Reproducibility in echocardiographic assessment of diastolic function in a population based study (the STANISLAS Cohort study)
There is limited evidence regarding intra-observer and inter-observer variations in echocardiographic measurements of diastolic function. This study aimed to assess this reproducibly within a population-based cohort study. Sixty subjects in sinus rhythm were randomly selected among 4th visit partici...
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| description | There is limited evidence regarding intra-observer and inter-observer variations in echocardiographic measurements of diastolic function. This study aimed to assess this reproducibly within a population-based cohort study.
Sixty subjects in sinus rhythm were randomly selected among 4th visit participants of the STANISLAS Cohort (Lorraine region, France). This 4th examination systematically included M-mode, 2-dimensional, DTI and pulsed-wave Doppler echocardiograms. Reproducibility of variables was studied by intra-class correlation coefficients (ICC) and Bland Altman plots.
Our population was on average middle-aged (50 ± 14 y), overweight (BMI = 26 ± 6 kg/m2) and non-smoking (87%) with a quarter of the participants having self-declared hypertension or treated with anti-hypertensive medication(s). Intra-observer ICC were > 0.90 for all analyzed parameters except for left ventricular ejection fraction (LVEF) which was 0.89 (0.81-0.93). The mean relative intra-observer differences were small and limits of agreement of relative differences were narrow for all considered parameters ( |
| doi_str_mv | 10.1371/journal.pone.0122336 |
| format | Article |
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Sixty subjects in sinus rhythm were randomly selected among 4th visit participants of the STANISLAS Cohort (Lorraine region, France). This 4th examination systematically included M-mode, 2-dimensional, DTI and pulsed-wave Doppler echocardiograms. Reproducibility of variables was studied by intra-class correlation coefficients (ICC) and Bland Altman plots.
Our population was on average middle-aged (50 ± 14 y), overweight (BMI = 26 ± 6 kg/m2) and non-smoking (87%) with a quarter of the participants having self-declared hypertension or treated with anti-hypertensive medication(s). Intra-observer ICC were > 0.90 for all analyzed parameters except for left ventricular ejection fraction (LVEF) which was 0.89 (0.81-0.93). The mean relative intra-observer differences were small and limits of agreement of relative differences were narrow for all considered parameters (<5% and <15% respectively). Inter-observer ICC were > 0.90 for all analyzed parameters except for LVEF (ICC = 0.87) and both mitral and pulmonary A wave duration (0.83 and 0.73 respectively). The mean relative inter-observer differences were <5% for all parameters except for pulmonary A wave duration (mean difference = 6.5%). Limits of agreement of relative differences were narrow (<15%), except for mitral A wave duration and velocity (both <20%) as well as left ventricular mass and pulmonary A wave duration (both <30%). Intra-observer agreements with regard to the presence and severity of diastolic dysfunction were excellent (Kappa = 0.93 (0.83-1.00) and 0.88 (0.75-0.99), respectively).
In this validation study within the STANISLAS cohort, diastolic function echocardiographic parameters were found to be highly reproducible. Diastolic dysfunction consequently appears as a highly effective clinical and research tool.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0122336</identifier><identifier>PMID: 25853818</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Antihypertensive Agents - therapeutic use ; Antihypertensives ; Blood Flow Velocity - physiology ; Blood pressure ; Body mass ; Body weight ; Cardiology and cardiovascular system ; Cohort analysis ; Cohort Studies ; Correlation analysis ; Correlation coefficient ; Correlation coefficients ; Diagnosis ; Diastole - physiology ; Doppler effect ; Drugs ; Echocardiography ; Female ; France ; Heart ; Heart Failure - diagnosis ; Heart Failure - physiopathology ; Human health and pathology ; Humans ; Hypertension ; Hypertension - drug therapy ; Hypertension - physiopathology ; Life Sciences ; Male ; Measurement ; Middle Aged ; Overweight ; Population studies ; Population-based studies ; Reproducibility ; Sinus ; Smoking ; Ventricle ; Ventricular Function, Left - physiology</subject><ispartof>PloS one, 2015-04, Vol.10 (4), p.e0122336</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Frikha et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>2015 Frikha et al 2015 Frikha et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c792t-2e8d4cb4f9abbb74bd970c46358e2488615cf5328da0248b49fb68fe784ab1313</citedby><cites>FETCH-LOGICAL-c792t-2e8d4cb4f9abbb74bd970c46358e2488615cf5328da0248b49fb68fe784ab1313</cites><orcidid>0000-0003-3199-7977 ; 0000-0002-3278-2057</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4390157/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4390157/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25853818$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.univ-lorraine.fr/hal-01758213$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Frikha, Zied</creatorcontrib><creatorcontrib>Girerd, Nicolas</creatorcontrib><creatorcontrib>Huttin, Olivier</creatorcontrib><creatorcontrib>Courand, Pierre Yves</creatorcontrib><creatorcontrib>Bozec, Erwan</creatorcontrib><creatorcontrib>Olivier, Arnaud</creatorcontrib><creatorcontrib>Lamiral, Zohra</creatorcontrib><creatorcontrib>Zannad, Faiez</creatorcontrib><creatorcontrib>Rossignol, Patrick</creatorcontrib><title>Reproducibility in echocardiographic assessment of diastolic function in a population based study (the STANISLAS Cohort study)</title><title>PloS one</title><addtitle>PLoS One</addtitle><description><![CDATA[There is limited evidence regarding intra-observer and inter-observer variations in echocardiographic measurements of diastolic function. This study aimed to assess this reproducibly within a population-based cohort study.
Sixty subjects in sinus rhythm were randomly selected among 4th visit participants of the STANISLAS Cohort (Lorraine region, France). This 4th examination systematically included M-mode, 2-dimensional, DTI and pulsed-wave Doppler echocardiograms. Reproducibility of variables was studied by intra-class correlation coefficients (ICC) and Bland Altman plots.
Our population was on average middle-aged (50 ± 14 y), overweight (BMI = 26 ± 6 kg/m2) and non-smoking (87%) with a quarter of the participants having self-declared hypertension or treated with anti-hypertensive medication(s). Intra-observer ICC were > 0.90 for all analyzed parameters except for left ventricular ejection fraction (LVEF) which was 0.89 (0.81-0.93). The mean relative intra-observer differences were small and limits of agreement of relative differences were narrow for all considered parameters (<5% and <15% respectively). Inter-observer ICC were > 0.90 for all analyzed parameters except for LVEF (ICC = 0.87) and both mitral and pulmonary A wave duration (0.83 and 0.73 respectively). The mean relative inter-observer differences were <5% for all parameters except for pulmonary A wave duration (mean difference = 6.5%). Limits of agreement of relative differences were narrow (<15%), except for mitral A wave duration and velocity (both <20%) as well as left ventricular mass and pulmonary A wave duration (both <30%). Intra-observer agreements with regard to the presence and severity of diastolic dysfunction were excellent (Kappa = 0.93 (0.83-1.00) and 0.88 (0.75-0.99), respectively).
In this validation study within the STANISLAS cohort, diastolic function echocardiographic parameters were found to be highly reproducible. Diastolic dysfunction consequently appears as a highly effective clinical and research tool.]]></description><subject>Adult</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Antihypertensives</subject><subject>Blood Flow Velocity - physiology</subject><subject>Blood pressure</subject><subject>Body mass</subject><subject>Body weight</subject><subject>Cardiology and cardiovascular system</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Correlation analysis</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Diagnosis</subject><subject>Diastole - physiology</subject><subject>Doppler effect</subject><subject>Drugs</subject><subject>Echocardiography</subject><subject>Female</subject><subject>France</subject><subject>Heart</subject><subject>Heart Failure - diagnosis</subject><subject>Heart Failure - physiopathology</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - drug therapy</subject><subject>Hypertension - physiopathology</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Measurement</subject><subject>Middle Aged</subject><subject>Overweight</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Reproducibility</subject><subject>Sinus</subject><subject>Smoking</subject><subject>Ventricle</subject><subject>Ventricular Function, Left - physiology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk11v0zAUhiMEYmPwDxBEQkLrRYu_kjg3SFUFrFLFpHVwa_krjas0zmxnojf8dpy2m9ppFygXto-f99jnjU-SvIdgAnEBv6xt71reTDrb6gmACGGcv0jOYYnROEcAvzyanyVvvF8DkGGa56-TM5TROIX0PPl7oztnVS-NMI0J29S0qZa1ldwpY1eOd7WRKfdee7_RbUhtlSrDfbBNjFd9K4Ox7aDiaWe7vuG7teBeq9SHXm3Ty1DrdHk7_TlfLqbLdGZr68J-b_Q2eVXxxut3h_Ei-fX92-3sary4_jGfTRdjWZQojJGmikhBqpILIQoiVFkASXKcUY0IpTnMZJVhRBUHcS1IWYmcVrqghAuIIb5IPu7zdo317GCdZzAvIAIUFUUk5ntCWb5mnTMb7rbMcsN2AetWjLtgZKNZphDlheBVVmFCABa5hDSDpRSKaEFFzPX1cFovNlrJ6JvjzUnS053W1Gxl7xnBJYDZcJnRPkH9RHY1XbAhBmCRUQTx_VDa5eEwZ-967QPbGC910_BW235XI8pBUe5q_PQEfd6JA7XisVjTVjbeUQ5J2ZSgEheEoDxSk2eo-Cm9MTK-ycrE-IlgdCKITNB_wor33rP58ub_2evfp-znI7bWvAm1t00_vEN_CpI9KJ313unq0VkI2NBSD26woaXYoaWi7MPxz3wUPfQQ_gflYRwB</recordid><startdate>20150408</startdate><enddate>20150408</enddate><creator>Frikha, Zied</creator><creator>Girerd, Nicolas</creator><creator>Huttin, Olivier</creator><creator>Courand, Pierre Yves</creator><creator>Bozec, Erwan</creator><creator>Olivier, Arnaud</creator><creator>Lamiral, Zohra</creator><creator>Zannad, Faiez</creator><creator>Rossignol, Patrick</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-3199-7977</orcidid><orcidid>https://orcid.org/0000-0002-3278-2057</orcidid></search><sort><creationdate>20150408</creationdate><title>Reproducibility in echocardiographic assessment of diastolic function in a population based study (the STANISLAS Cohort study)</title><author>Frikha, Zied ; Girerd, Nicolas ; Huttin, Olivier ; Courand, Pierre Yves ; Bozec, Erwan ; Olivier, Arnaud ; Lamiral, Zohra ; Zannad, Faiez ; Rossignol, Patrick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c792t-2e8d4cb4f9abbb74bd970c46358e2488615cf5328da0248b49fb68fe784ab1313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Antihypertensive Agents - 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Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frikha, Zied</au><au>Girerd, Nicolas</au><au>Huttin, Olivier</au><au>Courand, Pierre Yves</au><au>Bozec, Erwan</au><au>Olivier, Arnaud</au><au>Lamiral, Zohra</au><au>Zannad, Faiez</au><au>Rossignol, Patrick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reproducibility in echocardiographic assessment of diastolic function in a population based study (the STANISLAS Cohort study)</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-04-08</date><risdate>2015</risdate><volume>10</volume><issue>4</issue><spage>e0122336</spage><pages>e0122336-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract><![CDATA[There is limited evidence regarding intra-observer and inter-observer variations in echocardiographic measurements of diastolic function. This study aimed to assess this reproducibly within a population-based cohort study.
Sixty subjects in sinus rhythm were randomly selected among 4th visit participants of the STANISLAS Cohort (Lorraine region, France). This 4th examination systematically included M-mode, 2-dimensional, DTI and pulsed-wave Doppler echocardiograms. Reproducibility of variables was studied by intra-class correlation coefficients (ICC) and Bland Altman plots.
Our population was on average middle-aged (50 ± 14 y), overweight (BMI = 26 ± 6 kg/m2) and non-smoking (87%) with a quarter of the participants having self-declared hypertension or treated with anti-hypertensive medication(s). Intra-observer ICC were > 0.90 for all analyzed parameters except for left ventricular ejection fraction (LVEF) which was 0.89 (0.81-0.93). The mean relative intra-observer differences were small and limits of agreement of relative differences were narrow for all considered parameters (<5% and <15% respectively). Inter-observer ICC were > 0.90 for all analyzed parameters except for LVEF (ICC = 0.87) and both mitral and pulmonary A wave duration (0.83 and 0.73 respectively). The mean relative inter-observer differences were <5% for all parameters except for pulmonary A wave duration (mean difference = 6.5%). Limits of agreement of relative differences were narrow (<15%), except for mitral A wave duration and velocity (both <20%) as well as left ventricular mass and pulmonary A wave duration (both <30%). Intra-observer agreements with regard to the presence and severity of diastolic dysfunction were excellent (Kappa = 0.93 (0.83-1.00) and 0.88 (0.75-0.99), respectively).
In this validation study within the STANISLAS cohort, diastolic function echocardiographic parameters were found to be highly reproducible. Diastolic dysfunction consequently appears as a highly effective clinical and research tool.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25853818</pmid><doi>10.1371/journal.pone.0122336</doi><orcidid>https://orcid.org/0000-0003-3199-7977</orcidid><orcidid>https://orcid.org/0000-0002-3278-2057</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
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| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1671208277 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adult Antihypertensive Agents - therapeutic use Antihypertensives Blood Flow Velocity - physiology Blood pressure Body mass Body weight Cardiology and cardiovascular system Cohort analysis Cohort Studies Correlation analysis Correlation coefficient Correlation coefficients Diagnosis Diastole - physiology Doppler effect Drugs Echocardiography Female France Heart Heart Failure - diagnosis Heart Failure - physiopathology Human health and pathology Humans Hypertension Hypertension - drug therapy Hypertension - physiopathology Life Sciences Male Measurement Middle Aged Overweight Population studies Population-based studies Reproducibility Sinus Smoking Ventricle Ventricular Function, Left - physiology |
| title | Reproducibility in echocardiographic assessment of diastolic function in a population based study (the STANISLAS Cohort study) |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T12%3A14%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Reproducibility%20in%20echocardiographic%20assessment%20of%20diastolic%20function%20in%20a%20population%20based%20study%20(the%20STANISLAS%20Cohort%20study)&rft.jtitle=PloS%20one&rft.au=Frikha,%20Zied&rft.date=2015-04-08&rft.volume=10&rft.issue=4&rft.spage=e0122336&rft.pages=e0122336-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0122336&rft_dat=%3Cgale_plos_%3EA429374426%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1671208277&rft_id=info:pmid/25853818&rft_galeid=A429374426&rft_doaj_id=oai_doaj_org_article_5d28a7baf5f34403b6c18519cbd4eb8b&rfr_iscdi=true |