José Atilio Núñez-Ramos, MD, MSc; María Camila Pana-Toloza, MD, MSc; Sheyla Carolina Palacio-Held, MD – Chest pain, dyspnea and syncope are among the most common reasons to seek care in the Emergency Department (ED). Chest pain accounts for more than a thousand visits per year [1], dyspnea and syncope represent approximately 7 to 8% of ED consults [2,3]. At this moment, a thorough cardiovascular evaluation cannot be accomplished only with physical examination. Valvular disease and systolic dysfunction diagnosis improve when evaluated with a physical exam along with cardiac ultrasound [4].