How well can the chest radiograph diagnose left ventricular dysfunction?

Journal of General Internal Medicine
R G BadgettG Ramírez

Abstract

To review the diagnostic utility of the chest radiograph for left ventricular dysfunction. Structured MEDLINE searches, citation reviews of relevant primary research, review articles, and textbooks, personal files, and data from experts. Studies of patients without valvular disease that allowed calculation of the sensitivity and specificity of selected radiographic signs compared with a criterion standard of increased left ventricular preload or reduced ejection fraction. Two independent readers reviewed 29 studies. Studies were pooled after stratification by radiographic finding, criterion standard, and clinical setting. Redistribution best diagnosed increased preload with a sensitivity of 65% (95% confidence interval [CI] 55%, 75%) and specificity 67% (95% CI 53%, 79%). Cardiomegaly best diagnosed decreased ejection fraction with a sensitivity of of 51% (95% CI 43%, 60%) and specificity of 79% (95% CI 71%, 85%). Interrater reliability was fair to moderate for redistribution and moderate for cardiomegaly. The clinical setting affected results by decreasing the specificity of cardiomegaly to 8% in detecting increased preload in patients with severe systolic dysfunction. The absence of redistribution could only exclude increased...Continue Reading

References

Mar 1, 1977·AJR. American Journal of Roentgenology·P M ChikosL Fisher
Feb 1, 1977·Annals of Internal Medicine·W R HarlanR A Rosati
Oct 2, 1975·The New England Journal of Medicine·L M Koran
Jun 1, 1992·Japanese Circulation Journal·A TakaradaT Itagaki
Aug 1, 1992·Journal of the American College of Cardiology·D D SchockenE A Ross
May 1, 1991·The American Journal of Cardiology·J K GhaliY L Liao
May 1, 1989·The American Journal of Cardiology·F V AguirreA J Labovitz
Jun 15, 1989·The American Journal of Cardiology·W F WongP L Blanchette
Feb 10, 1989·JAMA : the Journal of the American Medical Association·L W Stevenson, J K Perloff
Mar 1, 1989·The American Journal of Cardiology·H MahdyoonM Gheorghiade
Jun 1, 1987·Archives of Internal Medicine·J M Turnbull, C Buck
Sep 1, 1986·The American Journal of Medicine·K B Cease, J M Nicklas
Jan 1, 1986·Acta Medica Scandinavica·A MangschauR Lund Karlsen
Nov 1, 1986·Journal of General Internal Medicine·B P SchmittS L Wiener
Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
May 1, 1985·AJR. American Journal of Roentgenology·E N MilneC Giuntini
Jan 1, 1985·Journal of Chronic Diseases·K J CarlsonR A Johnson
Dec 1, 1974·The British Journal of Radiology·E D Bennett, S Rees
Jul 1, 1972·The Journal of Thoracic and Cardiovascular Surgery·M Puig-MassanaJ M Revuelta
May 1, 1970·The American Journal of Cardiology·B W LassersT Philp
Apr 1, 1971·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·H BurkoE Newman
Apr 17, 1982·Lancet·C P Mustchin, I Tiwari

❮ Previous
Next ❯

Citations

Jun 5, 2007·Current Cardiology Reports·Salpy V PamboukianRobert C Bourge
Jun 21, 2005·Journal of Manipulative and Physiological Therapeutics·Melanie D OsterhouseRon Boesch
May 29, 1998·American Journal of Respiratory and Critical Care Medicine·J W ThomasonE F Haponik
Nov 15, 2012·Annals of Family Medicine·Saskia van VugtUNKNOWN GRACE Project Group
Sep 9, 2010·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·F D Richard Hobbs
May 6, 2014·International Emergency Nursing·Erden Erol ÜnlüerFigen Budak
Apr 25, 2009·Journal of the American Medical Informatics Association : JAMIA·Helen C AzzamBarry D Fuchs
Feb 11, 2014·Clinics in Laboratory Medicine·Ravi B Patel, Eric A Secemsky
Aug 6, 2010·Artificial Intelligence in Medicine·Franco ChiarugiOvidio Salvetti
Oct 18, 2003·Congestive Heart Failure·W Frank PeacockRichard Summers
Jan 15, 2005·Journal of Clinical Epidemiology·Penny WhitingJos Kleijnen
Mar 24, 2007·The American Journal of Cardiology·Anekwe Onwuanyi, Malcolm Taylor
Mar 10, 2004·The American Journal of Medicine·Cathrine W KnudsenAlan S Maisel
Nov 11, 2003·Journal of the Renin-angiotensin-aldosterone System : JRAAS·Tarita Murray-Thomas, Martin R Cowie
May 5, 2006·Current Opinion in Critical Care·Russell R Miller, E Wesley Ely
Dec 18, 2013·Behavioural and Cognitive Psychotherapy·Alex GyaniMichelle J Lee
Jun 2, 1998·Drug Metabolism Reviews·B N Ames, L S Gold
Apr 24, 1999·British Journal of Clinical Pharmacology·R J MacFadyenA D Struthers
Nov 17, 2009·Biomarkers : Biochemical Indicators of Exposure, Response, and Susceptibility to Chemicals·Abelardo A Martinez-RumayorJames L Januzzi
Oct 6, 2001·Annals of Clinical Biochemistry·R Kelly, A D Struthers

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved