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Echocardiography is a highly operator-dependant technique which requires adequate training and skills that are frequently not present, considering the widespread use of cardiovascular ultrasound. This could particularly be true for hand-held echo devices which made echocardiography more accessible but are frequently used by non-cardiologists and non-experts.

Hand-held echo is not so handy in everyone’s hands: Misdiagnosing congenital septal defects in patients with heart murmurs