MedStar Authors catalog › Details for: Interobserver Variability in Applying American Society of Echocardiography/European Association of Cardiovascular Imaging 2016 Guidelines for Estimation of Left Ventricular Filling Pressure.
Citation: Circulation. Cardiovascular imaging. 12(1):e008122, 2019 Dec. [Online 11 Jan 2019].Journal: Circulation. Cardiovascular imaging.Published: ; 2019ISSN: 1941-9651.Full author list: Nagueh SF; Abraham TP; Aurigemma GP; Bax JJ; Beladan C; Browning A; Chamsi-Pasha MA; Delgado V; Derumeaux G; Dolci G; Donal E; Edvardsen T; El Tallawi KC; Ernande L; Esposito R; Flachskampf FA; Galderisi M; Gentry J; Goldstein SA; Harb SC; Hubert A; Hung J; Klein AL; Lancellotti P; Mahmood RZ; Marino P; Popescu BA; Previato M; Sanghai SR; Smiseth OA; Xu J; for Diastolic Function Assessment Collaborators.UI/PMID: 30632389.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1161/CIRCIMAGING.118.008122 (Click here)Abbreviated citation: Circ Cardiovasc Imaging. 12(1):e008122, 2019 Dec. [Online 11 Jan 2019].Abstract: 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.Abstract: 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.Abstract: 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.Abstract: 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.