TY - JOUR
T1 - Inter-center reproducibility of standard and advanced echocardiographic parameters in the EACVI-AFib echo registry
AU - Santoro, Ciro
AU - Donal, Erwan
AU - Magne, Julien
AU - Sade, Leyla Elif
AU - Penicka, Martin
AU - Katbeh, Asim
AU - Cosyns, Bernard
AU - Cameli, Matteo
AU - Hanzevacki, Jadranka Separovic
AU - Luksic, Vlatka Reskovic
AU - Agricola, Eustachio
AU - Citro, Rodolfo
AU - Hagendorff, Andreas
AU - Lancellotti, Patrizio
AU - Habib, Gilbert
AU - Moreo, Antonella
AU - Cardim, Nuno
AU - Parato, Vito Maurizio
AU - Neskovic, Alexsandar
AU - Rosca, Monica
AU - Galli, Elena
AU - Motoc, Andreea
AU - Mandoli, Giulia
AU - Ingallina, Giacomo
AU - Prota, Costantina
AU - Stoebe, Stephen
AU - Piette, Caroline
AU - Mouhat, Basile
AU - Carbone, Andreina
AU - Chiara, Benedetta De
AU - Ilardi, Federica
AU - Stankovic, Ivan
AU - Zamorano, Jose Luis
AU - Popescu, Bogdan Alexandru
AU - Edvardsen, Thor
AU - Galderisi, Maurizio
N1 - Funding Information:
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.
Publisher Copyright:
© 2023 The Authors. Echocardiography published by Wiley Periodicals LLC.
PY - 2023/8
Y1 - 2023/8
N2 - 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.
AB - 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.
KW - ejection fraction
KW - global longitudinal strain
KW - left ventricular mass
KW - peak atrial longitudinal strain
KW - registry
KW - reproducibility
UR - https://www.scopus.com/pages/publications/85162622063
U2 - 10.1111/echo.15640
DO - 10.1111/echo.15640
M3 - Article
C2 - 37351556
AN - SCOPUS:85162622063
SN - 0742-2822
VL - 40
SP - 775
EP - 783
JO - Echocardiography
JF - Echocardiography
IS - 8
ER -