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J.S. Jhang, J.A. Diamond, R.A. Phillips, G28
Interobserver variability in left ventricular measurements by simultaneously obtained two-dimensional (2d) and m-mode echocardiography., American Journal of Hypertension, Volume 8, Issue 4_Pt_2, April 1995, Page 88A, https://doi.org/10.1016/0895-7061(95)97693-L - Share Icon Share
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Achieving low interobserver variability is a goal of echocardiographic determined left ventricular (LV) mass measurements. We evaluated interobserver variation using a method which employed digitized, simultaneously obtained, 2D and M-mode images of the LV. Sixty echocardiographic tracings from several ongoing hypertension trials were digitized on-line with an ATL Ultramark™). Cines of three consecutive frames of 2D and M-mode parasternal short axis views of the left ventricle were simulataneously displayed. Left ventricular dimensions from the M-mode were measured to determine LV mass. Interobserver measurements were correlated (Pearson correlation coefficient) and expressed as a percent of the mean.
LV mass was determined using the Penn convention protocol using the formula LV Mass=1.04[(IVS+LVID+PWT)3 - (LVID)3] - 13.6.
When read in a blinded fashion, interobserver variability (especially for LV mass) is small using digitized, simultaneously displayed cines of 2D and M-mode echocardiograms. This is likely due to the ability to discriminate myocardial wall edges (endocardium) from other associated structures such as tricupsid and mitral apparatus. This method may prove useful in studies of LV mass.