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Title

Accuracy of cardiac auscultation in the era of Doppler-echocardiography: a comparison between cardiologists and internists
Authors
Sztajzel, Juan
Piccard-Kossovsky, Michel
Lerch, René
Vuille, Cédric
Sarasin, François
Published in International Journal of Cardiology. 2010, vol. 138, no. 3, p. 308-10
Abstract To investigate the present accuracy of cardiac auscultation, we asked a group of senior cardiologists and internists to auscultate respectively 72 and 70 selected patients and to give a diagnosis of the type of lesions heard and their degree of severity, using transthoracic Doppler-echocardiography as the standard reference. The percentage of correctly identified auscultations by cardiologists and by internists, particularly for common valvular lesions, such as aortic stenosis and mitral regurgitation, was respectively 76.1 vs 64.9% (P=0.0787) for all types of lesions taken together, 57.1 vs 48%.0 (P=0.5057) for mild, 82.4 vs 76.0% (P= 0.3335) for moderate-severe and 81.8 vs 27.3% (P=0.0300) for lesions without degree of severity, which included cases of atrial septal defect (ASD) and of hypertrophic cardiomyopathiy (HCM). Our findings show that in the Doppler-echocardiographic era overall cardiac auscultatory proficiency for common valvular lesions is similar in cardiologists and internists. Cardiologists perform better than internists only when auscultating more rare cadiac lesions, such as cases of ASD or HCM.
Keywords Aged — Aged, 80 and over — Cardiology/standards — Echocardiography, Doppler — Female — Heart Auscultation/standards — Heart Valve Diseases/diagnosis/ultrasonography — Humans — Internal Medicine/standards — Male — Middle Aged — Reproducibility of Results
Identifiers
PMID: 18762344
Full text
Article (Published version) (178 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Faculté de médecine / Section de médecine clinique / Département de médecine
Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires
Research groups L'athérosclérose et ses complications cliniques (591)
Biologie du myocarde (22)
Syncope (24)
Citation
(ISO format) 		SZTAJZEL, Juan et al. Accuracy of cardiac auscultation in the era of Doppler-echocardiography: a comparison between cardiologists and internists. In: International Journal of Cardiology, 2010, vol. 138, n° 3, p. 308-10. doi: 10.1016/j.ijcard.2008.06.066 https://archive-ouverte.unige.ch/unige:25867

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Deposited on : 2013-01-23

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