Pérez De Isla, LeopoldoMoreno Antón, FernandoGarcía Sáez, José ÁngelClavero, MatíasMoreno, NunoAguado de la Rosa, CarlosDe Agustín Loeches, José AlbertoGómez de Diego, José JuanCobos, Miguel ÁngelMacaya Miguel, CarlosGarcía Fernández, Miguel Ángel2026-03-022026-03-022015-04-09Pérez De Isla, L., Moreno, F., Garcia Saez, J.A., Clavero, M., Moreno, N., Aguado De La Rosa, C. ... Garcia‑Fernandez, M.A. (2015). Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology. Molecular and Clinical Oncology, 3, 820-824. https://doi.org/10.3892/mco.2015.5432049-945010.3892/mco.2015.543https://hdl.handle.net/20.500.14352/133618Certain chemotherapy drugs for breast cancer may induce cardiotoxicity and these patients should be echocardiographically monitored. The performance of a focused echocardiographic evaluation (echoscopy) at the patient's location by a non-cardiologist appears to be feasible. The aim of the present study was to assess the accuracy of echoscopy performed by medical oncologists in an outpatient clinic using hand-held echocardiography devices. The study cohort comprised consecutive unselected patients who attended an oncology outpatient clinic. Two medical oncologists attended a one-week training period, which included theoretical and practical teaching by an expert cardiologist. Every subject underwent two echo examinations. The first examination was performed by an oncologist using a hand-held echo device and the second was performed by a cardiologist using a 'premium' device. Out of the 101 enrolled patients, 32 were men (31.7%) and the mean age was 56.03±16.88 years. There was a good global agreement [intra-class correlation coefficient (ICC): 0.65 for left ventricular ejection fraction (LVEF)]. When the results were analyzed depending on the period of time when the echo studies were performed, a clear and short learning curve was observed: LVEF started at ICC=0.58 and increased to 0.66 and 0.77 in the second and third period, respectively. There were extremely few clinically significant differences and a learning curve was also evident. In conclusion, cardiac echoscopy performed by an oncologist with a hand-held device may lead to a similar clinical management as a study performed by an expert cardiologist with a 'premium' system in patients under chemotherapy following a short training period.engjournal article2049-9469https://doi.org/10.3892/mco.2015.543https://www.spandidos-publications.com/10.3892/mco.2015.543open access616.12cardiotoxicitychemotherapyhand-held echocardiographyoncologyCardiología3205.01 Cardiología