Nina Ajmone Marsan1, Blazej Michalski2, Matteo Cameli3, Tomaz Podlesnikar4,5, Robert Manka6, Marta Sitges7,8,9, Marc R Dweck10, Kristina H Haugaa11,12. 1. Department of Cardiology, Leiden University Medical Center, The Netherlands, Albinusdreef 2, 2300 RC Leiden. 2. Department of Cardiology, Medical University of Lodz, Kniaziewicza 1/5, 91-347 Lodz, Poland. 3. Department of Cardiovascular Diseases, University of Siena, Policlinico Le Scotte, Viale Bracci 16, 53100 Siena, Italy. 4. Department of Cardiac Surgery, University Medical Centre Maribor, Ljubljanska Ulica 5, 2000 Maribor, Slovenia. 5. Department of Cardiology, University Medical Centre Ljubljana, Zaloska Cesta 7, 1000 Ljubljana, Slovenia. 6. Department of Cardiology, University Heart Center, University Hospital Zurich, Ramistrasse 100, 8091 Zurich, Switzerland. 7. Cardiovascular Institute, Hospital Clínic, Universitat de Barcelona, Villarroel 170, 08036, Barcelona, Spain. 8. Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Villarroel 170, 08036 Barcelona, Spain. 9. CIBERCV, Instituto de Salud Carlos III, Sinesio Delgado, 4, 28029 Madrid, Spain. 10. BHF Centre for Cardiovascular Science, University of Edinburgh, Chancellors Building, Little France Crescent, Edinburgh EH16 4SB, UK. 11. Department of Cardiology, Oslo University Hospital, Postboks 4950, Nydalen, 0424 Oslo, Norway. 12. Institute for clinical medicince, University of Oslo, Postboks 1171, Blindern, 0318 Oslo, Norway.
Abstract
AIMS: To evaluate standard reporting of cardiac chambers size and function by transthoracic echocardiography (TTE), the EACVI Scientific Initiatives Committee performed a survey across European centres. In particular, the routine use of three-dimensional echocardiography (3DE) and speckle tracking-derived myocardial deformation imaging (STE) was explored. METHODS AND RESULTS: A total of 96 European Echocardiography Laboratories from 22 different countries responded to the survey, which consisted of 20 questions. For most of the standard parameters of cardiac chamber size and function, answers from the centres were homogeneous and demonstrated good adherence to current recommendations. In particular, all centres assessed left ventricular (LV) and left atrial (LA) size combining diameter measurements with volumes obtained using the bi-plane Simpson's method. More variability was observed in the measurements of the right heart chambers and thoracic aorta. Interestingly, >90% of centres had access to 3DE and STE; however, the large majority of centres reserved the use of these techniques for selected cases, particularly for the measure of 3D LV volumes and ejection fraction and global longitudinal strain in patients being considered for cardiac device implantation, surgical intervention (valvular heart disease) or screened for cardiotoxicity. Only 10% of centres used 3DE for right ventricular and LA volumes. Also, <30% of the centres used LA strain imaging. CONCLUSION: In Europe, a good adherence to current recommendations was observed for most of the standard parameters of cardiac chambers quantification by TTE. Advanced echocardiography modalities, such as 3DE and STE, are widely available but used only in selected cases. Published on behalf of the European Society of Cardiology. All rights reserved.
AIMS: To evaluate standard reporting of cardiac chambers size and function by transthoracic echocardiography (TTE), the EACVI Scientific Initiatives Committee performed a survey across European centres. In particular, the routine use of three-dimensional echocardiography (3DE) and speckle tracking-derived myocardial deformation imaging (STE) was explored. METHODS AND RESULTS: A total of 96 European Echocardiography Laboratories from 22 different countries responded to the survey, which consisted of 20 questions. For most of the standard parameters of cardiac chamber size and function, answers from the centres were homogeneous and demonstrated good adherence to current recommendations. In particular, all centres assessed left ventricular (LV) and left atrial (LA) size combining diameter measurements with volumes obtained using the bi-plane Simpson's method. More variability was observed in the measurements of the right heart chambers and thoracic aorta. Interestingly, >90% of centres had access to 3DE and STE; however, the large majority of centres reserved the use of these techniques for selected cases, particularly for the measure of 3D LV volumes and ejection fraction and global longitudinal strain in patients being considered for cardiac device implantation, surgical intervention (valvular heart disease) or screened for cardiotoxicity. Only 10% of centres used 3DE for right ventricular and LA volumes. Also, <30% of the centres used LA strain imaging. CONCLUSION: In Europe, a good adherence to current recommendations was observed for most of the standard parameters of cardiac chambers quantification by TTE. Advanced echocardiography modalities, such as 3DE and STE, are widely available but used only in selected cases. Published on behalf of the European Society of Cardiology. All rights reserved.
Authors: Thomas Münzel; Philipp S Wild; Karsten Keller; Christoph Sinning; Andreas Schulz; Claus Jünger; Volker H Schmitt; Omar Hahad; Tanja Zeller; Manfred Beutel; Norbert Pfeiffer; Konstantin Strauch; Stefan Blankenberg; Karl J Lackner; Jürgen H Prochaska; Eberhard Schulz Journal: Sci Rep Date: 2021-11-18 Impact factor: 4.379