Effectiveness of transthoracic echocardiogram in patent foramen ovale diagnosis. Systematic review of last ten years
Background: Transesophageal echo (TEE) bubble study is the current gold standard for patent foramen ovale (PFO) diagnosis, but it has the disadvantage of being semi-invasive and not exempted from risks. The aim of this study was to determine the accuracy of TTE compared to TEE for PFO diagnosis. Met...
Guardado en:
| Autores principales: | , , , , , , , , , , , |
|---|---|
| Formato: | Artículo revista |
| Lenguaje: | Español |
| Publicado: |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
|
| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/23988 |
| Aporte de: |
| id |
I10-R10-article-23988 |
|---|---|
| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-10 |
| container_title_str |
Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
transthoracic echocardiography transesophageal echocardiography patent foramen ovale diagnosis. ecocardiografía transtorácica ecocardiografía transesofágica foramen oval permeable diagnóstico ecocardiografia transtorácica ecocardiografia transesofagiana forame oval patente diagnóstico. |
| spellingShingle |
transthoracic echocardiography transesophageal echocardiography patent foramen ovale diagnosis. ecocardiografía transtorácica ecocardiografía transesofágica foramen oval permeable diagnóstico ecocardiografia transtorácica ecocardiografia transesofagiana forame oval patente diagnóstico. Figueroa Córdoba, Ana Virginia Bertazzo, Brunella Bianca Gonzalez Grima, Juan Martinez, Maria Laura Konicoff, Mailen Martina, Luciana Rossa, Victoria Carrizo, Carolina Brenna, Eduardo Javier Amuchástegui Cáceres, Marcos Salomone, Oscar Contreras, Alejandro Ernesto Effectiveness of transthoracic echocardiogram in patent foramen ovale diagnosis. Systematic review of last ten years |
| topic_facet |
transthoracic echocardiography transesophageal echocardiography patent foramen ovale diagnosis. ecocardiografía transtorácica ecocardiografía transesofágica foramen oval permeable diagnóstico ecocardiografia transtorácica ecocardiografia transesofagiana forame oval patente diagnóstico. |
| author |
Figueroa Córdoba, Ana Virginia Bertazzo, Brunella Bianca Gonzalez Grima, Juan Martinez, Maria Laura Konicoff, Mailen Martina, Luciana Rossa, Victoria Carrizo, Carolina Brenna, Eduardo Javier Amuchástegui Cáceres, Marcos Salomone, Oscar Contreras, Alejandro Ernesto |
| author_facet |
Figueroa Córdoba, Ana Virginia Bertazzo, Brunella Bianca Gonzalez Grima, Juan Martinez, Maria Laura Konicoff, Mailen Martina, Luciana Rossa, Victoria Carrizo, Carolina Brenna, Eduardo Javier Amuchástegui Cáceres, Marcos Salomone, Oscar Contreras, Alejandro Ernesto |
| author_sort |
Figueroa Córdoba, Ana Virginia |
| title |
Effectiveness of transthoracic echocardiogram in patent foramen ovale diagnosis. Systematic review of last ten years |
| title_short |
Effectiveness of transthoracic echocardiogram in patent foramen ovale diagnosis. Systematic review of last ten years |
| title_full |
Effectiveness of transthoracic echocardiogram in patent foramen ovale diagnosis. Systematic review of last ten years |
| title_fullStr |
Effectiveness of transthoracic echocardiogram in patent foramen ovale diagnosis. Systematic review of last ten years |
| title_full_unstemmed |
Effectiveness of transthoracic echocardiogram in patent foramen ovale diagnosis. Systematic review of last ten years |
| title_sort |
effectiveness of transthoracic echocardiogram in patent foramen ovale diagnosis. systematic review of last ten years |
| description |
Background: Transesophageal echo (TEE) bubble study is the current gold standard for patent foramen ovale (PFO) diagnosis, but it has the disadvantage of being semi-invasive and not exempted from risks. The aim of this study was to determine the accuracy of TTE compared to TEE for PFO diagnosis.
Methods and results: a systematic review was done on Medline with the terms "transthoracic echocardiography, transesophageal echocardiography, patent foramen ovale, diagnosis" yielding published literature of the last ten years. The search was completed in february 2018. Of 715 articles, 10 were analyzed. The total of patients were 1268 (mean age of 47 years +/-14) with a global prevalence of PFO of 48%. The sensibility of ETT was 90 % (IC 95: 88 % - 92 %) and the specificity 92% (IC 95: 89 % - 94 %). The positive predictive value was 93% (IC 95: 90 % - 94 %) and the negative predictive value 89 % (IC 95: 87 % - 91 %). The area under the curve and Q index value were 0,97 and 0,93 respectively. The positive and negative likelihood ratio were 18,989 and 0,072 respectively.
Conclusion: The ETT shows a good specificity and sensibility for PFO diagnosis with last generation equipments, contrast use and valsalva maneuver; according to the analyzed studies. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/23988 |
| work_keys_str_mv |
AT figueroacordobaanavirginia effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT bertazzobrunellabianca effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT gonzalezgrimajuan effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT martinezmarialaura effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT konicoffmailen effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT martinaluciana effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT rossavictoria effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT carrizocarolina effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT brennaeduardojavier effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT amuchasteguicaceresmarcos effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT salomoneoscar effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT contrerasalejandroernesto effectivenessoftransthoracicechocardiograminpatentforamenovalediagnosissystematicreviewoflasttenyears AT figueroacordobaanavirginia eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT bertazzobrunellabianca eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT gonzalezgrimajuan eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT martinezmarialaura eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT konicoffmailen eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT martinaluciana eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT rossavictoria eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT carrizocarolina eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT brennaeduardojavier eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT amuchasteguicaceresmarcos eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT salomoneoscar eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT contrerasalejandroernesto eficaciadelecocardiogramatranstoracicoparaeldiagnosticodeforamenovalpermeablerevisionsistematicadelosultimosdiezanos AT figueroacordobaanavirginia eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT bertazzobrunellabianca eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT gonzalezgrimajuan eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT martinezmarialaura eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT konicoffmailen eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT martinaluciana eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT rossavictoria eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT carrizocarolina eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT brennaeduardojavier eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT amuchasteguicaceresmarcos eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT salomoneoscar eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos AT contrerasalejandroernesto eficaciadoecocardiogramatranstoracicoparaodiagnosticodeforameovalpatenterevisaosistematicadosultimosdezanos |
| first_indexed |
2022-08-20T01:26:24Z |
| last_indexed |
2022-08-20T01:26:24Z |
| _version_ |
1770718992842883072 |
| spelling |
I10-R10-article-239882020-03-05T18:52:22Z Effectiveness of transthoracic echocardiogram in patent foramen ovale diagnosis. Systematic review of last ten years Eficacia del ecocardiograma transtorácico para el diagnóstico de foramen oval permeable. Revisión sistemática de los últimos diez años Eficácia do ecocardiograma transtorácico para o diagnóstico de forame oval patente. Revisão sistemática dos últimos dez anos Figueroa Córdoba, Ana Virginia Bertazzo, Brunella Bianca Gonzalez Grima, Juan Martinez, Maria Laura Konicoff, Mailen Martina, Luciana Rossa, Victoria Carrizo, Carolina Brenna, Eduardo Javier Amuchástegui Cáceres, Marcos Salomone, Oscar Contreras, Alejandro Ernesto transthoracic echocardiography transesophageal echocardiography patent foramen ovale diagnosis. ecocardiografía transtorácica ecocardiografía transesofágica foramen oval permeable diagnóstico ecocardiografia transtorácica ecocardiografia transesofagiana forame oval patente diagnóstico. Background: Transesophageal echo (TEE) bubble study is the current gold standard for patent foramen ovale (PFO) diagnosis, but it has the disadvantage of being semi-invasive and not exempted from risks. The aim of this study was to determine the accuracy of TTE compared to TEE for PFO diagnosis. Methods and results: a systematic review was done on Medline with the terms "transthoracic echocardiography, transesophageal echocardiography, patent foramen ovale, diagnosis" yielding published literature of the last ten years. The search was completed in february 2018. Of 715 articles, 10 were analyzed. The total of patients were 1268 (mean age of 47 years +/-14) with a global prevalence of PFO of 48%. The sensibility of ETT was 90 % (IC 95: 88 % - 92 %) and the specificity 92% (IC 95: 89 % - 94 %). The positive predictive value was 93% (IC 95: 90 % - 94 %) and the negative predictive value 89 % (IC 95: 87 % - 91 %). The area under the curve and Q index value were 0,97 and 0,93 respectively. The positive and negative likelihood ratio were 18,989 and 0,072 respectively. Conclusion: The ETT shows a good specificity and sensibility for PFO diagnosis with last generation equipments, contrast use and valsalva maneuver; according to the analyzed studies. Introducción: El ecocardiograma transesofágico (ETE) con burbujas es el estudio de referencia para el diagnóstico de foramen oval permeable (FOP), es semi-invasivo y no exento de riesgos. Nuestro objetivo fue determinar la eficacia del ecocardiograma transtorácico (ETT) para el diagnóstico de FOP, en comparación con el ETE. Métodos y resultados: Se realizó una búsqueda en MEDLINE de los últimos 10 años con las palabras claves: "ecocardiograma transtorácico, ecocardiograma transesofágico, foramen oval permeable, diagnóstico". La búsqueda se completó el 28 de Febrero de 2018. De 715 artículos, se seleccionaron 10 para analizar. El total de pacientes fue 1268, edad promedio de 47 años +/-14. La prevalencia global de FOP fue de 48%. La sensibilidad del ETT fue de 90% (IC 95: 88% - 92%) y la especificidad de 92% (IC 95: 89% - 94%). El valor predictivo positivo fue de 93% (IC 95: 90% - 94%) y el valor predictivo negativo de 89% (IC 95: 87% - 91%). El área bajo la curva y el índice Q fueron 0,97 y 0,93 respectivamente. El cociente de probabilidad positivo fue de 18,989 y el negativo de 0,072. Conclusión: El ETT muestra una buena especificidad y sensibilidad para el diagnóstico de FOP con equipos de última generación, uso de contraste y maniobra de Valsalva; según los estudios analizados. Introdução: O ecocardiograma transesofágico (ETE) com bolhas é o estudo de referência para o diagnóstico de forame oval patente (FOP), é semi-invasivo e não sem risco. Nosso objetivo foi determinar a eficácia do ecocardiograma transtorácico (ETT) para o diagnóstico de FOP, em comparação com o ETE.Métodos e resultados: Uma pesquisa no MEDLINE dos últimos 10 anos foi realizada com as palavras-chave : "ecocardiografia transtorácica, ecocardiografia transesofagiana, forame oval patente, diagnóstico". A busca foi concluída em 28 de fevereiro de 2018. Dos 715 artigos, 10 foram selecionados para análise. O número total de pacientes foi 1268, com idade média de 47 anos +/- 14. A prevalência global da FOP foi de 48%. A sensibilidade do ETT foi de 90% (IC 95: 88% - 92%) e a especificidade de 92% (IC 95: 89% - 94%). O valor preditivo positivo foi de 93% (IC95%: 90% - 94%) e o valor preditivo negativo de 89% (IC 95: 87% - 91%). A área sob a curva e o índice Q foram 0,97 e 0,93, respectivamente. A razão de verossimilhança positiva foi de 18.989 e a negativa de 0,072. Conclusão: O ETT apresenta boa especificidade e sensibilidade para o diagnóstico de FOP com equipamentos de última geração, uso de contraste e manobra de Valsalva; de acordo com os estudos analisados. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-11-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/23988 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 76 No. 4 (2019); 211-216 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 76 Núm. 4 (2019); 211-216 Revista da Faculdade de Ciências Médicas de Córdoba; v. 76 n. 4 (2019); 211-216 1853-0605 0014-6722 10.31053/1853.0605.v76.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/23988/28324 https://revistas.unc.edu.ar/index.php/med/article/view/23988/28555 Derechos de autor 2019 Universidad Nacional de Córdoba |