Diagnostic accuracy of Doppler echocardiography for determining left ventricular diastolic pressure elevation: Prospective comparison to chest radiography, serum B-type natriuretic peptide, and chest auscultation

Daniel M. Spevack, James Bowers, Anita Banerjee, Ashok Talreja, Erik J. Altman, Mark A. Friedman, Michelle Bloom, Divya Malhotra, Ythan Goldberg, Kavita Patel, Hugo Spindola-Franco

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Doppler echocardiography (DE), chest radiography (CXR), serum B-type natriuretic peptide (BNP) measurement and physical examination are all commonly employed to estimate left ventricular diastolic pressure (LVDP) in clinical care. There are no published studies directly comparing the diagnostic accuracy of these tests. Methods and Results: DE, BNP, CXR, and physical examination were performed on 56 consecutive patients immediately following clinically indicated cardiac catheterization with measurement of LVDP. LVDP measured preceding atrial contraction at end-expiration was elevated (>16 mmHg) in 19 subjects. Diagnostic accuracies were 79%, 70%, 61% for DE, BNP, and CXR, respectively. None of the study subjects had evidence of raised LVDP by chest auscultation. Conclusions: The diagnostic accuracy of DE compares favorably to other noninvasive markers for prediction of invasively determined LVDP.

Original languageEnglish (US)
Pages (from-to)946-954
Number of pages9
JournalEchocardiography
Volume25
Issue number9
DOIs
StatePublished - Oct 2008

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Auscultation
Doppler Echocardiography
Brain Natriuretic Peptide
Ventricular Pressure
Radiography
Thorax
Blood Pressure
Serum
Physical Examination
Cardiac Catheterization
Routine Diagnostic Tests

Keywords

  • BNP
  • Echo
  • Physical examination
  • Wedge pressure
  • X-ray

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Diagnostic accuracy of Doppler echocardiography for determining left ventricular diastolic pressure elevation : Prospective comparison to chest radiography, serum B-type natriuretic peptide, and chest auscultation. / Spevack, Daniel M.; Bowers, James; Banerjee, Anita; Talreja, Ashok; Altman, Erik J.; Friedman, Mark A.; Bloom, Michelle; Malhotra, Divya; Goldberg, Ythan; Patel, Kavita; Spindola-Franco, Hugo.

In: Echocardiography, Vol. 25, No. 9, 10.2008, p. 946-954.

Research output: Contribution to journalArticle

Spevack, Daniel M. ; Bowers, James ; Banerjee, Anita ; Talreja, Ashok ; Altman, Erik J. ; Friedman, Mark A. ; Bloom, Michelle ; Malhotra, Divya ; Goldberg, Ythan ; Patel, Kavita ; Spindola-Franco, Hugo. / Diagnostic accuracy of Doppler echocardiography for determining left ventricular diastolic pressure elevation : Prospective comparison to chest radiography, serum B-type natriuretic peptide, and chest auscultation. In: Echocardiography. 2008 ; Vol. 25, No. 9. pp. 946-954.
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abstract = "Background: Doppler echocardiography (DE), chest radiography (CXR), serum B-type natriuretic peptide (BNP) measurement and physical examination are all commonly employed to estimate left ventricular diastolic pressure (LVDP) in clinical care. There are no published studies directly comparing the diagnostic accuracy of these tests. Methods and Results: DE, BNP, CXR, and physical examination were performed on 56 consecutive patients immediately following clinically indicated cardiac catheterization with measurement of LVDP. LVDP measured preceding atrial contraction at end-expiration was elevated (>16 mmHg) in 19 subjects. Diagnostic accuracies were 79{\%}, 70{\%}, 61{\%} for DE, BNP, and CXR, respectively. None of the study subjects had evidence of raised LVDP by chest auscultation. Conclusions: The diagnostic accuracy of DE compares favorably to other noninvasive markers for prediction of invasively determined LVDP.",
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AU - Spevack, Daniel M.

AU - Bowers, James

AU - Banerjee, Anita

AU - Talreja, Ashok

AU - Altman, Erik J.

AU - Friedman, Mark A.

AU - Bloom, Michelle

AU - Malhotra, Divya

AU - Goldberg, Ythan

AU - Patel, Kavita

AU - Spindola-Franco, Hugo

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N2 - Background: Doppler echocardiography (DE), chest radiography (CXR), serum B-type natriuretic peptide (BNP) measurement and physical examination are all commonly employed to estimate left ventricular diastolic pressure (LVDP) in clinical care. There are no published studies directly comparing the diagnostic accuracy of these tests. Methods and Results: DE, BNP, CXR, and physical examination were performed on 56 consecutive patients immediately following clinically indicated cardiac catheterization with measurement of LVDP. LVDP measured preceding atrial contraction at end-expiration was elevated (>16 mmHg) in 19 subjects. Diagnostic accuracies were 79%, 70%, 61% for DE, BNP, and CXR, respectively. None of the study subjects had evidence of raised LVDP by chest auscultation. Conclusions: The diagnostic accuracy of DE compares favorably to other noninvasive markers for prediction of invasively determined LVDP.

AB - Background: Doppler echocardiography (DE), chest radiography (CXR), serum B-type natriuretic peptide (BNP) measurement and physical examination are all commonly employed to estimate left ventricular diastolic pressure (LVDP) in clinical care. There are no published studies directly comparing the diagnostic accuracy of these tests. Methods and Results: DE, BNP, CXR, and physical examination were performed on 56 consecutive patients immediately following clinically indicated cardiac catheterization with measurement of LVDP. LVDP measured preceding atrial contraction at end-expiration was elevated (>16 mmHg) in 19 subjects. Diagnostic accuracies were 79%, 70%, 61% for DE, BNP, and CXR, respectively. None of the study subjects had evidence of raised LVDP by chest auscultation. Conclusions: The diagnostic accuracy of DE compares favorably to other noninvasive markers for prediction of invasively determined LVDP.

KW - BNP

KW - Echo

KW - Physical examination

KW - Wedge pressure

KW - X-ray

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