF, Gandhi M, Shah M, Kamalati T, Khan SA, Hooper G, Stephens J, Alrumayh A, Barton C, Kramer DB, Plymen CM, Peters NS. Survival and health economic outcomes in heart failure diagnosed at hospital admission versus community settings: a propensity-matched analysis. BMJ Health Care Inform. 2023 Mar;30(1):e100718. doi: 10.1136/bmjhci-2022-100718.
Reference Type
BACKGROUND
Heidenreich P, Sandhu A. Advances in management of heart failure. BMJ. 2024;385.
Reference Type
BACKGROUND
Anguita-Sanchez M, Crespo-Leiro MG, de Teresa-Galván E, Jiménez-Navarro M, Alonso-Pulpón L, Muñiz-García J. Prevalencia de la insuficiencia cardiaca en la población general española mayor de 45 años. Estudio PRICE. Rev Esp Cardiol. 2008;61(10):1041-9.
Reference Type
BACKGROUND
Canadian Point of Care Ultrasound Society. Courses - POCUS Education [Internet]. Canada: CPOCUS; [consultat 03-03-2025]. Available at: https://cpocus.ca/
Reference Type
BACKGROUND
European Association of Cardiovascular Imaging. Focus e-learning course [Internet]. European Society of Cardiology; [accessed 03-03-2025]. Available at: https://www.escardio.org/Sub-specialty-communities/European-Association-of-Cardiovascular-Imaging-(EACVI)/Education/focus-e-learning-course
Reference Type
BACKGROUND
Chaptal M, Tendron L, Claret PG, Muller L, Markarian T, Mattatia L, Roger C, de la Coussaye JE, Pelaccia T, Bobbia X. Focused Cardiac Ultrasound: A Prospective Randomized Study of Simulator-Based Training. J Am Soc Echocardiogr. 2020 Mar;33(3):404-406. doi: 10.1016/j.echo.2019.10.010. Epub 2019 Dec 19. No abstract available.
Reference Type
BACKGROUND
Mackay FD, Zhou F, Lewis D, Fraser J, Atkinson PR. Can You Teach Yourself Point-of-care Ultrasound to a Level of Clinical Competency? Evaluation of a Self-directed Simulation-based Training Program. Cureus. 2018 Sep 17;10(9):e3320. doi: 10.7759/cureus.3320.
Reference Type
BACKGROUND
Bowcock EM, Morris IS, Mclean AS, Orde SR. Basic critical care echocardiography: How many studies equate to competence? A pilot study using high fidelity echocardiography simulation. J Intensive Care Soc. 2017 Aug;18(3):198-205. doi: 10.1177/1751143717700166. Epub 2017 Apr 18.
Reference Type
BACKGROUND
Neskovic AN, Skinner H, Price S, Via G, De Hert S, Stankovic I, Galderisi M, Donal E, Muraru D, Sloth E, Gargani L, Cardim N, Stefanidis A, Cameli M, Habib G, Cosyns B, Lancellotti P, Edvardsen T, Popescu BA; Reviewers: This document was reviewed by members of the 2016-2018 EACVI Scientific Documents Committee. Focus cardiac ultrasound core curriculum and core syllabus of the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2018 May 1;19(5):475-481. doi: 10.1093/ehjci/jey006.
Reference Type
BACKGROUND
Olesen LL, Andersen A, Thaulow S. Hand-held echocardiography is useful for diagnosis of left systolic dysfunction in an elderly population. Dan Med J. 2015 Jul;62(7):A5100.
Reference Type
BACKGROUND
Hammadah M, Ponce C, Sorajja P, Cavalcante JL, Garcia S, Gossl M. Point-of-care ultrasound: Closing guideline gaps in screening for valvular heart disease. Clin Cardiol. 2020 Dec;43(12):1368-1375. doi: 10.1002/clc.23499. Epub 2020 Nov 11.
Reference Type
BACKGROUND
Kovell LC, Ali MT, Hays AG, Metkus TS, Madrazo JA, Corretti MC, Mayer SA, Abraham TP, Shapiro EP, Mukherjee M. Defining the Role of Point-of-Care Ultrasound in Cardiovascular Disease. Am J Cardiol. 2018 Oct 15;122(8):1443-1450. doi: 10.1016/j.amjcard.2018.06.054. Epub 2018 Jul 19.
Reference Type
BACKGROUND
Doherty JU, Kort S, Mehran R, Schoenhagen P, Soman P; Rating Panel Members; Appropriate Use Criteria Task Force. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease : A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and the Society of Thoracic Surgeons. J Nucl Cardiol. 2019 Aug;26(4):1392-1413. doi: 10.1007/s12350-019-01751-7.
Reference Type
BACKGROUND
Waweru-Siika W, Pluddemann A, Heneghan C. Focused Cardiac Ultrasound Training for Non-cardiologists: An Overview and Recommendations for a Lower Middle-Income Country. Crit Care Clin. 2022 Oct;38(4):827-837. doi: 10.1016/j.ccc.2022.06.015.
Reference Type
BACKGROUND
Kirkpatrick JN, Grimm R, Johri AM, Kimura BJ, Kort S, Labovitz AJ, Lanspa M, Phillip S, Raza S, Thorson K, Turner J. Recommendations for Echocardiography Laboratories Participating in Cardiac Point of Care Cardiac Ultrasound (POCUS) and Critical Care Echocardiography Training: Report from the American Society of Echocardiography. J Am Soc Echocardiogr. 2020 Apr;33(4):409-422.e4. doi: 10.1016/j.echo.2020.01.008. Epub 2020 Feb 29. No abstract available.
Reference Type
BACKGROUND
Johri AM, Durbin J, Newbigging J, Tanzola R, Chow R, De S, Tam J. Cardiac Point-of-Care Ultrasound: State-of-the-Art in Medical School Education. J Am Soc Echocardiogr. 2018 Jul;31(7):749-760. doi: 10.1016/j.echo.2018.01.014. Epub 2018 Mar 15.
Reference Type
BACKGROUND
Jujo S, Lee-Jayaram JJ, Sakka BI, Nakahira A, Kataoka A, Izumo M, Kusunose K, Athinartrattanapong N, Oikawa S, Berg BW. Pre-clinical medical student cardiac point-of-care ultrasound curriculum based on the American Society of Echocardiography recommendations: a pilot and feasibility study. Pilot Feasibility Stud. 2021 Sep 14;7(1):175. doi: 10.1186/s40814-021-00910-3.
Reference Type
BACKGROUND
Pérez de Isla L, Díaz Sánchez S, Pagola J, Garcia de Casasola G, López Fernández T, Sánchez Barrancos IM, et al. Documento de consenso de SEMI, semFYC, SEN y SEC sobre ecocardioscopia en España. Rev Esp Cardiol. 2018;71(11):883-90.
Reference Type
BACKGROUND
Chugh Y, Lohese O, Sorajja P, Garberich R, Stanberry L, Cavalcante J, Gossl M. Adoptability and accuracy of point-of-care ultrasound in screening for valvular heart disease in the primary care setting. J Clin Ultrasound. 2022 Feb;50(2):265-270. doi: 10.1002/jcu.23062. Epub 2021 Sep 7.
Reference Type
BACKGROUND
Morbach C, Buck T, Rost C, Peter S, Gunther S, Stork S, Prettin C, Erbel R, Ertl G, Angermann CE; Handheld-BNP Research Network. Point-of-care B-type natriuretic peptide and portable echocardiography for assessment of patients with suspected heart failure in primary care: rationale and design of the three-part Handheld-BNP program and results of the training study. Clin Res Cardiol. 2018 Feb;107(2):95-107. doi: 10.1007/s00392-017-1181-3. Epub 2017 Nov 15.
Reference Type
BACKGROUND
Evangelista A, Galuppo V, Mendez J, Evangelista L, Arpal L, Rubio C, Vergara M, Liceran M, Lopez F, Sales C, Miralles V, Galinsoga A, Perez J, Arteaga M, Salvador B, Lopez C, Garcia-Dorado D. Hand-held cardiac ultrasound screening performed by family doctors with remote expert support interpretation. Heart. 2016 Mar;102(5):376-82. doi: 10.1136/heartjnl-2015-308421. Epub 2016 Jan 22.
Reference Type
BACKGROUND
Luong CL, Ong K, Kaila K, Pellikka PA, Gin K, Tsang TSM. Focused Cardiac Ultrasonography: Current Applications and Future Directions. J Ultrasound Med. 2019 Apr;38(4):865-876. doi: 10.1002/jum.14773. Epub 2018 Aug 26.
Reference Type
BACKGROUND
Spencer KT, Flachskampf FA. Focused Cardiac Ultrasonography. JACC Cardiovasc Imaging. 2019 Jul;12(7 Pt 1):1243-1253. doi: 10.1016/j.jcmg.2018.12.036.
Reference Type
BACKGROUND
Barron KR, Wagner MS, Hunt PS, Rao VV, Bell FE, Abdel-Ghani S, Schrift D, Norton D, Bornemann PH, Haddad R, Hoppmann RA. A Primary Care Ultrasound Fellowship: Training for Clinical Practice and Future Educators. J Ultrasound Med. 2019 Apr;38(4):1061-1068. doi: 10.1002/jum.14772. Epub 2018 Sep 4.
Reference Type
BACKGROUND
Andersen CA, Holden S, Vela J, Rathleff MS, Jensen MB. Point-of-Care Ultrasound in General Practice: A Systematic Review. Ann Fam Med. 2019 Jan;17(1):61-69. doi: 10.1370/afm.2330.
Reference Type
BACKGROUND
Esquerra M, Roura Poch P, Masat Tico T, Canal V, Maideu Mir J, Cruxent R. [Abdominal ultrasound: a diagnostic tool within the reach of general practitioners]. Aten Primaria. 2012 Oct;44(10):576-83. doi: 10.1016/j.aprim.2011.07.016. Epub 2011 Oct 22. Spanish.
Reference Type
BACKGROUND
Indicadores clínicos en Atención Primaria. Factores de riesgo y enfermedad cardiovascular. Ministerio de Sanidad, Consumo y Bienestar Social. 01/02/2019. https://www.sanidad.gob.es/estadEstudios/estadisticas/estadisticas/estMinisterio/SIAP /BDCAP_Indic_clinic_Cardiovasc_2016.pdf
Reference Type
BACKGROUND
Introducció de l'ecografia clínica a l'atenció́ primària i comunitària. Departament de Salut. Generalitat de Catalunya. Febrer 2022. https://salutweb.gencat.cat/web/.content/_departament/ambits-estrategics/atencio- primaria-comunitaria/docs/introduccio-ecografia-clinica-apic.pdf
Reference Type
BACKGROUND
Other Identifiers
Review additional registry numbers or institutional identifiers associated with this trial.
HEART-CAMFiC FoCUS Study Group
Identifier Type: -
Identifier Source: org_study_id
More Related Trials
Additional clinical trials that may be relevant based on similarity analysis.
Lung Ultrasoung Guided Treatment in Chronic Heart Failure Patients: a Randomized Controlled Trial
NCT02959372
COMPLETED
NA
Pocket-sized Ultrasound for Point-of-care Diagnosis of Heart Failure
NCT02939157
COMPLETED
Echocardiography by Non-cardiologist in Early Management of Patients With Chest Pain
NCT05306730
UNKNOWN
NA
Point-of-Care Ultrasound in Chronic Heart Failure
NCT06887179
NOT_YET_RECRUITING
NA
Protocol of a Pilot Study to Optimize Care for Heart Failure Patients in Primary Care
NCT02905786
COMPLETED
NA
Heart Failure Educational and Follow up Platform
NCT02110433
COMPLETED
NA
Use of Bedside Imaging and Community Health Workers for Early Screening and Referral of Pre-symptomatic Stage B Heart Failure in the Emergency Department
NCT06769880
RECRUITING
NA
Optimization of the Ambulatory Monitoring for Patients With Heart Failure by Tele-cardiology
NCT02068118
COMPLETED
NA
Identification of Heart Failure Patients by Seismocardiography
NCT03656354
COMPLETED
EMEPIC : Value of a Mobile Team of Cardiologist Using Echocardiography for Managing Patients With Acute Heart Failure
NCT00568165
COMPLETED
NA
CLUSTER-HF: Lung Ultrasound Guided Therapy in Heart Failure
NCT03613779
COMPLETED
NA
Classification of Heart Failure in Children
NCT03451097
UNKNOWN
Use of Point-of-Care Ultrasound (POCUS) to Reduce Hospital Length of Stay in Patients With Heart Failure ( POCUSHF )
NCT06965712
RECRUITING
NA
Utilising AI Analysis of Sounds To prEdict heaRt failurE decOmpensation
NCT06555757
NOT_YET_RECRUITING
Impact of Deferred Clinic Visits on Patients With Cardiovascular Comorbidities: A Prospective Cohort Study
NCT07050407
COMPLETED
Kyoto Congestive Heart Failure Study
NCT02334891
COMPLETED
Post-discharge Monitoring of Patients With Heart Failure
NCT03512782
UNKNOWN
NA
Telemonitoring and Teleintervention of Heart Failure and Decrease of Non-fatal Events.
NCT01495078
COMPLETED
NA
Enhanced FoCUS in Patients With Shortness of Breath
NCT05403619
COMPLETED
Improvement of a Digital Health Platform for Remote Monitoring of Patients With Heart Failure
NCT05708846
COMPLETED
Multiparametric Assessment of Cardiac Congestion in Outpatient Worsening Heart Failure
NCT05747820
COMPLETED
Prevalence of Subclinical Atrial Fibrillation in Heart Failure Patients and Its Relationship With Hospital Readmission
NCT03541616
COMPLETED
The HF-POL Study - Multicenter Study of Polish Patients With HF and LVEF >40%
NCT06030661
UNKNOWN
Value of Intense Phenotyping in Heart Failure With Preserved Ejection Fraction
NCT05479669
RECRUITING
Handled Echocardiography and Chronic Heart Failure
NCT01365325
COMPLETED
NA