دورية أكاديمية
Screening for rheumatic heart disease: The reliability of anterior mitral valve leaflet thickness measurement.
| العنوان: | Screening for rheumatic heart disease: The reliability of anterior mitral valve leaflet thickness measurement. |
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| المؤلفون: | Hunter LD; Faculty of Medicine and Health Sciences, Department of Medicine, Division of Cardiology, Tygerberg Academic Hospital and University of Stellenbosch, Cape Town, South Africa., Lombard CJ; Division of Epidemiology and Biostatistics, University of Stellenbosch, Cape Town, South Africa.; Biostatistics Unit, South African Medical Research Council, Cape Town, South Africa., Monaghan MJ; Kings College Hospital, London, UK., Lloyd GW; Echocardiography Laboratory, Barts Heart Centre, St Bartholomew's Hospital, London, UK.; Institute of Cardiovascular Sciences, UCL, London, UK.; William Harvey Research Institute, Queen Mary University of London, London, UK., Franckeiss BM; Faculty of Medicine and Health Sciences, Department of Medicine, Division of Cardiology, Tygerberg Academic Hospital and University of Stellenbosch, Cape Town, South Africa., Pecoraro AJK; Faculty of Medicine and Health Sciences, Department of Medicine, Division of Cardiology, Tygerberg Academic Hospital and University of Stellenbosch, Cape Town, South Africa., Doubell AF; Faculty of Medicine and Health Sciences, Department of Medicine, Division of Cardiology, Tygerberg Academic Hospital and University of Stellenbosch, Cape Town, South Africa., Herbst PG; Faculty of Medicine and Health Sciences, Department of Medicine, Division of Cardiology, Tygerberg Academic Hospital and University of Stellenbosch, Cape Town, South Africa. |
| المصدر: | Echocardiography (Mount Kisco, N.Y.) [Echocardiography] 2020 Jun; Vol. 37 (6), pp. 808-814. Date of Electronic Publication: 2020 Jun 10. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8511187 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8175 (Electronic) Linking ISSN: 07422822 NLM ISO Abbreviation: Echocardiography Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Blackwell Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., [c1984- |
| مواضيع طبية MeSH: | Mitral Valve Insufficiency* , Rheumatic Heart Disease*/diagnostic imaging, Humans ; Mitral Valve/diagnostic imaging ; Reproducibility of Results ; Retrospective Studies |
| مستخلص: | Background: Studies determining the reliability of the World Heart Federation (WHF) anterior mitral valve leaflet (AMVL) measurement are limited by the introduction of bias in their test-retest analyses. This study sought to determine the reliability of the current AMVL measurement while controlling for systematic bias. Methods: Retrospective analysis of echocardiographic data from 16 patients with previous acute rheumatic fever was performed. Included in this study was an optimized cine loop of the mitral valve (MV) [reader-optimized measurement (ROM]) in the parasternal long-axis view and an optimized still image of the MV obtained from the same cine loop [specialist-optimized image (SOI)]. Each still image and associated cine loop was quadruplicated and randomized to determine intra- and inter-rater agreement and quantify the impact of zoom on AMVL measurement. Results: Specialist-optimized image without zoom reflected the highest degree of agreement in both cohorts with an ICC of 0.29 and 0.46. The agreement in ROM images without zoom was ICC of 0.23 and 0.45. The addition of zoom to SOI decreased agreement further to an ICC of 0.20 and 0.36. The setting associated with the poorest agreement profile was ROI with zoom with an ICC of 0.13 and 0.34, respectively. The intra-rater agreement between readers in both cohorts was moderate across all settings with an ICC ranging between 0.64 and 0.86. Conclusions: The WHF AMVL measurement is only moderately repeatable within readers and demonstrates poor reproducibility that was not improved by the addition of a zoom-optimized protocol. Given our study findings, we cannot advocate the current WHF AMVL measurement as a reliable assessment for RHD. (© 2020 Wiley Periodicals LLC.) |
| References: | Remenyi B, Wilson N, Steer A, et al. World Heart Federation criteria for echocardiographic diagnosis of rheumatic heart disease-an evidence-based guideline. Nat Rev Cardiol. 2012;9(5):297-309. Sahasakul Y, Edwards WD, Naessens JM, Tajik AJ. Age-related changes in aortic and mitral valve thickness: Implications for two-dimensional echocardiography based on an autopsy study of 200 normal human hearts. Am J Cardiol. 1988;62:424-430. Herbst P. Screening for asymptomatic rheumatic heart disease: Understanding the mechanisms key to the diagnostic criteria. SA Heart. 2015;12(3):134-144. Victor S, Nayak VM. Definition and function of commissures, slits and scallops of the mitral valve: Analysis in 100 hearts. Asia Pacific J Thorac Cardiovasc Surg. 1994;3(1):10-16. Watson PF, Petrie A. Method agreement analysis: A review of correct methodology. Theriogenology. 2010;73(9):1167-1179. Webb RH, Culliford-Semmens N, Sidhu K, Wilson NJ. Normal echocardiographic mitral and aortic valve thickness in children. Heart Asia. 2017;9(1):70-75. Remenyi B, Carapetis J, Stirling JW, et al. Inter-rater and intra-rater reliability and agreement of echocardiographic diagnosis of rheumatic heart disease using the World Heart Federation evidence-based criteria. Heart Asia. 2019;11(2):e011233. Beaton A, Okello E, Aliku T, et al. Latent rheumatic heart disease: outcomes 2 years after echocardiographic detection. Pediatr Cardiol. 2014;35(7):1259-1267. Bacquelin R, Tafflet M, Rouchon B, et al. Echocardiography-based screening for rheumatic heart disease: What does borderline mean? Int J Cardiol. 2016;203:1003-1004. Gewitz MH, Baltimore RS, Tani LY, et al. Revision of the Jones criteria for the diagnosis of acute rheumatic fever in the era of doppler echocardiography: A scientific statement from the American Heart Association. Circulation. 2015;131:1806-1819. Albert A, Zhang L. A novel definition of the multivariate coefficient of variation. Biometrical J. 2010;52(5):667-675. Gwet KL. Intrarater reliability. Wiley Encycl Clin Trials. 2008:1-13. https://doi.org/10.1002/9780471462422.eoct631. Klein D. Implementing a general framework for assessing interrater agreement in stata. Stata J. 2018;18(4):871-901. Hunter LD, Monaghan M, Lloyd G, Pecoraro AJK, Doubell AF, Herbst PG. Prominent inter-scallop separations of the posterior leaflet of the mitral valve: an important cause of “pathological” mitral regurgitation. Echo Res Pract. 2018;5(2):29-34. |
| معلومات مُعتمدة: | Every heart beat matters #35526255 International Edwards Lifesciences |
| فهرسة مساهمة: | Keywords: 2D Echocardiography; anterior mitral valve leaflet; rheumatic heart disease; screening |
| تواريخ الأحداث: | Date Created: 20200612 Date Completed: 20210623 Latest Revision: 20210623 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1111/echo.14751 |
| PMID: | 32524654 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1540-8175 |
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| DOI: | 10.1111/echo.14751 |