Point-of-care Ultrasound and Treatment Disparities for Left Ventricular Hypertrophy

Summary

The objective of the proposed project is to quantify the prevalence and disparities of undiagnosed left ventricular hypertrophy (LVH) in Emergency Department (ED) patients with persistently elevated asymptomatic BP, and to measure the effect of disclosure, education, and expedited referral on 3-month outpatient follow-up and treatment rates for ED patients with newly diagnosed LVH by POCUS. Additionally, investigators will create a database of annotated clips for future development of a machine learning algorithm for LVH detection on POCUS.

Eligibility

Inclusion Criteria:

* Two blood pressure measurements greater than 140 mmHg systolic and greater than 90 mmHg diastolic on two separate vital sign checks obtained as part of routine ED care

Exclusion Criteria:

* Subjects in extremis or lacking capacity to consent
* Active treatment of hypertension within the last year
* History of/known left ventricular hypertrophy
* Active cardiac disease under the care of a cardiologist within last year
* Suspicion for hypertensive emergency by treating ED physician
* Admission to the hospital

Conditions2

Locations1 site

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