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Interobserver Varia...
Interobserver Variability in Applying American Society of Echocardiography/European Association of Cardiovascular Imaging 2016 Guidelines for Estimation of Left Ventricular Filling Pressure
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- Nagueh, Sherif F. (author)
- Methodist Debakey Heart & Vasc Ctr, Ctr Outcomes Res, Houston Methodist Res Inst, Houston, TX USA
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- Abraham, Theodore P. (author)
- Univ Calif San Francisco, Div Cardiol, San Francisco, CA 94143 USA
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- Aurigemma, Gerard P. (author)
- Univ Massachusetts, Sch Med, Dept Med, Worcester, MA USA
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- Bax, Jeroen J. (author)
- Leiden Univ, Med Ctr, Dept Cardiol, Leiden, Netherlands
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- Beladan, Carmen (author)
- Univ Med & Pharm Carol Davila, Euroecolab, Inst Cardiovasc Dis, Bucharest, Romania
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- Browning, Alyssa (author)
- Univ Calif San Francisco, Div Cardiol, San Francisco, CA 94143 USA
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- Chamsi-Pasha, Mohammed A. (author)
- Methodist Debakey Heart & Vasc Ctr, Ctr Outcomes Res, Houston Methodist Res Inst, Houston, TX USA
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- Delgado, Victoria (author)
- Leiden Univ, Med Ctr, Dept Cardiol, Leiden, Netherlands
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- Derumeaux, Genevieve (author)
- Henri Mondor Hosp, AP HP, Dept Physiol, DHU Ageing Thorax Vessel Blood, Creteil, France
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- Dolci, Giulia (author)
- Leiden Univ, Med Ctr, Dept Cardiol, Leiden, Netherlands
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- Donal, Erwan (author)
- Univ Rennes 1, CHU Rennes, Serv Cardiol & Malad Vasc, LTSI,INSERM 1099, Rennes, France
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- Edvardsen, Thor (author)
- Univ Oslo, Oslo, Norway
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- El Tallawi, Kinan Carlos (author)
- Methodist Debakey Heart & Vasc Ctr, Ctr Outcomes Res, Houston Methodist Res Inst, Houston, TX USA
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- Ernande, Laura (author)
- Henri Mondor Hosp, AP HP, Dept Physiol, DHU Ageing Thorax Vessel Blood, Creteil, France
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- Esposito, Roberta (author)
- Federico II Univ Hosp, Dept Adv Biomed Sci, Naples, Italy
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- Flachskampf, Frank, 1957- (author)
- Uppsala universitet,Klinisk fysiologi,Kardiologi
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- Galderisi, Maurizio (author)
- Federico II Univ Hosp, Dept Adv Biomed Sci, Naples, Italy
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- Gentry, James (author)
- Cleveland Clin, Cleveland, OH 44106 USA
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- Goldstein, Steven A. (author)
- MedStar Heart & Vasc Inst, Dept Cardiol, Washington, DC USA
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- Harb, Serge C. (author)
- Cleveland Clin, Cleveland, OH 44106 USA
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- Hubert, Arnaud (author)
- Univ Rennes 1, CHU Rennes, Serv Cardiol & Malad Vasc, LTSI,INSERM 1099, Rennes, France
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- Hung, Judy (author)
- Harvard Med Sch, Div Cardiol, Corrigan Minehan Heart Ctr, Massachusetts Gen Hosp, Boston, MA 02115 USA
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- Klein, Allan L. (author)
- Cleveland Clin, Cleveland, OH 44106 USA
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- Lancellotti, Patrizio (author)
- Univ Liege Hosp, Liege, Belgium
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- Mahmood, Redah Z. (author)
- MedStar Heart & Vasc Inst, Dept Cardiol, Washington, DC USA
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- Marino, Paolo (author)
- Univ Piemonte Orientale, Novara, Italy
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- Popescu, Bogdan A. (author)
- Univ Med & Pharm Carol Davila, Euroecolab, Inst Cardiovasc Dis, Bucharest, Romania
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- Previato, Martina (author)
- Henri Mondor Hosp, AP HP, Dept Physiol, DHU Ageing Thorax Vessel Blood, Creteil, France
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- Sanghai, Saket R. (author)
- Univ Massachusetts, Sch Med, Dept Med, Worcester, MA USA
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- Smiseth, Otto A. (author)
- Univ Oslo, Oslo, Norway
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- Xu, Jiaqiong (author)
- Methodist Debakey Heart & Vasc Ctr, Ctr Outcomes Res, Houston Methodist Res Inst, Houston, TX USA
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(creator_code:org_t)
- 2019
- 2019
- English.
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In: Circulation Cardiovascular Imaging. - 1941-9651 .- 1942-0080. ; 12:1
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- BACKGROUND:Assessment of left ventricular (LV) filling pressure is among the important components of a comprehensive echocardiographic report. Previous studies noted wide limits of agreement using 2009 American Society of Echocardiography/European Association of Echocardiography guidelines, but reproducibility of 2016 guidelines update in estimating LV filling pressure is unknown.METHODS:Echocardiographic and hemodynamic data were obtained from 50 patients undergoing cardiac catheterization for clinical indications. Clinical and echocardiographic findings but not invasive hemodynamics were provided to 4 groups of observers, including experienced echocardiographers and cardiology fellows. Invasively acquired LV filling pressure was the gold standard.RESULTS:In group I of 8 experienced echocardiographers from the guidelines writing committee, sensitivity for elevated LV filling pressure was 92% for all observers, and specificity was 93 +/- 6%. Fleiss kappa-value for the agreement in group I was 0.80. In group II of 4 fellows in training, sensitivity was 91 +/- 2%, and specificity was 95 +/- 2%. Fleiss kappa-value for the agreement in group II was 0.94. In group III of 9 experienced echocardiographers who had not participated in drafting the guidelines, sensitivity was 88 +/- 5%, and specificity was 91 +/- 7%. Fleiss kappa-value for the agreement in group III was 0.76. In group IV of 7 other fellows, sensitivity was 91 +/- 3%, and specificity was 92 +/- 5%. Fleiss kappa-value for the agreement in group IV was 0.89.CONCLUSIONS:There is a good level of agreement and accuracy in the estimation of LV filling pressure using the American Society of Echocardiography/European Association of Cardiovascular Imaging 2016 recommendations update, irrespective of the experience level of the observer.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- diastole
- echocardiography
- echocardiography
- Doppler
- guideline
- humans
Publication and Content Type
- ref (subject category)
- art (subject category)
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Nagueh, Sherif F ...
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Abraham, Theodor ...
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Aurigemma, Gerar ...
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Bax, Jeroen J.
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Beladan, Carmen
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Browning, Alyssa
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show more...
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Chamsi-Pasha, Mo ...
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Delgado, Victori ...
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Derumeaux, Genev ...
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Dolci, Giulia
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Donal, Erwan
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Edvardsen, Thor
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El Tallawi, Kina ...
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Ernande, Laura
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Esposito, Robert ...
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Flachskampf, Fra ...
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Galderisi, Mauri ...
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Gentry, James
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Goldstein, Steve ...
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Harb, Serge C.
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Hubert, Arnaud
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Hung, Judy
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Klein, Allan L.
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Lancellotti, Pat ...
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Mahmood, Redah Z ...
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Marino, Paolo
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Popescu, Bogdan ...
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Previato, Martin ...
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Sanghai, Saket R ...
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Smiseth, Otto A.
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Xu, Jiaqiong
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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Circulation Card ...
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Uppsala University