TY - JOUR

T1 - Multi-step web-based training: The road to stress echo 2020

AU - Carpeggiani, Clara

AU - Ciampi, Quirino

AU - Paterni, Marco

AU - De Nes, Michele

AU - Zagatina, Angela

AU - Simova, Iana

AU - Djordievic-Dikic, A. N.A.

AU - Citro, Rodolfo

AU - Colonna, Paolo

AU - Picano, Eugenio

PY - 2018/12/1

Y1 - 2018/12/1

N2 - © 2018, Sociedad Argentina de Cardiologia. All rights reserved. Background: A standardized training platform helps to achieve reading harmonization in stress echocardiography (SE) beyond regional wall motion abnormalities (RWMA). Objective: To harmonize SE reading criteria across different laboratories. Methods: The core lab prepared for readers an obligatory 2-hour web-based learning module for 5 parameters: RWMA; B-lines; coronary flow velocity reserve (CFVR) based on peak diastolic flow velocity on the left anterior descending coronary artery; left ventricular contractile reserve (LVCR, from raw measurements of end-systolic volume, ESV); systolic arterial pulmonary pressure (from raw measurements of peak tricuspid regurgitant jet velocity, TRV). The quality control test consisted of 20 cases selected by the coordinating center. The a priori determined pass threshold was 18/20 (≥90%) with intra-class correlation coefficient between the coordinating lab and the peripheral reader >0.90. Results: The certification was completed by 84 readers for RWMA, 65 for B-lines, 30 for CFVR, 24 for ESV and 20 for TRV. The mean reading time per attempt was shorter for TRV (9±4 min), CFVR (13±6 min) and B-lines (17±3 min), intermediate for ESV (24±7 min), and longer for RWMA (29±12 min, p

AB - © 2018, Sociedad Argentina de Cardiologia. All rights reserved. Background: A standardized training platform helps to achieve reading harmonization in stress echocardiography (SE) beyond regional wall motion abnormalities (RWMA). Objective: To harmonize SE reading criteria across different laboratories. Methods: The core lab prepared for readers an obligatory 2-hour web-based learning module for 5 parameters: RWMA; B-lines; coronary flow velocity reserve (CFVR) based on peak diastolic flow velocity on the left anterior descending coronary artery; left ventricular contractile reserve (LVCR, from raw measurements of end-systolic volume, ESV); systolic arterial pulmonary pressure (from raw measurements of peak tricuspid regurgitant jet velocity, TRV). The quality control test consisted of 20 cases selected by the coordinating center. The a priori determined pass threshold was 18/20 (≥90%) with intra-class correlation coefficient between the coordinating lab and the peripheral reader >0.90. Results: The certification was completed by 84 readers for RWMA, 65 for B-lines, 30 for CFVR, 24 for ESV and 20 for TRV. The mean reading time per attempt was shorter for TRV (9±4 min), CFVR (13±6 min) and B-lines (17±3 min), intermediate for ESV (24±7 min), and longer for RWMA (29±12 min, p

KW - Quality control

KW - Stress echocardiography

KW - Web-based platform

UR - http://www.scopus.com/inward/record.url?scp=85059123449&partnerID=8YFLogxK

U2 - 10.7775/rac.v86.i6.14286

DO - 10.7775/rac.v86.i6.14286

M3 - Article

AN - SCOPUS:85059123449

VL - 86

SP - 385

EP - 390

JO - Revista Argentina de Cardiologia

JF - Revista Argentina de Cardiologia

SN - 0034-7000

IS - 6

ER -