Interobserver Variability in Applying American Society of Echocardiography/European Association of Cardiovascular Imaging 2016 Guidelines for Estimation of Left Ventricular Filling Pressure - Université Paris-Est-Créteil-Val-de-Marne Access content directly
Journal Articles Circulation: Cardiovascular Imaging Year : 2019

Interobserver Variability in Applying American Society of Echocardiography/European Association of Cardiovascular Imaging 2016 Guidelines for Estimation of Left Ventricular Filling Pressure

Sherif Nagueh
  • Function : Author
Theodore Abraham
  • Function : Author
Gerard Aurigemma
  • Function : Author
Jeroen Bax
  • Function : Author
Carmen Beladan
  • Function : Author
Alyssa Browning
  • Function : Author
Mohammed Chamsi-Pasha
  • Function : Author
Victoria Delgado
  • Function : Author
Giulia Dolci
  • Function : Author
Erwan Donal
  • Function : Author
Thor Edvardsen
  • Function : Author
Kinan Carlos El Tallawi
  • Function : Author
Laura Ernande
  • Function : Author
Roberta Esposito
  • Function : Author
Frank Flachskampf
  • Function : Author
Maurizio Galderisi
  • Function : Author
James Gentry
  • Function : Author
Steven Goldstein
  • Function : Author
Serge Harb
  • Function : Author
Arnaud Hubert
  • Function : Author
Judy Hung
  • Function : Author
Allan Klein
  • Function : Author
Patrizio Lancellotti
Redah Mahmood
  • Function : Author
Paolo Marino
  • Function : Author
Bogdan Popescu
  • Function : Author
Martina Previato
  • Function : Author
Saket Sanghai
  • Function : Author
Otto Smiseth
  • Function : Author
Jiaqiong Xu
  • Function : Author

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. 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 κ-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 κ-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 κ-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 κ-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.

Dates and versions

hal-04395274 , version 1 (15-01-2024)

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Cite

Sherif Nagueh, Theodore Abraham, Gerard Aurigemma, Jeroen Bax, Carmen Beladan, et al.. Interobserver Variability in Applying American Society of Echocardiography/European Association of Cardiovascular Imaging 2016 Guidelines for Estimation of Left Ventricular Filling Pressure. Circulation: Cardiovascular Imaging, 2019, 12 (1), ⟨10.1161/CIRCIMAGING.118.008122⟩. ⟨hal-04395274⟩

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