Limited utility of the subcostal view for the echocardiographic evaluation of left ventricular mass in epidemiological studies of older persons
Background: Epidemiological estimates of left ventricular mass are based on echocardiographic imaging from the parasternal view, which is often unavailable in subjects with obesity or lung disease. This study was undertaken to assess whether the subcostal view is a valid alternative to estimate left...
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| Veröffentlicht in: | International journal of cardiology 2004-12, Vol.97 (3), p.521-527 |
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| creator | Di Bari, Mauro Chiara Cavallini, M. Kitzman, Dalane W. Innocenti, Francesca De Alfieri, Walter Baldereschi, Giorgio J. Chiarlone, Melisenda Salti, Francesca Pini, Riccardo Masotti, Giulio Marchionni, Niccolò |
| description | Background: Epidemiological estimates of left ventricular mass are based on echocardiographic imaging from the parasternal view, which is often unavailable in subjects with obesity or lung disease. This study was undertaken to assess whether the subcostal view is a valid alternative to estimate left ventricular mass in an unselected older population.
Methods: In a cross-sectional study of all the residents in Dicomano, Italy, aged ≥65 years, echocardiography was performed with a systematic attempt to obtain both the parastermal and the subcostal views.
Results: The parasternal view was missing in 73/614 participants, 48 of whom were imaged from the subcostal view. In participants imaged from both views, the subcostal view underestimated left ventricular cavity dimension and, consequently, left ventricular mass [79.7 (1.3) vs. 93.3 (1.5) g/m
2;
p |
| doi_str_mv | 10.1016/j.ijcard.2003.12.021 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67100448</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0167527304001408</els_id><sourcerecordid>67100448</sourcerecordid><originalsourceid>FETCH-LOGICAL-c434t-7a1e59be9656ad01d1d218d600ace8abe74d498a49fac1835b2b1d24bf835c1c3</originalsourceid><addsrcrecordid>eNp9kc2O1DAQhC0EYoeFN0DIF7gl2Inzd0FCK_6kkbjA2XLszk6PnHhwO4P2KXhlHGakvXFyy_qqulXF2GspSilk-_5Y4tGa6MpKiLqUVSkq-YTtZN-pQnaNesp2GeuKpurqG_aC6CiEUMPQP2c3smlaWat6x_7sccYEjq8JPaYHHiaeDsBpHW2gZDw_I_zmU4j_vsEewrYUw300pwNaDmfjV5MwLJvUw5T4GZYU0a7eRD4bIo4LhxM6mDH4cI82u1JaHQJtmuAdRH6CSGGhl-zZZDzBq-t7y35-_vTj7mux__7l293HfWFVrVLRGQnNMMLQNq1xQjrpKtm7VghjoTcjdMqpoTdqmIyVfd2M1ZgRNU55ttLWt-zdxfcUw68VKOkZyYL3ZoGwkm47mdNSfQbVBbQxEEWY9CnibOKDlkJvReijvhShtyK0rHQuIsveXP3XcQb3KLomn4G3V8BQDmSKZrFIj1xb163q28x9uHCQ08hdRE0WYbHgMIJN2gX8_yV_AZjgrF0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67100448</pqid></control><display><type>article</type><title>Limited utility of the subcostal view for the echocardiographic evaluation of left ventricular mass in epidemiological studies of older persons</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Di Bari, Mauro ; Chiara Cavallini, M. ; Kitzman, Dalane W. ; Innocenti, Francesca ; De Alfieri, Walter ; Baldereschi, Giorgio J. ; Chiarlone, Melisenda ; Salti, Francesca ; Pini, Riccardo ; Masotti, Giulio ; Marchionni, Niccolò</creator><creatorcontrib>Di Bari, Mauro ; Chiara Cavallini, M. ; Kitzman, Dalane W. ; Innocenti, Francesca ; De Alfieri, Walter ; Baldereschi, Giorgio J. ; Chiarlone, Melisenda ; Salti, Francesca ; Pini, Riccardo ; Masotti, Giulio ; Marchionni, Niccolò</creatorcontrib><description>Background: Epidemiological estimates of left ventricular mass are based on echocardiographic imaging from the parasternal view, which is often unavailable in subjects with obesity or lung disease. This study was undertaken to assess whether the subcostal view is a valid alternative to estimate left ventricular mass in an unselected older population.
Methods: In a cross-sectional study of all the residents in Dicomano, Italy, aged ≥65 years, echocardiography was performed with a systematic attempt to obtain both the parastermal and the subcostal views.
Results: The parasternal view was missing in 73/614 participants, 48 of whom were imaged from the subcostal view. In participants imaged from both views, the subcostal view underestimated left ventricular cavity dimension and, consequently, left ventricular mass [79.7 (1.3) vs. 93.3 (1.5) g/m
2;
p<0.001]. Furthermore, the subcostal view was only 25% sensitive for the diagnosis of hypertrophy. Several multivariate regression models, developed in an equation development subgroup and tested in a validation subgroup, failed to correct the prediction of left ventricular mass based on measures taken from the subcostal view, also after inclusion of demographic, anthropometric, and spirometric covariates.
Conclusions: In unselected older persons, the subcostal view does not improve the accuracy of echocardiographic estimation of left ventricular mass, which remains biased in epidemiological studies.</description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/j.ijcard.2003.12.021</identifier><identifier>PMID: 15561343</identifier><identifier>CODEN: IJCDD5</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Aging ; Biological and medical sciences ; Cardiology. Vascular system ; Echocardiography ; Epidemiologic Studies ; Epidemiology ; Heart Ventricles - diagnostic imaging ; Humans ; Hypertrophy, Left Ventricular - diagnostic imaging ; LV hypertrophy ; Medical sciences ; Population studies ; Validity ; Ventricular Function, Left - physiology</subject><ispartof>International journal of cardiology, 2004-12, Vol.97 (3), p.521-527</ispartof><rights>2004 Elsevier Ireland Ltd</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-7a1e59be9656ad01d1d218d600ace8abe74d498a49fac1835b2b1d24bf835c1c3</citedby><cites>FETCH-LOGICAL-c434t-7a1e59be9656ad01d1d218d600ace8abe74d498a49fac1835b2b1d24bf835c1c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijcard.2003.12.021$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16336486$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15561343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Di Bari, Mauro</creatorcontrib><creatorcontrib>Chiara Cavallini, M.</creatorcontrib><creatorcontrib>Kitzman, Dalane W.</creatorcontrib><creatorcontrib>Innocenti, Francesca</creatorcontrib><creatorcontrib>De Alfieri, Walter</creatorcontrib><creatorcontrib>Baldereschi, Giorgio J.</creatorcontrib><creatorcontrib>Chiarlone, Melisenda</creatorcontrib><creatorcontrib>Salti, Francesca</creatorcontrib><creatorcontrib>Pini, Riccardo</creatorcontrib><creatorcontrib>Masotti, Giulio</creatorcontrib><creatorcontrib>Marchionni, Niccolò</creatorcontrib><title>Limited utility of the subcostal view for the echocardiographic evaluation of left ventricular mass in epidemiological studies of older persons</title><title>International journal of cardiology</title><addtitle>Int J Cardiol</addtitle><description>Background: Epidemiological estimates of left ventricular mass are based on echocardiographic imaging from the parasternal view, which is often unavailable in subjects with obesity or lung disease. This study was undertaken to assess whether the subcostal view is a valid alternative to estimate left ventricular mass in an unselected older population.
Methods: In a cross-sectional study of all the residents in Dicomano, Italy, aged ≥65 years, echocardiography was performed with a systematic attempt to obtain both the parastermal and the subcostal views.
Results: The parasternal view was missing in 73/614 participants, 48 of whom were imaged from the subcostal view. In participants imaged from both views, the subcostal view underestimated left ventricular cavity dimension and, consequently, left ventricular mass [79.7 (1.3) vs. 93.3 (1.5) g/m
2;
p<0.001]. Furthermore, the subcostal view was only 25% sensitive for the diagnosis of hypertrophy. Several multivariate regression models, developed in an equation development subgroup and tested in a validation subgroup, failed to correct the prediction of left ventricular mass based on measures taken from the subcostal view, also after inclusion of demographic, anthropometric, and spirometric covariates.
Conclusions: In unselected older persons, the subcostal view does not improve the accuracy of echocardiographic estimation of left ventricular mass, which remains biased in epidemiological studies.</description><subject>Aging</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Echocardiography</subject><subject>Epidemiologic Studies</subject><subject>Epidemiology</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Humans</subject><subject>Hypertrophy, Left Ventricular - diagnostic imaging</subject><subject>LV hypertrophy</subject><subject>Medical sciences</subject><subject>Population studies</subject><subject>Validity</subject><subject>Ventricular Function, Left - physiology</subject><issn>0167-5273</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2O1DAQhC0EYoeFN0DIF7gl2Inzd0FCK_6kkbjA2XLszk6PnHhwO4P2KXhlHGakvXFyy_qqulXF2GspSilk-_5Y4tGa6MpKiLqUVSkq-YTtZN-pQnaNesp2GeuKpurqG_aC6CiEUMPQP2c3smlaWat6x_7sccYEjq8JPaYHHiaeDsBpHW2gZDw_I_zmU4j_vsEewrYUw300pwNaDmfjV5MwLJvUw5T4GZYU0a7eRD4bIo4LhxM6mDH4cI82u1JaHQJtmuAdRH6CSGGhl-zZZDzBq-t7y35-_vTj7mux__7l293HfWFVrVLRGQnNMMLQNq1xQjrpKtm7VghjoTcjdMqpoTdqmIyVfd2M1ZgRNU55ttLWt-zdxfcUw68VKOkZyYL3ZoGwkm47mdNSfQbVBbQxEEWY9CnibOKDlkJvReijvhShtyK0rHQuIsveXP3XcQb3KLomn4G3V8BQDmSKZrFIj1xb163q28x9uHCQ08hdRE0WYbHgMIJN2gX8_yV_AZjgrF0</recordid><startdate>20041201</startdate><enddate>20041201</enddate><creator>Di Bari, Mauro</creator><creator>Chiara Cavallini, M.</creator><creator>Kitzman, Dalane W.</creator><creator>Innocenti, Francesca</creator><creator>De Alfieri, Walter</creator><creator>Baldereschi, Giorgio J.</creator><creator>Chiarlone, Melisenda</creator><creator>Salti, Francesca</creator><creator>Pini, Riccardo</creator><creator>Masotti, Giulio</creator><creator>Marchionni, Niccolò</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20041201</creationdate><title>Limited utility of the subcostal view for the echocardiographic evaluation of left ventricular mass in epidemiological studies of older persons</title><author>Di Bari, Mauro ; Chiara Cavallini, M. ; Kitzman, Dalane W. ; Innocenti, Francesca ; De Alfieri, Walter ; Baldereschi, Giorgio J. ; Chiarlone, Melisenda ; Salti, Francesca ; Pini, Riccardo ; Masotti, Giulio ; Marchionni, Niccolò</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-7a1e59be9656ad01d1d218d600ace8abe74d498a49fac1835b2b1d24bf835c1c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aging</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Echocardiography</topic><topic>Epidemiologic Studies</topic><topic>Epidemiology</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Humans</topic><topic>Hypertrophy, Left Ventricular - diagnostic imaging</topic><topic>LV hypertrophy</topic><topic>Medical sciences</topic><topic>Population studies</topic><topic>Validity</topic><topic>Ventricular Function, Left - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Di Bari, Mauro</creatorcontrib><creatorcontrib>Chiara Cavallini, M.</creatorcontrib><creatorcontrib>Kitzman, Dalane W.</creatorcontrib><creatorcontrib>Innocenti, Francesca</creatorcontrib><creatorcontrib>De Alfieri, Walter</creatorcontrib><creatorcontrib>Baldereschi, Giorgio J.</creatorcontrib><creatorcontrib>Chiarlone, Melisenda</creatorcontrib><creatorcontrib>Salti, Francesca</creatorcontrib><creatorcontrib>Pini, Riccardo</creatorcontrib><creatorcontrib>Masotti, Giulio</creatorcontrib><creatorcontrib>Marchionni, Niccolò</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Di Bari, Mauro</au><au>Chiara Cavallini, M.</au><au>Kitzman, Dalane W.</au><au>Innocenti, Francesca</au><au>De Alfieri, Walter</au><au>Baldereschi, Giorgio J.</au><au>Chiarlone, Melisenda</au><au>Salti, Francesca</au><au>Pini, Riccardo</au><au>Masotti, Giulio</au><au>Marchionni, Niccolò</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Limited utility of the subcostal view for the echocardiographic evaluation of left ventricular mass in epidemiological studies of older persons</atitle><jtitle>International journal of cardiology</jtitle><addtitle>Int J Cardiol</addtitle><date>2004-12-01</date><risdate>2004</risdate><volume>97</volume><issue>3</issue><spage>521</spage><epage>527</epage><pages>521-527</pages><issn>0167-5273</issn><eissn>1874-1754</eissn><coden>IJCDD5</coden><abstract>Background: Epidemiological estimates of left ventricular mass are based on echocardiographic imaging from the parasternal view, which is often unavailable in subjects with obesity or lung disease. This study was undertaken to assess whether the subcostal view is a valid alternative to estimate left ventricular mass in an unselected older population.
Methods: In a cross-sectional study of all the residents in Dicomano, Italy, aged ≥65 years, echocardiography was performed with a systematic attempt to obtain both the parastermal and the subcostal views.
Results: The parasternal view was missing in 73/614 participants, 48 of whom were imaged from the subcostal view. In participants imaged from both views, the subcostal view underestimated left ventricular cavity dimension and, consequently, left ventricular mass [79.7 (1.3) vs. 93.3 (1.5) g/m
2;
p<0.001]. Furthermore, the subcostal view was only 25% sensitive for the diagnosis of hypertrophy. Several multivariate regression models, developed in an equation development subgroup and tested in a validation subgroup, failed to correct the prediction of left ventricular mass based on measures taken from the subcostal view, also after inclusion of demographic, anthropometric, and spirometric covariates.
Conclusions: In unselected older persons, the subcostal view does not improve the accuracy of echocardiographic estimation of left ventricular mass, which remains biased in epidemiological studies.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>15561343</pmid><doi>10.1016/j.ijcard.2003.12.021</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aging Biological and medical sciences Cardiology. Vascular system Echocardiography Epidemiologic Studies Epidemiology Heart Ventricles - diagnostic imaging Humans Hypertrophy, Left Ventricular - diagnostic imaging LV hypertrophy Medical sciences Population studies Validity Ventricular Function, Left - physiology |
| title | Limited utility of the subcostal view for the echocardiographic evaluation of left ventricular mass in epidemiological studies of older persons |
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