Document Detail


Multiplane transesophageal echocardiography performed according to the guidelines of the American Society of Echocardiography in patients with mitral valve prolapse, flail, and endocarditis: diagnostic accuracy in the identification of mitral regurgitant defects by correlation with surgical findings.
MedLine Citation:
PMID:  12514636     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Multiplane transesophageal echocardiography is a useful tool to study mitral regurgitation. We evaluated the diagnostic accuracy of multiplane transesophageal echocardiography performed according to the guidelines of the American Society of Echocardiography. We used 4 midesophageal and 2 transgastric views in 313 patients with degenerative lesions, endocarditic lesions, or both to identify regurgitant defects, comparing transesophageal echocardiography results with surgical findings. The overall diagnostic accuracy using individual scallops was 97.2% (P <.00001) with a sensitivity of 96.6% and a specificity of 97.6%. Considering the single sections of the mitral valve, an accuracy of 98%, 97.1%, and 98%, was found, respectively, for the lateral, middle, and medial third of the anterior leaflet. For the posterior leaflet, the accuracy was 98% for the lateral scallop, 98.4% for the middle, and 96.1% for the medial. This strategy provides good accuracy in diagnosing both simple and challenging mitral-valve lesions and its widespread use should be recommended.
Authors:
Eustachio Agricola; Michele Oppizzi; Michele De Bonis; Francesco Maisano; Lucia Toracca; Tiziana Bove; Ottavio Alfieri;
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Guideline; Journal Article; Practice Guideline    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  16     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-06     Completed Date:  2003-04-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  61-6     Citation Subset:  IM    
Affiliation:
Department of Noninvasive Cardiology, San Raffaele Hospital, IRCCS, Milano, Italy. agricola.eustachio@hsr.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Americas
Diagnosis, Differential
Diagnostic Techniques, Surgical / standards
Echocardiography, Transesophageal / standards*
Endocarditis / diagnosis*,  epidemiology
Female
Flail Chest / diagnosis*,  epidemiology
Humans
Intraoperative Care / standards
Male
Middle Aged
Mitral Valve / pathology,  surgery
Mitral Valve Insufficiency / diagnosis,  epidemiology
Mitral Valve Prolapse / diagnosis*,  epidemiology
Observer Variation
Sensitivity and Specificity
Societies, Medical*
Statistics as Topic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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