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Reproducibility of the 2016 American Society of Echocardiography-European Association of Cardiovascular Imaging Algorithm for Estimation of Left Ventricular Filling Pattern: Not Perfect but Good Enough.
Hubert, Arnaud; Coisne, Augustin; Dreyfus, Julien; Bohbot, Yohann; Lavie-Badie, Yoan; Aghezzaf, Sammy; Brun, Stéphanie; Nicol, Martin; Di Léna, Chloé; Oger, Emmanuel; Donal, Erwan.
Afiliación
  • Hubert A; Université de Rennes, CHU Rennes, Inserm, LTSI-UMR 1099, Rennes, France.
  • Coisne A; Cardiology Department, Lille University Hospital, Lille, France.
  • Dreyfus J; Cardiology Department, Centre Cardiologique du Nord, Saint-Denis, France.
  • Bohbot Y; Department of Cardiology, Amiens University Hospital, Amiens, France.
  • Lavie-Badie Y; Cardiac Imaging Center, Toulouse University Hospital, Toulouse, France.
  • Aghezzaf S; Cardiology Department, Lille University Hospital, Lille, France.
  • Brun S; Cardiac Imaging Center, Toulouse University Hospital, Toulouse, France.
  • Nicol M; Cardiology Department, Centre Cardiologique du Nord, Saint-Denis, France.
  • Di Léna C; Department of Cardiology, Amiens University Hospital, Amiens, France.
  • Oger E; Université de Rennes, CHU Rennes, Inserm, LTSI-UMR 1099, Rennes, France.
  • Donal E; Université de Rennes, CHU Rennes, Inserm, LTSI-UMR 1099, Rennes, France. Electronic address: erwan.donal@chu-rennes.fr.
Ultrasound Med Biol ; 48(5): 856-861, 2022 05.
Article en En | MEDLINE | ID: mdl-35177276
The 2016 American Society of Echocardiography (ASE) and European Association of Cardiovascular Imaging (EACVI) guidelines for the evaluation of left ventricular diastolic function reported a new algorithm to assess diastolic function and to estimate left ventricular filling pressure (LVFP). At least five to six different parameters were necessary to conclude, each of them with their own inter-observer variability. This article examines the reproducibility of each parameter of the algorithm and its influence on the final decision of the clinician. Echocardiographic exams of 12 non-selected patients without any known cardiac disease or follow-up but addressed to the hospital for symptoms were analyzed by two readers (one junior and one senior) in five French cardiologic tertiary centers. Inter-observer reproducibility at each step of the algorithm and final decision were analyzed. There was mild agreement on the final decision. The main reasons of discrepancy were disagreement on the significance of mitral annular calcifications and measured values that are just around the cut-off (despite good reproducibility, a slight variation could lead to misclassification of a dichotomous choice between a normal measure and a pathologic measure). Without considering performance, this multicentric French study puts forward limits to the actual algorithm recommended for LVFP pattern assessment. Agreement is excellent in caricatural (easy) cases (left ventricular pressure clearly normal or clearly elevated) but a great discordance exists in the gray zone. Improvement in the algorithm and in the method for LVFP determination is proposed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Función Ventricular Izquierda / Disfunción Ventricular Izquierda Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Ultrasound Med Biol Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Función Ventricular Izquierda / Disfunción Ventricular Izquierda Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Ultrasound Med Biol Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido