Standardization of transthoracic echocardiography in adults: an expert consensus statement from the Russian Association of Specialists in Ultrasound Diagnostics in Medicine (RASUDM) and the Russian Association of Specialists in Functional Diagnostics (RASFD)

The basic requirements and recommendations for transthoracic echocardiography in adults were developed regarding to the current guidelines by experts from the Russian Association of Specialists in Ultrasound Diagnostics in Medicine (RASUDM) and the Russian Association of Specialists in Functional Diagnostics (RASFD). The aspects of the safety and conditions for performing of transthoracic echocardiography were discussed. Basic requirements to ultrasound equipment were formulated. Recommendations on the procedure for performing transthoracic echocardiography and report were given. A minimal data set for registration and storage regarding to the current requirements was presented. Adherence to the standard allows to improve the effectiveness of transthoracic echocardiography in adults.

transthoracic echocardiography, standardization, report, adult

1. Приказ Министерства здравоохранения РФ от 8 июня 2020 г. № 557н “Об утверждении Правил проведения ультразвуковых исследований”. https://www.garant.ru/products/ipo/prime/doc/74536910/ (дата обращения 25.06.2021)

2. Приказ Министерства здравоохранения РФ от 26 декабря 2016 г. № 997н “Об утверждении Правил проведения функциональных иссле дований”. http://ivo.garant.ru/#/document/71611460/paragraph/1:0 (дата обращения 25.06.2021)

3. Постановление Главного государственного санитарного врача РФ от 24 декабря 2020 г. № 44 “Об утверждении санитарных правил СП 2.1.3678-20 “Санитарно-эпидемиологические требования к эксплуатации помещений, зданий, сооружений, оборудования и транспорта, а также условиям деятельности хозяйствующих субъектов, осуществляющих продажу товаров, выполнение работ или оказание услуг”. https://www.garant.ru/products/ipo/prime/doc/400063274/ (дата обращения 25.06.2021)

4. Р 2.2.4/2.2.9.2266-07 Гигиенические требования к условиям труда медицинских работников, выполняющих ультразвуковые исследования. 2007. https://docs.cntd.ru/document/1200062394(дата обращения 25.06.2021)

5. Popescu B.A., Stefanidis A., Nihoyannopoulos P., Fox K.F., Ray S., Cardim N., Rigo F., Badano L.P., Fraser A.G., Pinto F., Zamorano J.L., Habib G., Maurer G., Lancellotti P. Updated standards and processes for accreditation of echocardiographic laboratories from the European Association of Cardiovascular Imaging: an executive summary. Eur. Heart J. Cardiovasc. Imaging. 2014; 15 (11): 1188-1193. https://doi.org/10.1093/ehjci/jeu057

6. Intersocietal Accreditation Commission. IAC Standards and Guidelines for Adult Echocardiography Accreditation, https://www.intersocietal. org/echo/standards/IACAdultEchocardiography Standards2021.pdf (2021, accessed 25.06.2021)

7. Evangelista A., Flachskampf F., Lancellotti P., Badano L., Aguilar R., Monaghan M., Zamorano J., Nihoyannopoulos P.; European Association of Echo cardiography. European Association of Echocardiography recommendations for standardization of performance, digital storage and reporting of echocardiographic studies. Eur. J. Echocardiogr. 2008; 9 (4): 438-448. https://doi.org/10.1093/ejechocard/jen174

8. Lang R.M., Badano L.P., Mor-Avi V., Afilalo J., Armstrong A., Ernande L., Flachskampf F.A., Foster E., Goldstein S.A., Kuznetsova T., Lancellotti P., Muraru D., Picard M.H., Rietzschel E.R., Rudski L., Spencer K.T., Tsang W., Voigt J.U. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J. Am. Soc. Echocardiogr. 2015; 28 (1): 1-39.e14. https://doi.org/10.1016/j.echo.2014.10.003

9. Nagueh S.F., Smiseth O.A., Appleton C.P., Byrd B.F. 3rd, Dokainish H., Edvardsen T., Flachskampf F.A., Gillebert T.C., Klein A.L., Lancellotti P., Marino P., Oh J.K., Alexandru Popescu B., Waggoner A.D.; Houston, Texas; Oslo, Norway; Phoenix, Arizona; Nashville, Tennessee; Hamilton, Ontario, Canada; Uppsala, Sweden; Ghent and Liège, Belgium; Cleveland, Ohio; Novara, Italy; Rochester, Minnesota; Bucharest, Romania; and St. Louis, Missouri. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur. Heart J. Cardiovasc. Imaging. 2016; 17 (12): 1321-1360. https://doi.org/10.1093/ehjci/jew082

10. Baumgartner H. Chair, Hung J. Co-Chair, Bermejo J., Chambers J.B., Edvardsen T., Goldstein S., Lancellotti P., LeFevre M., Miller F. Jr., Otto C.M. Recommendations on the echocardiographic assessment of aortic valve stenosis: a focused update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. Eur. Heart J. Cardiovasc. Imaging. 2017; 18 (3): 254-275. https://doi.org/10.1093/ehjci/jew335

11. Galderisi M., Cosyns B., Edvardsen T., Cardim N., Delgado V., Di Salvo G., Donal E., Sade L.E., Ernande L., Garbi M., Grapsa J., Hagendorff A., Kamp O., Magne J., Santoro C., Stefanidis A., Lancellotti P., Popescu B., Habib G.; 2016-2018 EACVI Scientific Documents Committee; 2016-2018 EACVI Scientific Documents Committee. Standardization of adult transthoracic echocardiography reporting in agreement with recent chamber quantification, diastolic function, and heart valve disease recommendations: an expert consensus document of the European Association of Cardiovascular Imaging. Eur. Heart J. Cardiovasc. Imaging. 2017; 18 (12): 1301-1310. https://doi.org/10.1093/ehjci/jex244

12. Zoghbi W.A., Adams D., Bonow R.O., Enriquez-Sarano M., Foster E., Grayburn P.A., Hahn R.T., Han Y., Hung J., Lang R.M., Little S.H., Shah D.J., Shernan S., Thavendiranathan P., Thomas J.D., Weissman N.J. Recommendations for noninvasive evaluation of native valvular regurgitation: a report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance. J. Am. Soc. Echocardiogr. 2017; 30 (4): 303-371. https://doi.org/10.1016/j.echo.2017.01.007

13. Mitchell C., Rahko P.S., Blauwet L.A., Canaday B., Finstuen J.A., Foster M.C., Horton K., Ogunyankin K.O., Palma R.A., Velazquez E.J. Guidelines for performing a comprehensive transthoracic echocardiographic examination in adults: recommendations from the American Society of Echo cardio graphy. J. Am. Soc. Echocardiogr. 2019; 32 (1): 1-64. https://doi.org/10.1016/j.echo.2018.06.004