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Article Dans Une Revue Echocardiography Année : 2023

Inter‐center reproducibility of standard and advanced echocardiographic parameters in the EACVI‐AFib echo registry

Julien Magne
  • Fonction : Auteur
Leyla Elif Sade
Martin Penicka
  • Fonction : Auteur
Asim Katbeh
  • Fonction : Auteur
Bernard Cosyns
  • Fonction : Auteur
Matteo Cameli
  • Fonction : Auteur
Jadranka Separovic Hanzevacki
  • Fonction : Auteur
Vlatka Reskovic Luksic
  • Fonction : Auteur
Eustachio Agricola
Rodolfo Citro
Andreas Hagendorff
  • Fonction : Auteur
Patrizio Lancellotti
Gilbert Habib
Antonella Moreo
  • Fonction : Auteur
Nuno Cardim
  • Fonction : Auteur
Vito Maurizio Parato
Alexsandar Neskovic
  • Fonction : Auteur
Monica Rosca
  • Fonction : Auteur
Elena Galli
  • Fonction : Auteur
Andreea Motoc
  • Fonction : Auteur
Giulia Mandoli
Giacomo Ingallina
Costantina Prota
  • Fonction : Auteur
Stephen Stoebe
Caroline Piette
  • Fonction : Auteur
Basile Mouhat
  • Fonction : Auteur
Andreina Carbone
  • Fonction : Auteur
Benedetta De Chiara
  • Fonction : Auteur
Federica Ilardi
  • Fonction : Auteur
Ivan Stankovic
  • Fonction : Auteur
Jose Luis Zamorano
  • Fonction : Auteur
Bogdan Alexandru Popescu

Résumé

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.

Dates et versions

hal-04198713 , version 1 (07-09-2023)

Licence

Paternité - Pas d'utilisation commerciale

Identifiants

Citer

Ciro Santoro, Erwan Donal, Julien Magne, Leyla Elif Sade, Martin Penicka, et al.. Inter‐center reproducibility of standard and advanced echocardiographic parameters in the EACVI‐AFib echo registry. Echocardiography, 2023, 40 (8), pp.775-783. ⟨10.1111/echo.15640⟩. ⟨hal-04198713⟩
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