Abstract

Report from the Annual Conference of the British Society of Echocardiography, October 2018, ACC Liverpool, Liverpool

Highlights

  • Patients with myocardial infarction (MI) are at risk of developing left ventricular systolic dysfunction (LVSD), with implications for quality of life, driving and mortality related to heart failure and sudden death

  • A previous evaluation indicated that sub-optimal image quality introduces a systematic bias in 3D-STE derived left ventricular (LV) deformation indices [1, 2]

  • We aimed to quantify the extent of bias in proportion to impairment in image quality

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Summary

Introduction

Patients with myocardial infarction (MI) are at risk of developing left ventricular systolic dysfunction (LVSD), with implications for quality of life, driving and mortality related to heart failure and sudden death. Current UK and European guidelines recommend inpatient echocardiography after MI, to identify those with severe LVSD. We adjusted departmental provision to focus physiologists’ workload onto this service; importantly, we designed a targeted, post-MI reporting template (Fig. 4) to gather relevant data on LV function and common complications, with the provision for a detailed outpatient study to address incidental findings. A previous evaluation indicated that sub-optimal image quality introduces a systematic bias in 3D-STE derived left ventricular (LV) deformation indices [1, 2]. We aimed to quantify the extent of bias in proportion to impairment in image quality

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