Differences between echocardiographic measurements of left ventricular dimensions and function by local investigators and a core laboratory in a 2-year follow-up study of patients with an acute myocardial infarction

To examine differences in measurements of left ventricular dimensions and function, and prognostic value between local investigators and a core laboratory in a multicentre serial echocardiographic study. Seven hundred and fifty-six patients with acute myocardial infarction and preserved left ventric...

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Veröffentlicht in:European journal of echocardiography 2002-12, Vol.3 (4), p.263-270
Hauptverfasser: Hole, T, Otterstad, J E, St John Sutton, M, Frøland, G, Holme, I, Skjaerpe, T
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container_issue 4
container_start_page 263
container_title European journal of echocardiography
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creator Hole, T
Otterstad, J E
St John Sutton, M
Frøland, G
Holme, I
Skjaerpe, T
description To examine differences in measurements of left ventricular dimensions and function, and prognostic value between local investigators and a core laboratory in a multicentre serial echocardiographic study. Seven hundred and fifty-six patients with acute myocardial infarction and preserved left ventricular function were examined at baseline and after 3 months with measurements by the biplane Simpson's method, and followed prospectively from 3 to 24 months. At baseline and 3 months local investigators relative to the core laboratory measured lesser end-diastolic volume by 8 and 6 ml (P
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Seven hundred and fifty-six patients with acute myocardial infarction and preserved left ventricular function were examined at baseline and after 3 months with measurements by the biplane Simpson's method, and followed prospectively from 3 to 24 months. At baseline and 3 months local investigators relative to the core laboratory measured lesser end-diastolic volume by 8 and 6 ml (P&lt;0.001), end-systolic volume by 3 and 2 ml (P&lt;0.01), and ejection fraction by 0.0 and 0.6% (P&lt;0.01), respectively. Local investigators and the core laboratory measured an increase in left ventricular end-diastolic volume of 8.6 and 6.9 ml, and in left ventricular end-systolic volume of 5.2 and 4.3 ml, and a decrease in left ventricular ejection fraction of 0.6 and 0.0%. Using the Cox proportionate hazards model, the prognostic value for subsequent clinical endpoints was significant both for the 3-month values (P&lt;0.05) and changes (P&lt;0.005) measured by the core laboratory, but not by local investigators. Only measurements in the core laboratory had significant prognostic value for subsequent clinical endpoints. 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Using the Cox proportionate hazards model, the prognostic value for subsequent clinical endpoints was significant both for the 3-month values (P&lt;0.05) and changes (P&lt;0.005) measured by the core laboratory, but not by local investigators. Only measurements in the core laboratory had significant prognostic value for subsequent clinical endpoints. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Chi-Square Distribution
Echocardiography - standards
Endpoint Determination
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - physiopathology
Predictive Value of Tests
Prognosis
Proportional Hazards Models
Prospective Studies
Quality Assurance, Health Care
Quality Control
Reproducibility of Results
Stroke Volume
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular Dysfunction, Left - physiopathology
Ventricular Remodeling - physiology
title Differences between echocardiographic measurements of left ventricular dimensions and function by local investigators and a core laboratory in a 2-year follow-up study of patients with an acute myocardial infarction
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