Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM On Twitter
  • JABFM On YouTube
  • JABFM On Facebook
Research ArticleOriginal Research

Assessment of Primary Care Physicians' Use of a Pocket Ultrasound DeviceTM to Measure Left Ventricular Mass in Patients with Hypertension

Paul Bornemann, Jeremy Johnson, Samuel Tiglao, Amina Moghul, Sheila Swain, Gina Bornemann and Mike Lustik
The Journal of the American Board of Family Medicine November 2015, 28 (6) 706-712; DOI: https://doi.org/10.3122/jabfm.2015.06.140314
Paul Bornemann
the Department of Family and Preventative Medicine, University of South Carolina, Columbia, SC (PB); the Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI (JJ, ST, AM, SS, GB, ML).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jeremy Johnson
the Department of Family and Preventative Medicine, University of South Carolina, Columbia, SC (PB); the Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI (JJ, ST, AM, SS, GB, ML).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Samuel Tiglao
the Department of Family and Preventative Medicine, University of South Carolina, Columbia, SC (PB); the Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI (JJ, ST, AM, SS, GB, ML).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Amina Moghul
the Department of Family and Preventative Medicine, University of South Carolina, Columbia, SC (PB); the Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI (JJ, ST, AM, SS, GB, ML).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sheila Swain
the Department of Family and Preventative Medicine, University of South Carolina, Columbia, SC (PB); the Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI (JJ, ST, AM, SS, GB, ML).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gina Bornemann
the Department of Family and Preventative Medicine, University of South Carolina, Columbia, SC (PB); the Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI (JJ, ST, AM, SS, GB, ML).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mike Lustik
the Department of Family and Preventative Medicine, University of South Carolina, Columbia, SC (PB); the Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI (JJ, ST, AM, SS, GB, ML).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Parasternal long-axis view of the heart with measurements. LA, left atrium; LV, left ventricle; LVEDD, left ventricular end diastolic diameter; PWT, posterior wall thickness; RV, right ventricle; SWT, septal wall thickness.

  • Figure 2.
    • Download figure
    • Open in new tab
    Figure 2.

    Bland-Altman plots of differences in mean measurements of septal wall thickness (A), posterior wall thickness (B), left ventricular end diastolic diameter (C), and left ventricular mass index (D) between primary care physician (PCP) and cardiologist groups. In each graph, the dotted lines represent the 95% confidence intervals of the percentage difference between PCPs and cardiologists. The solid line represents the estimated mean difference. The legend to the right identifies the different PCP examiners.

  • Figure 3.
    • Download figure
    • Open in new tab
    Figure 3.

    Bland-Altman plot of the difference in mean calculations verus sequence number. The dotted lines represent the 95% confidence intervals of the percentage difference between the primary care physicians (PCPs) and cardiologists. The solid line represents estimated mean difference. The legend to the right identifies the different PCP examiners.

Tables

  • Figures
    • View popup
    Table 1. Number of Ultrasound Examinations Performed by Each Primary Care Physician during the Study
    ExperienceExaminations (n)
    PCP1Resident13
    PCP2Faculty47
    PCP3Resident8
    PCP4Resident33
    101
    • View popup
    Table 2. Characteristics of the Study Population
    VariableValue
    Population studied (n)101
    Age, years (mean [SD])60.5 (19)
    Sex (%)
        Female62.4
        Male37.6
    Body mass index (mean [SD])28.67 (5.33)
    • SD, standard deviation.

    • View popup
    Table 3. Differences in Means between Primary Care Physicians and Cardiologists
    MeasurementDifference in Means95% Confidence Interval*SDP Value†
    SWT (mm)0.4−0.3 to 1.03.3.232
    PWT (mm)1.2*0.3–2.14.4.007
    LVEDD (mm)−2.1*−3.8 to −0.58.5.013
    LVMI (g/m2)0.5−6.6 to 7.636.1.885
    • ↵* Confidence intervals are calculated by standard error of the means.

    • ↵† P < .05.

    • LVEDD, left ventricular end diastolic diameter; LVMI, left ventricular mass index; PWT, posterior wall thickness; SD, standard deviation; SWT, septal wall thickness.

    • View popup
    Table 4. Sensitivity and Specificity of Primary Care Physician Examinations with Cardiologist Examinations as Gold Standard for Detecting Left Ventricular Hypertrophy*
    Data SetSensitivity (95% CI)Specificity (95% CI)PPV (95% CI)NPV (95% CI)+LR−LR
    Full Set (n = 101)0.73 (0.59–0.87)0.75 (0.64–0.86)0.63 (0.48–0.77)0.83 (0.73–0.92)2.960.39
    >35 Exams† (n = 15)0.89 (0.68–1.00)0.67 (0.29–1.00)0.80 (0.55–1.00)0.80 (0.45 to −1.00)2.620.19
    • ↵† The sensitivity and specificity of any exams performed after completing the first 35 examinations.

    • ↵* Left ventricular hypertrophy is defined as left ventricular mass index >95 g/m2 for women and >115 g/m2 for men.

    • CI, confidence interval; +LR, positive likelihood ratio; −LR, negative likelihood ratio; NPV, negative predictive value; PPV, positive predictive value.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 28 (6)
The Journal of the American Board of Family Medicine
Vol. 28, Issue 6
November-December 2015
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Assessment of Primary Care Physicians' Use of a Pocket Ultrasound DeviceTM to Measure Left Ventricular Mass in Patients with Hypertension
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
2 + 2 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Assessment of Primary Care Physicians' Use of a Pocket Ultrasound DeviceTM to Measure Left Ventricular Mass in Patients with Hypertension
Paul Bornemann, Jeremy Johnson, Samuel Tiglao, Amina Moghul, Sheila Swain, Gina Bornemann, Mike Lustik
The Journal of the American Board of Family Medicine Nov 2015, 28 (6) 706-712; DOI: 10.3122/jabfm.2015.06.140314

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Assessment of Primary Care Physicians' Use of a Pocket Ultrasound DeviceTM to Measure Left Ventricular Mass in Patients with Hypertension
Paul Bornemann, Jeremy Johnson, Samuel Tiglao, Amina Moghul, Sheila Swain, Gina Bornemann, Mike Lustik
The Journal of the American Board of Family Medicine Nov 2015, 28 (6) 706-712; DOI: 10.3122/jabfm.2015.06.140314
Reddit logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Electrocardiography for the detection of left ventricular hypertrophy in an elderly population with long-standing hypertension in primary care: a secondary analysis of the CHELLO cohort study
  • Point-of-Care Ultrasound in General Practice: A Systematic Review
  • New Tools and Approaches for Family Physicians
  • Google Scholar

More in this TOC Section

  • Integrating Harm Reduction into Medical Care: Lessons from Three Models
  • Impact of a Pharmacist-Run Electronic Consult Service in a Network of Primary Care Patient-Centered Medical Homes
  • Estimating the Cardiovascular Disease Risk Reduction of a Quality Improvement Initiative in Primary Care: Findings from EvidenceNOW
Show more Original Research

Similar Articles

Keywords

  • Left Ventricular Hypertrophy
  • Ultrasonography

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2023 American Board of Family Medicine

Powered by HighWire