ejection fraction; global longitudinal strain; left ventricular mass; peak atrial longitudinal strain; registry; reproducibility; Humans; Reproducibility of Results; Echocardiography/methods; Heart Atria/diagnostic imaging; Registries; Atrial Fibrillation; Echocardiography; Heart Atria; Radiology, Nuclear Medicine and Imaging; Cardiology and Cardiovascular Medicine
Abstract :
[en] [en] AIM: we sought to test the inter-center reproducibility of 16 echo laboratories involved in the EACVI-Afib Echo Europe.
METHODS: This was done on a dedicated setting of 10 patients with sinus rhythm (SR) and 10 with persistent atrial fibrillation (AF), collected by the Principal Investigator. Images and loops of echo-exams were stored and made available for labs. The tested measurements included main echo-Doppler parameters, global longitudinal strain (GLS) and peak atrial longitudinal strain (PALS).
RESULTS: Single measures interclass correlation coefficients (ICCs) of left ventricular mass and ejection fraction were suboptimal in both patients with SR and AF. Among diastolic parameters, ICCs of deceleration time were poor, in particular in AF (=.50). ICCs of left atrial size and function, besides optimal in AF, showed an acceptable despite moderate concordance in SR. ICC of GLS was .81 and .78 in SR and AF respectively. ICCs of PALS were suitable but lower in 4-chamber than in 2-chamber view. By depicting the boxplot of the 16 laboratories, GLS distribution was completely homogeneous in SR, whereas GLS of AF and PALS of both SR and AF presented a limited number of outliers. GLS mean ± SE of the 16 labs was 19.7 ± .36 (95% CI: 18.8-20.4) in SR and 16.5 ± .29 (95% CI: 15.9-17.1) in AF, whereas PALS mean ± SE was 43.8 ± .70 (95% CI: 42.3-45.3) and 10.2 ± .32 (95% CI: 9.5-10.9) respectively.
CONCLUSION: While the utilization of some standard-echo variables should be discouraged in registries, the application of GLS and PALS could be largely promoted because their superior reproducibility, even in AF.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Santoro, Ciro ; Department of Advanced Biomedical Sciences, Federico II University Hospital, Naples, Italy
Donal, Erwan ; University of Rennes, CHU Rennes, Inserm, Rennes, France
Magne, Julien ; Université de Liège - ULiège > Département des sciences cliniques > Cardiologie - Pathologie spéciale et réhabilitation ; Service Cardiologie, CHU Limoges, Hopital Dupuytren, Limoges, France
Sade, Leyla Elif ; University of Pittsburgh Medical Center, Heart and Vascular Institute, Pittsburgh, Pennsylvania, USA
Penicka, Martin; Cardiovascular Center Aalst, OLV Clinic, Aalst, Belgium
Katbeh, Asim; Cardiovascular Center Aalst, OLV Clinic, Aalst, Belgium
Cosyns, Bernard; Department of Cardiology, Centrum voor hart -en Vaatziekten, UZ Brussel, Brussel, Belgium
Cameli, Matteo; Department of Cardiovascular Disease, University of Siena, Siena, Italy
Hanzevacki, Jadranka Separovic; University Hospital Centre Zagreb, School of Medicine, Zagreb, Croatia
Luksic, Vlatka Reskovic; University Hospital Centre Zagreb, School of Medicine, Zagreb, Croatia
Agricola, Eustachio ; Echocardiographic Laboratory, Vita Salute University, San Raffaele Hospital, IRCSS Milan, Italy
Citro, Rodolfo ; Cardio-Thoracic-Vascular Department, University Hospital San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy ; Department of Vascular Physiology, IRCCS Neuromed, Pozzilli, Italy
Hagendorff, Andreas; Department of Cardiology, University Hospital of Leipzig, Leipzig, Germany
Lancellotti, Patrizio ; Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie ; Gruppo Villa Maria Care and Research, Anthea Hospital, Bari, Italy
Habib, Gilbert; Aix Marseille University, APHM La Timone Hospital, Cardiology Department, Marseille, France
Moreo, Antonella; Cardio-thoracic-vascular Department De Gasperis, ASST GOM Niguarda and Bicocca University, Milan, Italy
Cardim, Nuno; Nova University, Lisbon, Portugal
Parato, Vito Maurizio ; Cardiology Unit of Emergency Dept, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy
Neskovic, Alexsandar; Department of Cardiology, Clinical Hospital Center Zemun, Faculty of Medicine, University of Belgrade, Beograd, Serbia
Rosca, Monica; University of Medicine and Pharmacy "Carol Davila", Emergency Institute of Cardiovascular Diseases "Prof. Dr. CC. Iliescu" Hospital, Bucharest, Romania
Galli, Elena; Service Cardiologie, CHU Limoges, Hopital Dupuytren, Limoges, France
Motoc, Andreea; Department of Cardiology, Centrum voor hart -en Vaatziekten, UZ Brussel, Brussel, Belgium
Mandoli, Giulia ; Department of Cardiovascular Disease, University of Siena, Siena, Italy
Ingallina, Giacomo ; Echocardiographic Laboratory, Vita Salute University, San Raffaele Hospital, IRCSS Milan, Italy
Prota, Costantina; Cardio-Thoracic-Vascular Department, University Hospital San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
Stoebe, Stephen ; Department of Cardiology, University Hospital of Leipzig, Leipzig, Germany
Mouhat, Basile; Aix Marseille University, APHM La Timone Hospital, Cardiology Department, Marseille, France
Carbone, Andreina; Aix Marseille University, APHM La Timone Hospital, Cardiology Department, Marseille, France ; Unit of Cardiology, University Hospital "Luigi Vanvitelli", Naples, Italy
Chiara, Benedetta De; Cardio-thoracic-vascular Department De Gasperis, ASST GOM Niguarda and Bicocca University, Milan, Italy
Ilardi, Federica; Department of Advanced Biomedical Sciences, Federico II University Hospital, Naples, Italy
Stankovic, Ivan; Department of Cardiology, Clinical Hospital Center Zemun, Faculty of Medicine, University of Belgrade, Beograd, Serbia
Zamorano, Jose Luis; Cardiology Department, Hospital Universitario Ramon y Cajal, Madrid, Spain
Popescu, Bogdan Alexandru ; University of Medicine and Pharmacy "Carol Davila", Emergency Institute of Cardiovascular Diseases "Prof. Dr. CC. Iliescu" Hospital, Bucharest, Romania
Edvardsen, Thor; Department of Cardiology, Oslo University Hospital, Oslo, Norway
Galderisi, Maurizio ; Department of Advanced Biomedical Sciences, Federico II University Hospital, Naples, Italy
PIETTE, Caroline ; Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie
Special mention to: Maurizio GALDERISI disappeared before the end of the work that has been built with the EACVI and in close collaboration with Ciro SANTORO. After 2-year, it is probably important to publish this contribution and to remind the crucial role that Maurizio had for the EACVI and for the cardiac imaging community. Funding: European Association of Cardiovascular Imaging.
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