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January 21, 2010Radiology

Cardiac CT Angiography for the Diagnosis of Mitral Valve Prolapse: Comparison with Echocardiography

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Key result

Coronary CTA detects mitral valve prolapse with ~96% sensitivity using multi-chamber views.

  • n=112

Why the study?

The diagnostic performance of coronary CT angiography for mitral valve prolapse compared with transthoracic echocardiography was evaluated.

Does coronary CT angiography accurately diagnose mitral valve prolapse compared to transthoracic echocardiography?

Comparison

Coronary CT angiography vs transthoracic echocardiography

Design

Retrospective case-controlled multicenter study with two independent observers

Authors

GFGudrun FeuchtnerCardiac ImagingHAHatem AlkadhiCardiac ImagingCKChristoph KarloKlinik Hirslanden

Discussion

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Implication

May support coronary CTA for MVP detection when TTE is limited; leaves open prospective validation.

Study Design

Type

Case-Control (n=112)

Multicenter

Yes

Structured PICO

Does coronary CT angiography accurately diagnose mitral valve prolapse compared to transthoracic echocardiography?

P
Population
112 patients (53 with mitral valve prolapse and 59 age- and sex-matched controls) who underwent coronary CT angiography and transthoracic echocardiography.
E
Exposure
Coronary computed tomographic (CT) angiography (electrocardiographically gated 64-section or dual-source) analyzed on three-, two-, and four-chamber views.
C
Comparator
Transthoracic echocardiography (TTE).
O
Outcome
Diagnostic performance (sensitivity, specificity, positive predictive value, and negative predictive value) of coronary CT angiography for the diagnosis of mitral valve prolapse.surrogate

Coronary CT angiography demonstrates high diagnostic accuracy for mitral valve prolapse when combining three- and two-chamber views, correlating well with transthoracic echocardiography.

Cite This Study

Feuchtner et al. (2010) conducted a case-control in Mitral valve prolapse (n=112). Coronary computed tomographic (CT) angiography vs. Transthoracic echocardiography was evaluated on Diagnostic performance of CT for the diagnosis of mitral valve prolapse. Coronary CT angiography using combined three- and two-chamber views accurately diagnosed mitral valve prolapse with 96% sensitivity and 93% specificity.

synapsesocial.com/papers/6ab488b50b90fb95b4c0307ahttps://doi.org/10.1148/radiol.2541090393

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Mitral Regurgitation: Quantification with 16–Detector Row CT—Initial Experience2006 · 113 citations
  2. 2Assessment of Mitral Valve Regurgitation at Electron-Beam CT: Comparison with Doppler Echocardiography2005 · 20 citations
  3. 3Diagnostic Accuracy of Cardiac 64-Slice Computed Tomography in Detecting Atrial Thrombi2008 · 43 citations
  4. 4Thrombus in the Left Atrial Appendage in Stroke Patients: Detection with Cardiac CT Angiography—A Preliminary Report2008 · 73 citations
  5. 5Biomarkers in Acute Cardiac Disease2006 · 639 citations