Evaluation of a new smartphone-based stethoscope with one‑lead electrocardiogram in healthy sheep

IF 1.8 3区 农林科学 Q1 VETERINARY SCIENCES Research in veterinary science Pub Date : 2025-01-31 DOI:10.1016/j.rvsc.2025.105564
Maria Cicogna , Mark Rishniw , Angelica Gobbi , Valentina Calgaro , Francesco Porciello , Domenico Caivano
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Abstract

Diagnostic tests commonly used for assessing of cardiac diseases in clinical practice are not always available in small ruminants, therefore cardiac auscultation is a cornerstone in this species. The present study assesses the reliability of a new smartphone-based digital stethoscope featuring simultaneous phonocardiography and one‑lead electrocardiogram to evaluate heart sounds and electrocardiographic (ECG) findings in healthy sheep. Additionally, we compared the effect of breed (Bergamasca vs Comisana breed) on the ECG tracings obtained by the digital stethoscope. A total of 44 sheep (23 Bergamasca and 21 Comisana sheep) were recruited. No sheep ausculted abnormally with either the conventional or digital stethoscope. All audio recordings were considered interpretable in 40 sheep with substantial agreement (k = 0.755) between two operators. Conventional and digital ECG tracings showed sinus rhythm in all sheep and the limit of agreement analysis showed similar values between the two devices, but some ECG variables were not interchangeable. A perfect-to-good agreement was observed for heart rate, P wave duration/amplitude, PQ interval, QRS duration and QT interval; substantial difference for the S wave amplitude and moderate agreement (k = 0.569) for the T wave morphology between the two devices were observed. A fair agreement was found for the artifact presence (k = 0.395). Comparison of ECG variables between “Bergamasca” and “Comisana” breed showed differences (p < 0.05) for heart rate, QRS duration, QT duration and T polarity. In conclusion, the digital stethoscope Eko DUO is a practical and easy-to-use tool for assessing heart sounds and ECG signals in sheep in the field.
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一种新型智能手机听诊器对健康绵羊一导联心电图的评估。
在临床实践中通常用于评估心脏疾病的诊断测试并不总是适用于小反刍动物,因此心脏听诊是该物种的基础。本研究评估了一种新的基于智能手机的数字听诊器的可靠性,该听诊器具有同时进行心音和一导联心电图的功能,可评估健康绵羊的心音和心电图(ECG)结果。此外,我们比较了品种(Bergamasca和Comisana品种)对数字听诊器获得的ECG示图的影响。共招募44只羊,其中贝加马羊23只,科米萨纳羊21只。传统听诊器或数字听诊器均未发现绵羊听诊异常。40只羊的所有录音都被认为是可解释的,两名操作员之间基本一致(k = 0.755)。常规和数字ECG示图均显示所有羊的窦性心律,一致性分析的极限在两种设备之间显示相似的值,但一些ECG变量不可互换。在心率、P波持续时间/振幅、PQ间期、QRS持续时间和QT间期方面观察到完美到良好的一致性;两种器件的S波振幅有显著差异,T波形态有中等一致性(k = 0.569)。对于工件的存在发现了一个公平的协议(k = 0.395)。“贝加马”和“科米萨纳”品种的心电图变量比较有差异(p
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来源期刊
Research in veterinary science
Research in veterinary science 农林科学-兽医学
CiteScore
4.40
自引率
4.20%
发文量
312
审稿时长
75 days
期刊介绍: Research in Veterinary Science is an International multi-disciplinary journal publishing original articles, reviews and short communications of a high scientific and ethical standard in all aspects of veterinary and biomedical research. The primary aim of the journal is to inform veterinary and biomedical scientists of significant advances in veterinary and related research through prompt publication and dissemination. Secondly, the journal aims to provide a general multi-disciplinary forum for discussion and debate of news and issues concerning veterinary science. Thirdly, to promote the dissemination of knowledge to a broader range of professions, globally. High quality papers on all species of animals are considered, particularly those considered to be of high scientific importance and originality, and with interdisciplinary interest. The journal encourages papers providing results that have clear implications for understanding disease pathogenesis and for the development of control measures or treatments, as well as those dealing with a comparative biomedical approach, which represents a substantial improvement to animal and human health. Studies without a robust scientific hypothesis or that are preliminary, or of weak originality, as well as negative results, are not appropriate for the journal. Furthermore, observational approaches, case studies or field reports lacking an advancement in general knowledge do not fall within the scope of the journal.
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