Skip to main content
. 2024 May 13;19(1):47. doi: 10.5334/gh.1327

Table 5.

Studies of abbreviation of the WHF 2012 criteria and their accuracy when performed by an expert.


Diagnostic Feature(s) Diamantino et al. [29] Beaton et al. [21] Lu et al. [28] Remenyi et al. [30] Zuhlke et al. [24]

Modified protocol PLAX with colour Doppler. 11 image protocol (same as STAND) 11 image protocol, excluded CW PLAX with sweep of the heart and color Doppler PLAX with color Doppler

Modified criteria Valve regurgitation only CW replaced with regurgitation jet seen in ≥2 consecutive frames Assessed multiple parameters that maximised sensitivity and specificity Valve regurgitation or morphological features

Definition of screen positive MR ≥1.5 cm, any AR N/A MR ≥1.5 cm or any AR found to have the best compromise Any MR or AR seen in 2 consecutive frames, ≥2 morph features of MV MR ≥2 cm

Diagnosis of RHD As per WHF As per WHF As per WHF As per WHF As per WHF

Sensitivity c/f ref WHF criteria by standard echocardiography for any RHD 81.10% 78.9%% 73.30% 100% 80.80%

Specificity c/f ref WHF criteria by standard echocardiography for any RHD 75.50% 87.2%% 82.40% 95% 100%

PPV & NPV for any RHD 63.2%; 88.5% 44%; 100% 100%, 92.5%