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Electrocardiogram changes as predictors for new imaging findings in repeat transthoracic echocardiography.
Kadado, Anis John; Pervaiz, Abdullah; Gobeil, Kyle; Shikari, Saima; Elder, Petal; Battisha, Ayman; Walia, Ritika; Hiser, William; Lagu, Tara; Pack, Quinn R.
Affiliation
  • Kadado AJ; Division of Cardiovascular Medicine, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01199, USA.
  • Pervaiz A; Division of Cardiovascular Medicine, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01199, USA.
  • Gobeil K; Division of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT 06510, USA.
  • Shikari S; Division of Cardiovascular Medicine, University of Kentucky Medical Center, Lexington, KY 40536, USA.
  • Elder P; Department of Medicine, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01199, USA.
  • Battisha A; Department of Medicine, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01199, USA.
  • Walia R; Department of Medicine, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01199, USA.
  • Hiser W; Division of Cardiovascular Medicine, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01199, USA.
  • Lagu T; Division of Hospital Medicine, Northwestern Feinberg School of Medicine, Chicago, IL 60611, USA.
  • Pack QR; Division of Cardiovascular Medicine, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01199, USA.
Future Cardiol ; 19(10): 487-495, 2023 08.
Article in En | MEDLINE | ID: mdl-37721317
ABSTRACT

Aim:

To determine if electrocardiogram (EKG) findings may be a useful tool to predict changes in repeat transthoracic echocardiogram (TTE).

Methods:

We evaluated patients who underwent TTE during hospitalization and their EKGs, and whether findings differed between studies.

Results:

Of 229 hospitalized patients who underwent repeat TTE, 183 (80%) were abnormal. Each minor and major EKG abnormality resulted in a 1.8 (1.2 to 2.6; p = 0.002) and 2.1 (1.3 to 3.3; p < 0.001) increased odds of abnormal imaging on TTE, respectively. The negative likelihood ratio for an unchanged EKG to predict an unchanged TTE was 0.68 (95% CI = 0.62 to 0.73).

Conclusion:

Among hospitalized patients with prior imaging results, an unchanged EKG predicts an unchanged TTE.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Echocardiography / Electrocardiography Type of study: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Language: En Journal: Future Cardiol Journal subject: CARDIOLOGIA Year: 2023 Document type: Article Affiliation country: United States
Fulltext
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Echocardiography / Electrocardiography Type of study: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Language: En Journal: Future Cardiol Journal subject: CARDIOLOGIA Year: 2023 Document type: Article Affiliation country: United States