Patients are identified for Caption echos based on presentation of symptoms or risk factors and engaged to schedule an exam.
Caption-trained healthcare workers perform echos in accessible care settings and upload images for clinical read by a network of board-certified cardiologists.
Clinical report determines disease staging and informs care plan development, with options for additional care management support through our partners.
Patient admitted to ED and waits for an echo
for at-risk patient
Echo performed in convenient location, including the home
Cardiologist generates actionable clinical report
Patient receives the right care prior to an acute event
& lives saved
Caption echo exams for early intervention and risk stratification of patients with Stage A risk factors, such as hypertension or diabetes.
Alternative to traditional echo setting for patients presenting with non-urgent symptoms, such as unexplained shortness of breath or non-acute chest pain.
Asymptomatic (Stage B) heart failure has a prevalence of 30%+ in the 55+ population1
Misdiagnosis of heart failure ranges from 16% in hospital settings to 69% in primary care settings2
For heart failure patients diagnosed in acute care settings, 46% had potential symptoms in the prior 6 months3
Recommends echocardiography as the preferred initial imaging modality for evaluation of patients with suspected heart failure.
Recommends echocardiography for cardiovascular risk assessment in asymptomatic adults with hypertension.
Recommends echocardiography for evaluation of patients with suspected or proven heart failure as part of a stepwise approach for screening and diagnosis of heart failure across stages.
Recommends echocardiography as the first-line modality for assessment of cardiac function in patients with cancer, plus baseline echocardiogram in all patients with cancer at high/very high risk of cardiotoxicity before starting anticancer therapy.
Recommends echocardiograms be performed in all patients at the initiation of dialysis, regardless of symptoms; within 1–3 months of dialysis initiation (once patients have achieved dry weight); and at 3-year intervals thereafter.
1. Shah AM, Claggett B, Loehr LR, et al. Heart Failure Stages Among Older Adults in the Community: The Atherosclerosis Risk in Communities Study. Circulation. 2017;135(3):224-240. doi:10.1161/CIRCULATIONAHA.116.023361
2. Wong CW, Tafuro J, Azam Z, et al. Misdiagnosis of Heart Failure: A Systematic Review of the Literature. J Card Fail. 2021;27(9):925-933. doi:10.1016/j.cardfail.2021.05.014
3. Sandhu AT, Tisdale RL, Rodriguez F, et al. Disparity in the Setting of Incident Heart Failure Diagnosis. Circ Heart Fail. 2021;14(8):e008538. doi:10.1161/CIRCHEARTFAILURE.121.008538