Echocardiography in Argentina: training, professional practice, and current challenges

Abstract

Objectives: to describe the current characteristics of echocardiography practice in Argentina, including training, equipment, working conditions, use of advanced techniques, and reported difficulties. Materials and Methods: observational, descriptive, cross-sectional study based on a voluntary digital survey administered to cardiologists performing echocardiography in Argentina. Demographic, occupational, training, and technological data were collected. Responses included both closed and open questions, the latter subsequently categorized for descriptive analysis. Results: a total of 173 professionals from all regions of the country responded. Median age was 42 years and median professional experience 10 years. Only 12% worked exclusively in echocardiography, and most worked in two or more institutions. The predominant contractual modality was payment by percentage of the study’s cost. The median number of monthly studies was 100, with higher volumes among those working exclusively in the private sector (p < 0.007). Availability of advanced technology varied: 62% reported access to software for left ventricular deformation analysis and less than 30% for other chambers. Forty-three percent were trained in transesophageal echocardiography and stress echocardiography. The main reported difficulty was low remuneration, followed by high clinical demand and lack of professional recognition. Conclusions: echocardiography practice in Argentina shows a solid professional foundation but is characterized by heterogeneous training, substantial technological gaps, and fragile working conditions that primarily affect remuneration. Coordinated policies on certifications, continuous training, and technological integration are required to strengthen the quality and equity of echocardiographic practice nationwide.