Table 3.
Table 3: Reproducibility analyses for peak longitudinal systolic and diastolic strain rate | ||||||||||||
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Frame rate/ Heart rate |
Mean ± SD | Intra-observer analyses | Inter-observer analyses | |||||||||
(frames/s/bpm) | (1/s) | Bland Altman | CV | Linear Correlation | Bland Altman | CV | Linear Correlation | |||||
RV Logitudinal Systolic Strain Rate | Bias (%) | LOA | (%) | r | p value | Bias (%) | LOA | (%) | r | p value | ||
<90 frames/ sec | <0.5 | −2.0 ± 0.4 | 16 | −0.6 - 0.6 | 11 | 0.69 | 0.0005 | 20 | −0.84 - 0.88 | 15 | 0.41 | 0.07 |
90-110 frames/ sec | 0.5-0.7 | −2.0 ± 0.3 | 6 | −0.2 - 0.3 | 5 | 0.93 | <0.0001 | 9 | −0.39 - 0.43 | 7 | 0.83 | 0.0006 |
110-130 frames/sec | 0.7-0.9 | −2.1 ± 0.4 | 5 | −0.3 - 0.3 | 5 | 0.93 | <0.0001 | 9 | −0.48 - 0.52 | 9 | 0.76 | <0.0001 |
< 130 frames/sec | <0.9 | −2.2 ± 0.4 | 4 | −0.3 - 0.23 | 4 | 0.96 | <0.0001 | 6 | −0.40 - 0.44 | 8 | 0.99 | <0.0001 |
LV Longitudinal Systolic Strain Rate | ||||||||||||
<90 frames/ sec | <0.5 | −1.9 ± 0.4 | 13 | −0.6 - 0.6 | 12 | 0.67 | 0.001 | 16 | −0.61 - 0.65 | 13 | 0.63 | 0.003 |
90-110 frames/ sec | 0.5-0.7 | −1.8 ± 0.3 | 13 | −0.6-0.6 | 12 | 0.39 | 0.09 | 17 | −0.62 - 0.66 | 15 | 0.45 | 0.04 |
110-130 frames/sec | 0.7-0.9 | −1.8 ± 0.3 | 13 | −0.6 - 0.62 | 12 | 0.43 | 0.05 | 15 | −0.60 - 0.64 | 10 | 0.45 | 0.04 |
< 130 frames/sec | <0.9 | −2.0 ± 0.3 | 8 | −0.5 - 0.6 | 10 | 0.57 | 0.008 | 9 | −0.45 - 0.49 | 10 | 0.71 | 0.0003 |
RV Logitudinal Early Diastolic Strain Rate | Bias (%) | LOA | (%) | r | p value | Bias(%) | LOA | (%) | r | p value | ||
<90 frames/ sec | <0.5 | 3.0 ± 0.8 | 12 | −0.8 - 0.8 | 9 | 0.88 | 0.0001 | 15 | −8.8 - 7.5 | 18 | 0.66 | 0.005 |
90-110 frames/ sec | 0.5 - 0.7 | 3.1 ± 1.1 | 13 | −0.8 - 0.8 | 9 | 0.92 | <0.0001 | 12 | −7.6 - 5.2 | 18 | 0.78 | 0.0006 |
110-130 frames/sec | 0.7 - 0.9 | 3.3 ± 1.0 | 5 | −0.4 - 0.5 | 5 | 0.97 | <0.0001 | 8 | −6.3 - 4.7 | 9 | 0.79 | <0.0001 |
> 130 frames/sec | <0.9 | 3.8 ± 1.1 | 3 | −0.3 - 0.3 | 3 | 0.97 | <0.0001 | 6 | −4.2 - 3.3 | 8 | 0.91 | <0.0001 |
LV Logitudinal Early Diastolic Strain Rate | ||||||||||||
<90 frames/ sec | <0.5 | 2.9 0.6 | 13 | −0.8 - 0.9 | 11 | 0.72 | 0.0003 | 18 | −1.2 - 1.2 | 17 | 0.48 | 0.02 |
90-110 frames/ sec | 0.5-0.7 | 3.1 ± 0.7 | 16 | −1.1 - 1.1 | 13 | 0.69 | 0.0007 | 17 | −1.0 - 1.0 | 13 | 0.70 | 0.0006 |
110-130 frames/sec | 0.7-0.9 | 3.4 ± 0.6 | 14 | −1.0 - 1.1 | 12 | 0.81 | <0.0001 | 13 | −0.9 - 0.9 | 11 | 0.80 | <0.0001 |
> 130 frames/sec | >0.9 | 3.6 ± 0.7 | 16 | −1.2 - 1.1 | 14 | 0.84 | <0.0001 | 22 | −1.3 - 1.3 | 18 | 0.53 | 0.01 |
RV Logitudinal Late Diastolic Strain Rate | Bias (%) | LOA | (%) | r | p value | Bias (%) | LOA | (%) | r | p value | ||
<90 frames/ sec | <0.5 | 2.5 ± 0.8 | 15 | −5.7 - 5.1 | 9 | 0.84 | 0.0001 | 15 | −0.75 - 0.79 | 12 | 0.92 | <0.0001 |
90-110 frames/ sec | 0.5-0.7 | 2.6 ± 1.0 | 8 | −2.6 - 2.6 | 7 | 0.97 | <0.0001 | 11 | −0.65 - 0.69 | 9 | 0.90 | <0.0001 |
110-130 frames/sec | 0.7-0.9 | 2.5 ± 1.0 | 4 | −0.3 - 0.3 | 14 | 0.99 | <0.0001 | 10 | −1.42 - 1.46 | 21 | 0.75 | 0.0001 |
> 130 frames/sec | >0.9 | 2.3 ± 1.0 | 7 | −0.5 - 0.5 | 8 | 0.97 | <0.0001 | 10 | −0.99 - 1.0 | 16 | 0.99 | <0.0001 |
LV Logitudinal Late Diastolic Strain Rate | ||||||||||||
<90 frames/ sec | <0.5 | 2.1 ± 0.4 | 20 | −0.9 - 0.9 | 14 | 0.72 | 0.0002 | 44 | −2.14 - 2.2 | 38 | 0.07 | 0.7 |
90-110 frames/ sec | 0.5-0.7 | 2.0 ± 0.9 | 35 | −1.2 - 1.3 | 25 | 0.72 | 0.0002 | 39 | −2.15 - 2.19 | 37 | 0.23 | 0.32 |
110-130 frames/sec | 0.7-0.9 | 1.9 ± 0.9 | 26 | −1.5 - 1.5 | 28 | 0.61 | 0.003 | 33 | −1.46 - 1.50 | 28 | 0.60 | 0.004 |
> 130 frames/sec | >0.9 | 2.1 ± 0.9 | 27 | −1.0 - 0.9 | 18 | 0.86 | <0.0001 | 27 | −1.29 - 1.33 | 23 | 0.71 | 0.0003 |
The mean ± SD of strain rate measurements shown were obtained by a single observer (A.A.S). LOA: Limits of agreement. CV: Coefficient of variation. RV: Right ventricle. LV: Left ventricle.