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采用二尖瓣口法通过超声心动图和多普勒血流测定心输出量时,观察者间及观察者自身的解读差异分析。

Analysis of interobserver and intraobserver variation of interpretation of the echocardiographic and Doppler flow determination of cardiac output by the mitral orifice method.

作者信息

Nicolosi G L, Pungercic E, Cervesato E, Modena L, Zanuttini D

出版信息

Br Heart J. 1986 May;55(5):446-8. doi: 10.1136/hrt.55.5.446.

DOI:10.1136/hrt.55.5.446
PMID:3707784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1216379/
Abstract

The variability of the interpretation by two individuals of a combined echocardiographic and Doppler method of calculating output was studied in 30 normal adults. In each subject three separate cardiac cycles were recorded to calculate maximal mitral valve orifice, the ratio of mean to maximal mitral valve leaflet separation, and the mean flow velocity through the mitral valve. The recordings were digitised twice by two independent observers. Estimates of cardiac output ranged from 3.2 to 8.11 1/min. Analysis of variance showed that interobserver and intraobserver variability for these measurements was 5.8% and 6.1% respectively. It is concluded that the reproducibility for interpreting this non-invasive method is adequate for clinical use in adults with cardiac outputs within the normal range.

摘要

在30名正常成年人中研究了两名个体对结合超声心动图和多普勒方法计算心输出量的解释的可变性。在每个受试者中记录三个独立的心动周期,以计算最大二尖瓣口面积、平均与最大二尖瓣叶分离比值以及通过二尖瓣的平均流速。记录由两名独立观察者进行两次数字化处理。心输出量估计值范围为3.2至8.11升/分钟。方差分析表明,这些测量的观察者间和观察者内变异性分别为5.8%和6.1%。结论是,对于正常心输出量范围内的成年人,解释这种非侵入性方法的再现性足以用于临床。

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引用本文的文献

1
Feasibility and variability of six methods for the echocardiographic and Doppler determination of cardiac output.超声心动图和多普勒测定心输出量的六种方法的可行性和变异性
Br Heart J. 1988 Mar;59(3):299-303. doi: 10.1136/hrt.59.3.299.

本文引用的文献

1
Sources of variability in echocardiographic measurements.
Am J Cardiol. 1980 May;45(5):995-1004. doi: 10.1016/0002-9149(80)90168-x.
2
The mitral valve orifice method for noninvasive two-dimensional echo Doppler determinations of cardiac output.用于无创二维超声多普勒测定心输出量的二尖瓣口法。
Circulation. 1983 Apr;67(4):872-7. doi: 10.1161/01.cir.67.4.872.
3
Pulsed Doppler echocardiographic determination of stroke volume and cardiac output: clinical validation of two new methods using the apical window.脉冲多普勒超声心动图测定每搏输出量和心输出量:两种经心尖窗新方法的临床验证
Circulation. 1984 Sep;70(3):425-31. doi: 10.1161/01.cir.70.3.425.
4
Doppler echocardiographic comparison of flows distal to the four cardiac valves.四个心脏瓣膜远端血流的多普勒超声心动图比较。
J Am Coll Cardiol. 1984 Aug;4(2):268-72. doi: 10.1016/s0735-1097(84)80212-0.
5
A pulsed Doppler echocardiographic method for calculation of pulmonary and systemic flow: accuracy in a canine model with ventricular septal defect.一种用于计算肺循环和体循环血流量的脉冲多普勒超声心动图方法:在室间隔缺损犬模型中的准确性
Circulation. 1983 Sep;68(3):597-602. doi: 10.1161/01.cir.68.3.597.