Evaluation of Aortic and Mitral Valve Regurgitation with a Short Training Model in Emergency Medicine Residents






USG, valve pathologies, aortic valve, mitral valve, training module


Introduction: Early recognition of valvular pathologies is very important both in terms of detecting the underlying pathology underlying the symptoms and in terms of early treatment before progression to heart failure. It is very important for emergency medicine residents to evaluate heart valves and thus heart failure with USG because of its advantages in early diagnosis. In this study, we aimed to evaluate the effectiveness of cardiac USG training with a short training model in emergency medicine residents.

Material methods: This prospective experimental study was conducted in the Emergency Medicine Clinic of Izmir Atatürk Training and Research Hospital. A pretest was administered to emergency medicine residents who had no training in the evaluation of valvular pathologies by ultrasonography but were familiar with cardiac walls and cavities to measure the level of recognition of valvular pathologies before the short video training model (pretest). In the next stage, theoretical training including examples of valvular insufficiency was given by an experienced emergency medicine specialist. Following the training, residents were again subjected to the test presented at the beginning of the training (posttest). All statistics were performed at 95% confidence intervals and a p value of p<0.05 was accepted as significant.

Results: A total of 24 emergency medicine residents were included in the study. In the test phase, the residents were asked the same 40 questions in both pretest and posttest and were evaluated in such a way that they received 1 point for each correct answer. When we evaluated the difference between pretest and posttest, there was an average increase of 9.7±4.2 (24±10.7%) in the number of correct answers. As a result of the analysis, a highly significant difference was found between the pretest and posttest results of all residents (p<0.05).

Conclusion: Our results show that heart failure, which is life-threatening when diagnosed late by emergency physicians, has increased mortality, increased cost, decreased morbidity with early diagnosis and treatment, and a better prognosis, can be diagnosed quickly and accurately with ultrasonographic training.


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Bui AL, Horwich TB, Fonarow GC. Epidemiology and risk profile of heart failure. Nat Rev Cardiol 2011; 8(1): 30-41.

Heidenreich PA. Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association. Circ Heart Fail 2013; 6(3): 606-19.

Rowland JL, Kuhn M, Bonnin RL, et al. Accuracy of emergency department bedside ultrasonography. Emerg Med 2001;13:305e13.

Soyuncu S, Cete Y, Bozan H, et al. Accuracy of physical and ultrasonographic examinations by emergency physicians for the early diagnosis of intraabdominalhaemorrhage in blunt abdominal trauma. Injury 2007;38:564e9.

Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics 2012 update: a report from the American Heart Association. Circulation 2012;125(1):2–220.

Owan TE, Hodge DO, Herges RM, Jacobsen SJ, Roger VL, Redfield MM. N Engl J Med 2006;355:251–9.

Borlaug BA. The pathophysiology of heart failure with preserved ejection fraction.

Sameer Kurmani & Iain Squire. Acute Heart Failure: Definition, Classification and Epidemiology. Curr Heart Fail Rep (2017) 14:385–392

Gheorghiade M, Zannad F, Sopko G, Klein L, Pina IL, Konstam MA, et al. Acute heart failure syndromes: current state and framework for future research. Circulation. 2005;112(25):3958–68.

Swedberg K. Task Force for the Diagnosis and Treatment of Chronic Heart Failure of the European Society of Cardiology: Guidelines for the diagnosis and treatment of chronic heart failure: Executive summary (update 2005). Eur Heart J, 2005; 26:1115-1140.

Hunt S. American College of Cardiology; American Heart Association Task Force on Practice Guidelines; American College of Chest Physicians; International Society for Heart and Lung Transplantation; Heart Rhythm Society. ACC/AHA 2005 guideline update for the diagnosis and management of chronic heart failure in the adult: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to update the 2001 guidelines for the evaluation and management of heart failure): Developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: Endorsed by the Heart Rhythm Society. Circulation, 2005; 112:154-235.

J. Mateer et al., “Model curriculum for physician training in emergency ultrasonography.,” Ann. Emerg. Med., vol. 23, no. 1, pp. 95–102, Jan. 1994, doi: 10.1016/s0196-0644(94)70014-1.

Y. Y. GiriĢgin A, Koçak S, Cander B, Ak A, Gül M, “Acil Serviste Ultrasonografi Kullanımı,” Akad. Acil Tıp Derg. 2010.

Acil Tıpta “Temel Ultrasonografi Kurslarının” Değerlendirilmesi, Interperation of “Basic Ultrasonografy Course” in Emergengy Medicine Yazışma Adresi/Correspondence to: Doç. Dr. Sadık A. Girişgin, Selçuk Üniversitesi Meram Tıp Fakültesi, Acil Tıp Anabilim Dalı, Akyokuş, Meram 42090 Konya, Türkiye Tel.: +90 332 223 64 95 e.posta: sgirisgin@yahoo.com doi:10.5152/jaem.2011.009 Sadık A. Girişgin1, Feridun Koyuncu2, Mehmet Ergin2, Cuma Yıldırım2, Başar Cander3, John Fowler2, Sevilay Karaduman4, Melek Güryay4

Moore CL, Rose GA, Tayal VS, Sullivan DM, Arrowood JA, Kline JA. Determination of

left ventricular function by emergency physician echocardiography of hypotensive patients. Acad Emerg Med 2002;9:186–93.

Gaspari RJ, Horst K. Emergency ultrasound and urinalysis in the evaluation of flank pain. Acad Emerg Med 2005;12(12):1180–4.

Mercado, P., et al., Transthoracic echocardiography: an accurate and precise method for estimating cardiac output in the critically ill patient. Crit Care, 2017. 21(1): p. 136.

Tchorz, K.M., et al., Comparison of hemodynamic measurements from invasive and noninvasive monitoring during early resuscitation. J Trauma Acute Care Surg, 2012. 72(4): p. 852-60.

Cecconi, M., et al., Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med, 2014.40(12): p. 1795-815.

Uyanık, A. (2013). Temel yaşam desteği kursunda video eğitimi ile geleneksel eğitimin öğrenme becerileri üzerine etkilerinin karşılaştırılması. https://hdl.handle.net/11499/445

Jang TB, RuggeriW, Dyne P, Kaji AH. The learning curve of resident physicians using emergency ultrasonography for cholelithiasis and cholecystitis. Acad Emerg Med 2010;17(11):1247–52.

Erol Erden U ̈ nlu ̈er,1 Serdar Bayata,2 Nursen Postaci,2 Murat Yesxil,2 O ̈ zcan Yavasxi,1 Pınar Hanife Kara,1 Nergis Vandenberk,1 Serhat Akay1

Moore CL, Rose GA, Tayal VS, et al. Determination of left ventricular function by emergency physician echocardiography of hypotensive patients. Acad Emerg Med 2002;9:186e93.

Randazzo MR, Snoey ER, Levitt MA, et al. Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography. Acad Emerg Med 2003;10:973e7.



How to Cite

KARAHAN, G., ERMETE GÜLER, E., KAYALI, A., BİLGİN, S., YAMANOĞLU, A., & KARAKAYA, Z. (2023). Evaluation of Aortic and Mitral Valve Regurgitation with a Short Training Model in Emergency Medicine Residents: VALVE REGURGITATION TRAINING FOR EMERGENCY RESIDENTS. Chronicles of Precision Medical Researchers, 4(3), 221–225. https://doi.org/10.5281/zenodo.10018522