Reference Values for Real Time Three‐Dimensional Echocardiography–Derived Left Ventricular Volumes and Ejection Fraction: Review and Meta‐Analysis of Currently Available Studies

Buccheri, Sergio; Costanzo, Luca; Tamburino, Corrado; Monte, Ines

doi:10.1111/echo.12972

Cited by 27 publications

(20 citation statements)

References 45 publications

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“…However, multivariate logistic regression analysis showed that only LVEF (OR 0.920, 95% CI 0.882-0.959, p < 0.001) was an independent factor for the inconsistency between the S D + SV 4 criterion and the gold standard in the diagnosis of LVH after adjusting for hypertension, PSVT history, BSA, IVST, PWT, and LVID (Table 4). LVEF reflecting ventricular systolic function is negatively correlated with LVID [31,32]. It is well known that the vector's magnitude of the ventricle is positively correlated with LVM.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Capability and Influence Factors for a New Electrocardiogram Criterion in the Diagnosis of Left Ventricular Hypertrophy in a Chinese Population

Xia

Zhang

et al. 2020

Cardiology

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Introduction: Based on a small sample of patients with hypertension, a few studies have reported that the newly proposed S D + SV 4 criterion for left ventricular hypertrophy (LVH) is better than traditional criteria. This study aimed to verify the diagnostic capability of the S D + SV 4 criterion in a Chinese population with or without hypertension and to analyze the factors affecting the diagnostic accuracy of LVH. Methods: A total of 248 patients with LVH or paroxysmal supraventricular tachycardia (PSVT) discharged from Fuwai Hospital from January 2010 to July 2018 were enrolled. Patients with LVH were diagnosed according to the left ventricular mass index calculated by the echocardiogram parameter as the gold standard in this study. The receiver operating curve (ROC) curve was performed to assess the diagnostic capability and cut-off values of the S D + SV 4 , RavL + SV 3 , and SV 1 + RV 5 /RV 6 criteria for LVH. Then, multi-variate logistic regression analyses were performed to investigate the factors affecting the accuracy of the S D + SV 4 criterion. Results: There were 170 (68.5%) patients with hypertension and 110 (44.4%) with PSVT. According to echocardiography, 107 (43.1%) patients were diagnosed with LVH. The area under the curve (AUC) of the S D + SV 4 criterion was the largest compared with that of the RavL + SV 3 and SV 1 + RV 5 /RV 6 criteria (AUC 0.765 vs. 0.718 vs. 0.713, respectively). The sex-specific S D + SV 4 criterion had the highest consistency with the gold standard (r = 0.532 ± 0.054, p < 0.01), accompanied by the highest sensitivity (70.1%) and specificity (85.8%). The cut-off values of the sex-specific S D + SV 4 criterion for LVH were ≥2.65 mV (male)/2.15 mV (female). The left ventricular ejection fraction (LVEF; OR 0.920, 95% CI 0.882-0.959, p < 0.001) was significantly different between the S D + SV 4 criterion and the gold standard for LVH after adjusting for hypertension, PSVT history, body surface area, interventricular septum thickness, posterior wall thickness, and left ventricular internal diameter. Conclusion: The newly proposed S D + SV 4 criterion provides improved sensitivity and accuracy for the diagnosis of LVH in the Chinese population. A decrease in LVEF is an independent factor affecting the diagnostic accuracy of LVH.

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Section: Discussionmentioning

confidence: 99%

Diagnostic Capability and Influence Factors for a New Electrocardiogram Criterion in the Diagnosis of Left Ventricular Hypertrophy in a Chinese Population

Xia

Zhang

et al. 2020

Cardiology

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“…25 The RT3DE inconsistent estimation of the ventricular volumes was because of sonographer's inability to recognize the difference between myocardium and trabeculae tissue. 26,27 Tracing the endocardium so that it includes trabeculae was a solution suggested to minimize inconsistent estimation of ventricular volume by RT3DE.…”

Section: Resultsmentioning

confidence: 99%

Real-Time Three-Dimensional Echocardiography: Characterization of Cardiac Anatomy and Function—Current Clinical Applications and Literature Review Update

Velasco

Beckett

James

et al. 2017

BioResearch Open Access

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Our review of real-time three-dimensional echocardiography (RT3DE) discusses the diagnostic utility of RT3DE and provides a comparison with two-dimensional echocardiography (2DE) in clinical cardiology. A Pubmed literature search on RT3DE was performed using the following key words: transthoracic, two-dimensional, three-dimensional, real-time, and left ventricular (LV) function. Articles included perspective clinical studies and meta-analyses in the English language, and focused on the role of RT3DE in human subjects. Application of RT3DE includes analysis of the pericardium, right ventricular (RV) and LV cavities, wall motion, valvular disease, great vessels, congenital anomalies, and traumatic injury, such as myocardial contusion. RT3DE, through a transthoracic echocardiography (TTE), allows for increasingly accurate volume and valve motion assessment, estimated LV ejection fraction, and volume measurements. Chamber motion and LV mass approximation have been more accurately evaluated by RT3DE by improved inclusion of the third dimension and quantification of volumetric movement. Moreover, RT3DE was shown to have no statistical significance when comparing the ejection fractions of RT3DE to cardiac magnetic resonance (CMR). Analysis of RT3DE data sets of the LV endocardial exterior allows for the volume to be directly quantified for specific phases of the cardiac cycle, ranging from end systole to end diastole, eliminating error from wall motion abnormalities and asymmetrical left ventricles. RT3DE through TTE measures cardiac function with superior diagnostic accuracy in predicting LV mass, systolic function, along with LV and RV volume when compared with 2DE with comparable results to CMR.

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“…Many studies have shown higher values of LV volumes obtained with 3DE in comparison with 2DE, but without significant differences in the calculated EF. However, LV volumes obtained with both methods are significantly smaller than those obtained with CMR, which is regarded as the gold standard because of its high spatial resolution and ability to obtain complete volumetric data sets of LV [3,4,5,6].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Two-Dimensional and Three-Dimensional Echocardiography in Determination of Left Ventricle Volumes and Ejection Fraction in Adult Population

Bushljetikj

Georgievska-Ismail

2017

Prilozi

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Reference Values for Real Time Three‐Dimensional Echocardiography–Derived Left Ventricular Volumes and Ejection Fraction: Review and Meta‐Analysis of Currently Available Studies

Cited by 27 publications

References 45 publications

Diagnostic Capability and Influence Factors for a New Electrocardiogram Criterion in the Diagnosis of Left Ventricular Hypertrophy in a Chinese Population

Diagnostic Capability and Influence Factors for a New Electrocardiogram Criterion in the Diagnosis of Left Ventricular Hypertrophy in a Chinese Population

Real-Time Three-Dimensional Echocardiography: Characterization of Cardiac Anatomy and Function—Current Clinical Applications and Literature Review Update

Comparison of Two-Dimensional and Three-Dimensional Echocardiography in Determination of Left Ventricle Volumes and Ejection Fraction in Adult Population

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