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201.
Ciro Santoro MD PhD Erwan Donal MD PhD Julien Magne MD PhD Leyla Elif Sade MD Martin Penicka MD PhD Asim Katbeh MD PhD Bernard Cosyns MD PhD Matteo Cameli MD PhD Jadranka Separovic Hanzevacki MD PhD Vlatka Reskovic Luksic MD Eustachio Agricola MD Rodolfo Citro MD PhD Andreas Hagendorff MD Patrizio Lancellotti MD PhD Gilbert Habib MD Antonella Moreo MD Nuno Cardim MD Vito Maurizio Parato MD Alexsandar Neskovic MD PhD Monica Rosca MD PhD Elena Galli MD PhD Andreea Motoc MD PhD Giulia Mandoli MD PhD Giacomo Ingallina MD Costantina Prota MD Stephen Stoebe MD Caroline Piette MD Basile Mouhat MD Andreina Carbone MD Benedetta De Chiara MD Federica Ilardi MD Ivan Stankovic MD PhD Jose Luis Zamorano MD PhD Bogdan Alexandru Popescu MD PhD Thor Edvardsen MD PhD Maurizio Galderisi MD 《Echocardiography (Mount Kisco, N.Y.)》2023,40(8):775-783
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. 相似文献202.
Giulia Ghizzoni MD Marco B. Ancona MD Vittorio Romano RT Barbara Bellini MD Luca Ferri MD Filippo Russo MD Ciro Vella MD Domitilla Gentile MD Giulia Chionchio MD Veronica Macelletti MD Francesco Ancona MD Eustachio Agricola MD Anna Palmisano MD Antonio Esposito MD Matteo Montorfano MD 《Catheterization and cardiovascular interventions》2023,102(3):538-541