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Opinions/Hypotheses |

Making an Impossible Mission Possible*

Sergio L. Kobal; Lawrence S. C. Czer; Peter C. Czer; Zhanna Feldsher; Robert Hamilton; Robert J. Siegel
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*From the Cardiology Division, Cedars-Sinai Medical Center, and School of Medicine, University of California, Los Angeles, CA.

Correspondence to: Robert J. Siegel, MD, Cardiac Non-Invasive Laboratory, Room #5335, Cedars-Sinai Medical Center, Los Angeles, CA 90048; e-mail: siegel@cshs.org



Chest. 2004;125(1):293-296. doi:10.1378/chest.125.1.293
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Cardiovascular disease (CVD) is widespread in developing countries. Hypertension is a major contributor of CVD. Left ventricular hypertrophy (LVH) is a risk marker in hypertensive populations. Identification of LVH and treatment of high-risk patients can result in more effective use of the limited resources. LVH is diagnosed by echocardiography, often unavailable in developing countries. In Gambia, we used a hand-carried ultrasound (HCU) to examine 1,997 people. Seventeen percent had hypertension; of these, LVH was found in 65%. The battery-powered HCU permits clinicians to detect LVH in areas with limited access to diagnostic equipment, allowing identification of a high-risk hypertensive population.

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