Comparison of Multidetector Computed Tomography and Two-Dimensional Transthoracic Echocardiography for Left Ventricular Assessment in Patients With Heart Failure

Javed Butler, Michael Shapiro, Davindar Jassal, Tomas Neilan, John Nichols, Maros Ferencik, Thomas J. Brady, Udo Hoffmann, Ricardo C. Cury

Research output: Contribution to journalArticle

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Abstract

Along with coronary evaluation, 64-slice multidetector computed tomography (MDCT) permits comprehensive assessment of left ventricular (LV) anatomy and function; however, how it compares with 2-dimensional transthoracic echocardiography (TTE) in patients with heart failure (HF) is not known. In this study, we compared 25 patients with ejection fractions of 0.20). The mean lateral and septal wall thicknesses by TTE and MDCT were 10 ± 1.4 and 11 ± 1.5 mm and 10 ± 1.3 and 10 ± 1.4 mm (r = 0.77 and 0.76, respectively, both p >0.20). The mean LV end-diastolic and end-systolic volumes and stroke volume by TTE and MDCT were 123 ± 45, 78 ± 31, and 44 ± 21 ml and 140 ± 58, 92 ± 43, and 48 ± 24 ml, respectively (r = 0.62, 0.67, and 0.60, respectively, all p >0.20). The regional wall motion assessment correlation was good between the 2 modalities (κ = 0.61). The interobserver correlation between the 2 MDCT readers ranged from good (r = 0.72 for LV end-diastolic volume) to excellent (r = 0.84 for septal wall thickness). In conclusion, MDCT provides comparable results to TTE for LV structure and functional assessment among patients with HF.

Original languageEnglish (US)
Pages (from-to)247-249
Number of pages3
JournalAmerican Journal of Cardiology
Volume99
Issue number2
DOIs
StatePublished - Jan 15 2007
Externally publishedYes

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Multidetector Computed Tomography
Echocardiography
Heart Failure
Stroke Volume
Left Ventricular Function
Anatomy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Comparison of Multidetector Computed Tomography and Two-Dimensional Transthoracic Echocardiography for Left Ventricular Assessment in Patients With Heart Failure. / Butler, Javed; Shapiro, Michael; Jassal, Davindar; Neilan, Tomas; Nichols, John; Ferencik, Maros; Brady, Thomas J.; Hoffmann, Udo; Cury, Ricardo C.

In: American Journal of Cardiology, Vol. 99, No. 2, 15.01.2007, p. 247-249.

Research output: Contribution to journalArticle

Butler, Javed ; Shapiro, Michael ; Jassal, Davindar ; Neilan, Tomas ; Nichols, John ; Ferencik, Maros ; Brady, Thomas J. ; Hoffmann, Udo ; Cury, Ricardo C. / Comparison of Multidetector Computed Tomography and Two-Dimensional Transthoracic Echocardiography for Left Ventricular Assessment in Patients With Heart Failure. In: American Journal of Cardiology. 2007 ; Vol. 99, No. 2. pp. 247-249.
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