Published in:
Open Access
01-12-2012 | Poster presentation
Quantification of LVEF≤35% misclassification by 2D-echocardiography as compared to cardiac magnetic resonance in coronary artery disease: implications for AICD therapy
Authors:
Diane J Parrington, Aramesh Saremi, Sudhakar V Girotra, Sandesh Dev, Charles Oh, Cynthia L Scott, Raymond Q Migrino
Published in:
Journal of Cardiovascular Magnetic Resonance
|
Special Issue 1/2012
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Excerpt
Cardiac magnetic resonance (CMR) is the noninvasive gold standard for evaluation of LV size/function due to its low interscan/intraobserver/interobserver variability. However, 2D echocardiography (Echo) remains the modality of choice to assess LV function due to ease of use, cost-effectiveness and ubiquity despite its known higher method variability. Randomized trials showed that automated implantable cardiac defibrillators (AICD) provide survival benefit in ischemic/nonischemic cardiomyopathy patients with LV ejection fraction (EF) ≤35%. It is therefore important to correctly classify patients by LVEF≤35% status to avoid improper placement or withholding of placement of AICD. We aim to quantify the misclassification of LVEF≤35% by Echo when compared to CMR in ischemic cardiomyopathy patients. …