A multicentric quality-control study of exercise Doppler echocardiography of the right heart and the pulmonary circulation. The RIGHT Heart International NETwork (RIGHT-NET)
Abstract Purpose This study was a quality-control study of resting and exercise Doppler echocardiography (EDE) variables measured by 19 echocardiography laboratories with proven experience participating in the RIGHT Heart International NETwork. Methods All participating investigators reported the re...
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-01-01
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| Series: | Cardiovascular Ultrasound |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12947-021-00238-1 |
| _version_ | 1828891431186464768 |
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| author | Francesco Ferrara Luna Gargani Carla Contaldi Gergely Agoston Paola Argiento William F. Armstrong Francesco Bandera Filippo Cademartiri Rodolfo Citro Antonio Cittadini Rosangela Cocchia Michele D’Alto Antonello D’Andrea Philipp Douschan Stefano Ghio Ekkehard Grünig Marco Guazzi Stefania Guida Jaroslaw D. Kasprzak Theodore John Kolias Giuseppe Limongelli Alberto Maria Marra Matteo Mazzola Ciro Mauro Antonella Moreo Francesco Pieri Lorenza Pratali Nicola Riccardo Pugliese Mauro Raciti Brigida Ranieri Lawrence Rudski Rajan Saggar Andrea Salzano Walter Serra Anna Agnese Stanziola Mani Vannan Damien Voilliot Olga Vriz Karina Wierzbowska-Drabik Robert Naeije Eduardo Bossone On behalf of the RIGHT Heart International NETwork (RIGHT-NET) Investigators |
| author_facet | Francesco Ferrara Luna Gargani Carla Contaldi Gergely Agoston Paola Argiento William F. Armstrong Francesco Bandera Filippo Cademartiri Rodolfo Citro Antonio Cittadini Rosangela Cocchia Michele D’Alto Antonello D’Andrea Philipp Douschan Stefano Ghio Ekkehard Grünig Marco Guazzi Stefania Guida Jaroslaw D. Kasprzak Theodore John Kolias Giuseppe Limongelli Alberto Maria Marra Matteo Mazzola Ciro Mauro Antonella Moreo Francesco Pieri Lorenza Pratali Nicola Riccardo Pugliese Mauro Raciti Brigida Ranieri Lawrence Rudski Rajan Saggar Andrea Salzano Walter Serra Anna Agnese Stanziola Mani Vannan Damien Voilliot Olga Vriz Karina Wierzbowska-Drabik Robert Naeije Eduardo Bossone On behalf of the RIGHT Heart International NETwork (RIGHT-NET) Investigators |
| author_sort | Francesco Ferrara |
| collection | DOAJ |
| description | Abstract Purpose This study was a quality-control study of resting and exercise Doppler echocardiography (EDE) variables measured by 19 echocardiography laboratories with proven experience participating in the RIGHT Heart International NETwork. Methods All participating investigators reported the requested variables from ten randomly selected exercise stress tests. Intraclass correlation coefficients (ICC) were calculated to evaluate the inter-observer agreement with the core laboratory. Inter-observer variability of resting and peak exercise tricuspid regurgitation velocity (TRV), right ventricular outflow tract acceleration time (RVOT Act), tricuspid annular plane systolic excursion (TAPSE), tissue Doppler tricuspid lateral annular systolic velocity (S’), right ventricular fractional area change (RV FAC), left ventricular outflow tract velocity time integral (LVOT VTI), mitral inflow pulsed wave Doppler velocity (E), diastolic mitral annular velocity by TDI (e’) and left ventricular ejection fraction (LVEF) were measured. Results The accuracy of 19 investigators for all variables ranged from 99.7 to 100%. ICC was > 0.90 for all observers. Inter-observer variability for resting and exercise variables was for TRV = 3.8 to 2.4%, E = 5.7 to 8.3%, e’ = 6 to 6.5%, RVOT Act = 9.7 to 12, LVOT VTI = 7.4 to 9.6%, S’ = 2.9 to 2.9% and TAPSE = 5.3 to 8%. Moderate inter-observer variability was found for resting and peak exercise RV FAC (15 to 16%). LVEF revealed lower resting and peak exercise variability of 7.6 and 9%. Conclusions When performed in expert centers EDE is a reproducible tool for the assessment of the right heart and the pulmonary circulation. |
| first_indexed | 2024-12-13T13:16:56Z |
| format | Article |
| id | doaj.art-1ca6343f52564abeb27697098f6dbbae |
| institution | Directory Open Access Journal |
| issn | 1476-7120 |
| language | English |
| last_indexed | 2024-12-13T13:16:56Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardiovascular Ultrasound |
| spelling | doaj.art-1ca6343f52564abeb27697098f6dbbae2022-12-21T23:44:30ZengBMCCardiovascular Ultrasound1476-71202021-01-0119111110.1186/s12947-021-00238-1A multicentric quality-control study of exercise Doppler echocardiography of the right heart and the pulmonary circulation. The RIGHT Heart International NETwork (RIGHT-NET)Francesco Ferrara0Luna Gargani1Carla Contaldi2Gergely Agoston3Paola Argiento4William F. Armstrong5Francesco Bandera6Filippo Cademartiri7Rodolfo Citro8Antonio Cittadini9Rosangela Cocchia10Michele D’Alto11Antonello D’Andrea12Philipp Douschan13Stefano Ghio14Ekkehard Grünig15Marco Guazzi16Stefania Guida17Jaroslaw D. Kasprzak18Theodore John Kolias19Giuseppe Limongelli20Alberto Maria Marra21Matteo Mazzola22Ciro Mauro23Antonella Moreo24Francesco Pieri25Lorenza Pratali26Nicola Riccardo Pugliese27Mauro Raciti28Brigida Ranieri29Lawrence Rudski30Rajan Saggar31Andrea Salzano32Walter Serra33Anna Agnese Stanziola34Mani Vannan35Damien Voilliot36Olga Vriz37Karina Wierzbowska-Drabik38Robert Naeije39Eduardo Bossone40On behalf of the RIGHT Heart International NETwork (RIGHT-NET) InvestigatorsCardio-Thoracic-Vascular Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”Institute of Clinical PhysiologyCardio-Thoracic-Vascular Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”Department of Family Medicine, Faculty of Medicine, University of SzegedDepartment of Cardiology, University of Campania “Luigi Vanvitelli”Division of Cardiovascular Medicine, University of Michigan Medical CenterHeart Failure Unit and Cardiopulmonary Laboratory, IRCCS Policlinico San Donato University Hospital, Milan, Italy Heart Failure Unit, Cardiology University Department, IRCCS Policlinico San DonatoIRCCS SDNCardio-Thoracic-Vascular Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”Department of Translational Medical Sciences, Federico II UniversityCardiology Division, A Cardarelli HospitalDepartment of Cardiology, University of Campania “Luigi Vanvitelli”Division of Cardiology, Umberto I° Hospital Nocera InferioreMedical University of Graz, Graz, Austria and Ludwig Boltzmann Institute for Lung Vascular ResearchDivision of Cardiology, Fondazione IRCCS Policlinico San MatteoCenter of Pulmonary Hypertension, Thoraxklinik Heidelberg at Heidelberg University HospitalHeart Failure Unit and Cardiopulmonary Laboratory, IRCCS Policlinico San Donato University Hospital, Milan, Italy Heart Failure Unit, Cardiology University Department, IRCCS Policlinico San DonatoDivision of Cardiology, Fondazione IRCCS Policlinico San MatteoI Dept. and Chair of Cardiology, Bieganski Hospital, Medical University of LodzDivision of Cardiovascular Medicine, University of Michigan Medical CenterDepartment of Cardiology, University of Campania “Luigi Vanvitelli”Department of Translational Medical Sciences, Federico II UniversityInstitute of Clinical PhysiologyCardiology Division, A Cardarelli HospitalA. De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano NiguardaCardiology Department, Careggi University HospitalInstitute of Clinical PhysiologyDepartment of Clinical and Experimental Medicine, University of PisaInstitute of Clinical PhysiologyIRCCS SDNAzrieli Heart Center and Center for Pulmonary Vascular Diseases, Jewish General Hospital, McGill UniversityLung & Heart-Lung Transplant and Pulmonary Hypertension Programs David Geffen School of Medicine, UCLAIRCCS SDNCardiology Division, University HospitalDepartment of Respiratory Diseases, Monaldi Hospital, University “Federico II”Piedmont Heart Institute, Marcus Heart Valve CenterCentre Hospitalier Lunéville, Service de CardiologieHeart Centre, King Faisal Specialist Hospital and Research CentreI Dept. and Chair of Cardiology, Bieganski Hospital, Medical University of LodzFree University of BrusselsCardiology Division, A Cardarelli HospitalAbstract Purpose This study was a quality-control study of resting and exercise Doppler echocardiography (EDE) variables measured by 19 echocardiography laboratories with proven experience participating in the RIGHT Heart International NETwork. Methods All participating investigators reported the requested variables from ten randomly selected exercise stress tests. Intraclass correlation coefficients (ICC) were calculated to evaluate the inter-observer agreement with the core laboratory. Inter-observer variability of resting and peak exercise tricuspid regurgitation velocity (TRV), right ventricular outflow tract acceleration time (RVOT Act), tricuspid annular plane systolic excursion (TAPSE), tissue Doppler tricuspid lateral annular systolic velocity (S’), right ventricular fractional area change (RV FAC), left ventricular outflow tract velocity time integral (LVOT VTI), mitral inflow pulsed wave Doppler velocity (E), diastolic mitral annular velocity by TDI (e’) and left ventricular ejection fraction (LVEF) were measured. Results The accuracy of 19 investigators for all variables ranged from 99.7 to 100%. ICC was > 0.90 for all observers. Inter-observer variability for resting and exercise variables was for TRV = 3.8 to 2.4%, E = 5.7 to 8.3%, e’ = 6 to 6.5%, RVOT Act = 9.7 to 12, LVOT VTI = 7.4 to 9.6%, S’ = 2.9 to 2.9% and TAPSE = 5.3 to 8%. Moderate inter-observer variability was found for resting and peak exercise RV FAC (15 to 16%). LVEF revealed lower resting and peak exercise variability of 7.6 and 9%. Conclusions When performed in expert centers EDE is a reproducible tool for the assessment of the right heart and the pulmonary circulation.https://doi.org/10.1186/s12947-021-00238-1Right ventriclePulmonary hypertensionExercise echocardiography |
| spellingShingle | Francesco Ferrara Luna Gargani Carla Contaldi Gergely Agoston Paola Argiento William F. Armstrong Francesco Bandera Filippo Cademartiri Rodolfo Citro Antonio Cittadini Rosangela Cocchia Michele D’Alto Antonello D’Andrea Philipp Douschan Stefano Ghio Ekkehard Grünig Marco Guazzi Stefania Guida Jaroslaw D. Kasprzak Theodore John Kolias Giuseppe Limongelli Alberto Maria Marra Matteo Mazzola Ciro Mauro Antonella Moreo Francesco Pieri Lorenza Pratali Nicola Riccardo Pugliese Mauro Raciti Brigida Ranieri Lawrence Rudski Rajan Saggar Andrea Salzano Walter Serra Anna Agnese Stanziola Mani Vannan Damien Voilliot Olga Vriz Karina Wierzbowska-Drabik Robert Naeije Eduardo Bossone On behalf of the RIGHT Heart International NETwork (RIGHT-NET) Investigators A multicentric quality-control study of exercise Doppler echocardiography of the right heart and the pulmonary circulation. The RIGHT Heart International NETwork (RIGHT-NET) Cardiovascular Ultrasound Right ventricle Pulmonary hypertension Exercise echocardiography |
| title | A multicentric quality-control study of exercise Doppler echocardiography of the right heart and the pulmonary circulation. The RIGHT Heart International NETwork (RIGHT-NET) |
| title_full | A multicentric quality-control study of exercise Doppler echocardiography of the right heart and the pulmonary circulation. The RIGHT Heart International NETwork (RIGHT-NET) |
| title_fullStr | A multicentric quality-control study of exercise Doppler echocardiography of the right heart and the pulmonary circulation. The RIGHT Heart International NETwork (RIGHT-NET) |
| title_full_unstemmed | A multicentric quality-control study of exercise Doppler echocardiography of the right heart and the pulmonary circulation. The RIGHT Heart International NETwork (RIGHT-NET) |
| title_short | A multicentric quality-control study of exercise Doppler echocardiography of the right heart and the pulmonary circulation. The RIGHT Heart International NETwork (RIGHT-NET) |
| title_sort | multicentric quality control study of exercise doppler echocardiography of the right heart and the pulmonary circulation the right heart international network right net |
| topic | Right ventricle Pulmonary hypertension Exercise echocardiography |
| url | https://doi.org/10.1186/s12947-021-00238-1 |
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