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

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

doi:10.1111/echo.15640

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

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

Research output: Contribution to journal › Article › peer-review

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Abstract

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.

Original language	English
Pages (from-to)	775-783
Number of pages	9
Journal	Echocardiography
Volume	40
Issue number	8
DOIs	https://doi.org/10.1111/echo.15640
Publication status	Published - Aug 2023

Bibliographical note

Keywords

Humans
Atrial Fibrillation
Reproducibility of Results
Echocardiography/methods
Heart Atria/diagnostic imaging
Registries

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Santoro, C., Donal, E., Magne, J., Sade, L. E., Penicka, M., Katbeh, A., Cosyns, B., Cameli, M., Hanzevacki, J. S., Luksic, V. R., Agricola, E., Citro, R., Hagendorff, A., Lancellotti, P., Habib, G., Moreo, A., Cardim, N., Parato, V. M., Neskovic, A., ... Galderisi, M. (2023). Inter-center reproducibility of standard and advanced echocardiographic parameters in the EACVI-AFib echo registry. Echocardiography, 40(8), 775-783. https://doi.org/10.1111/echo.15640

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title = "Inter-center reproducibility of standard and advanced echocardiographic parameters in the EACVI-AFib echo registry",

abstract = "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.",

keywords = "Humans, Atrial Fibrillation, Reproducibility of Results, Echocardiography/methods, Heart Atria/diagnostic imaging, Registries",

author = "Ciro Santoro and Erwan Donal and Julien Magne and Sade, {Leyla Elif} and Martin Penicka and Asim Katbeh and Bernard Cosyns and Matteo Cameli and Hanzevacki, {Jadranka Separovic} and Luksic, {Vlatka Reskovic} and Eustachio Agricola and Rodolfo Citro and Andreas Hagendorff and Patrizio Lancellotti and Gilbert Habib and Antonella Moreo and Nuno Cardim and Parato, {Vito Maurizio} and Alexsandar Neskovic and Monica Rosca and Elena Galli and Andreea Motoc and Giulia Mandoli and Giacomo Ingallina and Costantina Prota and Stephen Stoebe and Caroline Piette and Basile Mouhat and Andreina Carbone and Chiara, {Benedetta De} and Federica Ilardi and Ivan Stankovic and Zamorano, {Jose Luis} and Popescu, {Bogdan Alexandru} and Thor Edvardsen and Maurizio Galderisi",

note = "{\textcopyright} 2023 The Authors. Echocardiography published by Wiley Periodicals LLC.",

year = "2023",

month = aug,

doi = "10.1111/echo.15640",

language = "English",

volume = "40",

pages = "775--783",

journal = "Echocardiography",

issn = "0742-2822",

publisher = "Wiley-Blackwell",

number = "8",

}

Santoro, C, Donal, E, Magne, J, Sade, LE, Penicka, M, Katbeh, A, Cosyns, B, Cameli, M, Hanzevacki, JS, Luksic, VR, Agricola, E, Citro, R, Hagendorff, A, Lancellotti, P, Habib, G, Moreo, A, Cardim, N, Parato, VM, Neskovic, A, Rosca, M, Galli, E, Motoc, A, Mandoli, G, Ingallina, G, Prota, C, Stoebe, S, Piette, C, Mouhat, B, Carbone, A, Chiara, BD, Ilardi, F, Stankovic, I, Zamorano, JL, Popescu, BA, Edvardsen, T & Galderisi, M 2023, 'Inter-center reproducibility of standard and advanced echocardiographic parameters in the EACVI-AFib echo registry', Echocardiography, vol. 40, no. 8, pp. 775-783. https://doi.org/10.1111/echo.15640

TY - JOUR

T1 - Inter-center reproducibility of standard and advanced echocardiographic parameters in the EACVI-AFib echo registry

AU - Santoro, Ciro

AU - Donal, Erwan

AU - Magne, Julien

AU - Sade, Leyla Elif

AU - Penicka, Martin

AU - Katbeh, Asim

AU - Cosyns, Bernard

AU - Cameli, Matteo

AU - Hanzevacki, Jadranka Separovic

AU - Luksic, Vlatka Reskovic

AU - Agricola, Eustachio

AU - Citro, Rodolfo

AU - Hagendorff, Andreas

AU - Lancellotti, Patrizio

AU - Habib, Gilbert

AU - Moreo, Antonella

AU - Cardim, Nuno

AU - Parato, Vito Maurizio

AU - Neskovic, Alexsandar

AU - Rosca, Monica

AU - Galli, Elena

AU - Motoc, Andreea

AU - Mandoli, Giulia

AU - Ingallina, Giacomo

AU - Prota, Costantina

AU - Stoebe, Stephen

AU - Piette, Caroline

AU - Mouhat, Basile

AU - Carbone, Andreina

AU - Chiara, Benedetta De

AU - Ilardi, Federica

AU - Stankovic, Ivan

AU - Zamorano, Jose Luis

AU - Popescu, Bogdan Alexandru

AU - Edvardsen, Thor

AU - Galderisi, Maurizio

PY - 2023/8

Y1 - 2023/8

N2 - 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.

AB - 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.

KW - Humans

KW - Atrial Fibrillation

KW - Reproducibility of Results

KW - Echocardiography/methods

KW - Heart Atria/diagnostic imaging

KW - Registries

UR - http://www.scopus.com/inward/record.url?scp=85162622063&partnerID=8YFLogxK

U2 - 10.1111/echo.15640

DO - 10.1111/echo.15640

M3 - Article

C2 - 37351556

SN - 0742-2822

VL - 40

SP - 775

EP - 783

JO - Echocardiography

JF - Echocardiography

IS - 8

ER -

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

Abstract

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