Quantification of mitral valve regurgitation by 2D and 3D echocardiography compared with cardiac magnetic resonance a systematic review and meta-analysis
- Resource Type
- Authors
- Victor Sköldborg; Per Lav Madsen; Jawdat Abdulla; Morten Dalsgaard
- Source
- The International Journal of Cardiovascular Imaging. 36:279-289
- Subject
- Male
medicine.medical_specialty
Echocardiography, Three-Dimensional
030204 cardiovascular system & hematology
Severity of Illness Index
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Cardiac magnetic resonance imaging
Internal medicine
Humans
Medicine
Radiology, Nuclear Medicine and imaging
030212 general & internal medicine
Cardiac imaging
Aged
Mitral regurgitation
medicine.diagnostic_test
business.industry
Hemodynamics
Mitral Valve Insufficiency
Reproducibility of Results
Magnetic resonance imaging
Middle Aged
medicine.disease
Magnetic Resonance Imaging
Confidence interval
Meta-analysis
Cardiology
Mitral Valve
Female
Cardiology and Cardiovascular Medicine
business
Cardiac magnetic resonance
Mitral valve regurgitation
- Language
- ISSN
- 1573-0743
1569-5794
By means of systematic literature review and meta-analysis, we compared results of studies examining different echocardiographic methods assessing severity of mitral valve regurgitation volume (MVR) with cardiac magnetic resonance imaging (CMR) as standard reference. A systematic search of electronic databases revealed twenty studies eligible for meta-analysis. Results of 2D- and 3D-trans-thoracic (TTE) and trans-esophageal echocardiographic (TEE) proximal isovelocity surface area (PISA) and volumetric methods were compared with CMR. Mean differences (ml) with 95% limits of agreement (LoA) derived from Bland–Altman tests and correlations coefficients [(R) 95% confidence interval (CI)] were pooled together. Overall 1187 patients [mean age = 59 ± 13 years and 678(57%) males] with primary or secondary mild to severe MVR were included. Comparing all echocardiographic methods with CMR showed an overestimation and moderate agreement with difference and 95% LoA of 8.05(− 3.40, 19.49) ml, R = 0.73(95% CI 0.71–0.76) p