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Cardiovascular Ultrasound

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Open Access 01-12-2010 | Research

Three-dimensional echocardiography using single-heartbeat modality decreases variability in measuring left ventricular volumes and function in comparison to four-beat technique in atrial fibrillation

Authors: Kambiz Shahgaldi, Aristomenis Manouras, Anna Abrahamsson, Petri Gudmundsson, Lars-Åke Brodin, Reidar Winter

Published in: Cardiovascular Ultrasound | Issue 1/2010

Abstract

Background

Three dimensional echocardiography (3DE) approaches the accuracy of cardiac magnetic resonance in measuring left ventricular (LV) volumes and ejection fraction (EF). The multibeat modality in comparison to single-beat (SB) requires breath-hold technique and regular heart rhythm which could limit the use of this technique in patients with atrial fibrillation (AF) due to stitching artifact. The study aimed to investigate whether SB full volume 3DE acquisition reduces inter- and intraobserver variability in assessment of LV volumes and EF in comparison to four-beat (4B) ECG-gated full volume 3DE recording in patients with AF.

Methods

A total of 78 patients were included in this study. Fifty-five with sinus rhythm (group A) and 23 having AF (group B). 4B and SB 3DE was performed in all patients. LV volumes and EF was determined by these two modalities and inter- and intraobserver variability was analyzed.

Results

SB modality showed significantly lower inter- and intraobserver variability in group B in comparison to 4B when measuring LV volumes and EF, except for end-systolic volume (ESV) in intraobserver analysis. There were significant differences when calculating the LV volumes (p < 0.001) and EF (p < 0.05) with SB in comparison to 4B in group B.

Conclusion

Single-beat three-dimensional full volume acquisition seems to be superior to four-beat ECG-gated acquisition in measuring left ventricular volumes and ejection fraction in patients having atrial fibrillation. The variability is significantly lower both for ejection fraction and left ventricular volumes.

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Title: Three-dimensional echocardiography using single-heartbeat modality decreases variability in measuring left ventricular volumes and function in comparison to four-beat technique in atrial fibrillation
Authors: Kambiz Shahgaldi
Aristomenis Manouras
Anna Abrahamsson
Petri Gudmundsson
Lars-Åke Brodin
Reidar Winter
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: Cardiovascular Ultrasound / Issue 1/2010
Electronic ISSN: 1476-7120
DOI: https://doi.org/10.1186/1476-7120-8-45

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