Keith Pearce
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View article: Contemporary review of stress echocardiography workforce within the UK: an EVAREST/BSE NSTEP study
Contemporary review of stress echocardiography workforce within the UK: an EVAREST/BSE NSTEP study Open
Background Stress echocardiography is a key imaging modality for assessing coronary artery disease in the UK. Traditionally, stress echo services were led by consultant cardiologists, but evolving workforce models have increased the involv…
View article: Development of a cardiac device service at the largest single site oncology hospital in Europe
Development of a cardiac device service at the largest single site oncology hospital in Europe Open
Background Increasing numbers of patients with Cardiac Electronic Implantable Devices (CIED) are requiring imaging and treatment for cancer. Access to specialist services for these cancer pathways for CIED patients is inconsistent and can …
View article: Changes in coronary disease management decisions in real-world practice between 2015 and 2023: insights from the EVAREST/BSE-NSTEP observational study
Changes in coronary disease management decisions in real-world practice between 2015 and 2023: insights from the EVAREST/BSE-NSTEP observational study Open
Aims To assess the real-world impact of updated clinical guidelines and literature on the management of patients undergoing stress echocardiography for the assessment of inducible ischaemia across a national health service. Methods and res…
View article: Workforce models delivering stress echocardiography in the UK - insights from the BSE-NSTEP multi-centre study.
Workforce models delivering stress echocardiography in the UK - insights from the BSE-NSTEP multi-centre study. Open
Introduction The British Society of Echocardiography National Review of Stress Echo Practice (BSE N-STEP) is a large, prospective, multicentre study investigating stress echocardiography (SE) practice within the UK National Health Service.…
View article: changes in coronary disease management in real world practice in the united kingdom: insights from the multi-centre EVAREST/BSE-NSTEP study
changes in coronary disease management in real world practice in the united kingdom: insights from the multi-centre EVAREST/BSE-NSTEP study Open
Background/Introduction Recent guidelines and randomised controlled trials have proposed less frequent use of invasive strategies for patients with stable chest pain, and demonstrated the non-inferiority of an initial medical management st…
View article: Long-term outcomes after stress echocardiography in real-world practice: a 5-year follow-up of the UK EVAREST study
Long-term outcomes after stress echocardiography in real-world practice: a 5-year follow-up of the UK EVAREST study Open
Aims Stress echocardiography is widely used to assess patients with chest pain. The clinical value of a positive or negative test result to inform on likely longer-term outcomes when applied in real-world practice across a healthcare syste…
View article: Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery
Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery Open
IMPORTANCE Supplementing potassium in an effort to maintain high-normal serum concentrations is a widespread strategy used to prevent atrial fibrillation after cardiac surgery (AFACS), but is not evidence-based, carries risks, and is costl…
View article: On the value and costs of protective actions in a nuclear emergency
On the value and costs of protective actions in a nuclear emergency Open
This paper reviews the current orthodoxy for the prompt application of shelter and evacuation advice in the event of a nuclear emergency in the light of the reassessment of the perceived costs and benefits of these protective actions that …
View article: Real world hospital costs following stress echocardiography in the UK: a costing study from the EVAREST/BSE-NSTEP multi-centre study
Real world hospital costs following stress echocardiography in the UK: a costing study from the EVAREST/BSE-NSTEP multi-centre study Open
Background Stress echocardiography is widely used to detect coronary artery disease, but little evidence on downstream hospital costs in real-world practice is available. We examined how stress echocardiography accuracy and downstream hosp…
View article: United Kingdom standards for non-invasive cardiac imaging: recommendations from the Imaging Council of the British Cardiovascular Society
United Kingdom standards for non-invasive cardiac imaging: recommendations from the Imaging Council of the British Cardiovascular Society Open
Heart and circulatory diseases affect more than seven million people in the UK. Non-invasive cardiac imaging is a critical element of contemporary cardiology practice. Progressive improvements in technology over the last 20 years have incr…
View article: Uncovering the treatable burden of severe aortic stenosis in the UK
Uncovering the treatable burden of severe aortic stenosis in the UK Open
Objective To estimate the population prevalence and treatable burden of severe aortic stenosis (AS) in the UK. Methods We adapted a contemporary model of the population profile of symptomatic and asymptomatic severe AS in Europe and North …
View article: Creating a better journey of care for patients with heart valve disease
Creating a better journey of care for patients with heart valve disease Open
Heart valve disease has been described as ‘the next cardiac epidemic’, with prevalence expected to double by 2040 and triple by 2060 due to the ageing of the population. Yet until now, it has been characterized by scarce data, limited rese…
View article: Right ventricular assessment of the adolescent footballers heart: impact of ethnicity
Right ventricular assessment of the adolescent footballers heart: impact of ethnicity Open
Introduction Athletic training often results in electrical and structural changes that may mimic phenotypical features of pathological cardiomyopathies. These physiological changes are influenced by age, ethnicity and sporting discipline. …
View article: Automated left ventricular dimension assessment using artificial intelligence
Automated left ventricular dimension assessment using artificial intelligence Open
Background and purpose Artificial intelligence (AI) has the potential to greatly improve efficiency and reproducibility of quantification in echocardiography, but to gain widespread use it must both meet expert standards of excellence and …
View article: Automated Left Ventricular Dimension Assessment Using Artificial Intelligence Developed and Validated by a UK-Wide Collaborative
Automated Left Ventricular Dimension Assessment Using Artificial Intelligence Developed and Validated by a UK-Wide Collaborative Open
Background: Artificial intelligence (AI) for echocardiography requires training and validation to standards expected of humans. We developed an online platform and established the Unity Collaborative to build a dataset of expertise from 17…
View article: British Society for Echocardiography and British Cardio-Oncology Society guideline for transthoracic echocardiographic assessment of adult cancer patients receiving anthracyclines and/or trastuzumab
British Society for Echocardiography and British Cardio-Oncology Society guideline for transthoracic echocardiographic assessment of adult cancer patients receiving anthracyclines and/or trastuzumab Open
The subspecialty of cardio-oncology aims to reduce cardiovascular morbidity and mortality in patients with cancer or following cancer treatment. Cancer therapy can lead to a variety of cardiovascular complications, including left ventricul…
View article: Impact of COVID-19 on UK stress echocardiography practice: insights from the EVAREST sites
Impact of COVID-19 on UK stress echocardiography practice: insights from the EVAREST sites Open
Stress echocardiography delivery restarted effectively after COVID-19 with adaptations to reduce transmission that means activity has been able to continue, and exceed, pre-COVID-19 levels during the second wave. Further standardization of…
View article: BSE and BCOS Guideline for Transthoracic Echocardiographic Assessment of Adult Cancer Patients Receiving Anthracyclines and/or Trastuzumab
BSE and BCOS Guideline for Transthoracic Echocardiographic Assessment of Adult Cancer Patients Receiving Anthracyclines and/or Trastuzumab Open
The subspecialty of cardio-oncology aims to reduce cardiovascular morbidity and mortality in patients with cancer or following cancer treatment. Cancer therapy can lead to a variety of cardiovascular complications, including left ventricul…
View article: The utility of cardiovascular imaging in heart failure with preserved ejection fraction: diagnosis, biological classification and risk stratification
The utility of cardiovascular imaging in heart failure with preserved ejection fraction: diagnosis, biological classification and risk stratification Open
Heart failure with preserved ejection fraction (HFpEF) does not exist as a singular clinical or pathological entity but as a syndrome encompassing a wide range of clinical and biological phenotypes. There is an urgent need to progress from…
View article: Global evaluation of echocardiography in patients with COVID-19
Global evaluation of echocardiography in patients with COVID-19 Open
Aims To describe the cardiac abnormalities in patients with COVID-19 and identify the characteristics of patients who would benefit most from echocardiography. Methods and results In a prospective international survey, we captured echocard…
View article: A minimum dataset for a Level 1 echocardiogram: a guideline protocol from the British Society of Echocardiography
A minimum dataset for a Level 1 echocardiogram: a guideline protocol from the British Society of Echocardiography Open
The British Society of Echocardiography has previously outlined a minimum dataset for a standard transthoracic echocardiogram, and this remains the basis on which an echocardiographic study should be performed. The importance of ultrasound…
View article: Echocardiographic Assessment of the Right Heart in Adults: A Practical Guideline from the British Society of Echocardiography
Echocardiographic Assessment of the Right Heart in Adults: A Practical Guideline from the British Society of Echocardiography Open
The structure and function of the right side of the heart is influenced by a wide range of physiological and pathological conditions. Quantification of right heart parameters is important in a variety of clinical scenarios including diagno…
View article: The benefits of echocardiography in primary care
The benefits of echocardiography in primary care Open
Echocardiography (echo) is central to the assessment and management of all cardiac diseases. An echocardiogram is produced using ultrasound waves to create a moving picture of the heart. It is the innate advantages of this medium (sound wa…