Specificity and sensitivity of cardiac color Doppler ultrasound in clinical diagnosis of patients with chronic heart failure

doi:10.3877/cma.j.issn.1674-0785.2022.07.014

Abstract

Abstract:

Objective

To investigate the specificity and sensitivity of cardiac color Doppler ultrasound in the clinical diagnosis of patients with chronic heart failure.

Methods

A total of 212 patients with chronic heart failure were randomly selected at our hospital from March 2019 to March 2021. All patients underwent cardiac color Doppler ultrasound and coronary angiography. Data including left ventricular diastolic diameter, left atrial diameter, left ventricular ejection fraction, E peak/Ea peak, and adverse reactions after diagnosis were recorded. The results of cardiac color Doppler ultrasound and coronary angiography were compared to calculate the accuracy, specificity, and sensitivity of cardiac color Doppler ultrasound in the diagnosis of chronic heart failure.

Results

The accuracy, specificity, and sensitivity of cardiac color Doppler ultrasound in the diagnosis of chronic heart failure were 93.40%, 71.43%, and 95.61%, respectively. The negative predictive value was 35.71% and the positive predictive value was 98.99%.

Conclusion

Color Doppler echocardiography has unique advantages in evaluating patients with chronic heart failure. It is simple, effective, and noninvasive, and has good sensitivity and specificity.

Key words: Cardiac color Doppler ultrasound, Chronic heart failure, Specificity and Sensitivity

Hongyan Tang, Haijun Dan, Zhihong Gao, Zuoyang Zhang, Shumei Zhai, Shaoyu Wu, Yu Zhang. Specificity and sensitivity of cardiac color Doppler ultrasound in clinical diagnosis of patients with chronic heart failure[J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(07): 676-679.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhlcyszz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0785.2022.07.014

https://zhlcyszz.cma-cmc.com.cn/EN/Y2022/V16/I07/676

Figures/Tables 4

References 16

1	白雪. 高血压左室肥厚伴左心衰竭的心脏彩色多普勒超声诊断的临床分析 [J]. 影像研究与医学应用, 2020, 4(5): 239-240.
2	刘冰, 孙雪莲, 王国兴, 等. 心力衰竭患者彩色多普勒超声心动图与B型脑钠肽及心功能分级的相关性 [J]. 临床和实验医学杂志, 2020, 19(13): 1448-1450.
3	曾荣安. 彩色多普勒超声诊断仪在诊断多病因的慢性心力衰竭中的作用 [J]. 影像研究与医学应用, 2020, 4(2): 146-147.
4	Trinci M, Cirimele V, Ferrari R, et al. Diagnostic value of contrastenhanced ultrasound (CEUS) and comparison with color Doppler ultrasound and magnetic resonance in a case of scrotal trauma [J]. J Ultrasound, 2020, 23(2): 189-194.
5	边玉红. 心脏彩色多普勒超声诊断冠心病慢性心力衰竭的临床效果分析 [J/OL]. 全科口腔医学电子杂志, 2020, 7(5): 9, 105.
6	建敏, 邢继岩, 刘美静, 等. 心脏彩色多普勒超声诊断高血压性左室肥厚伴心力衰竭的临床价值研究 [J]. 影像研究与医学应用, 2020, 4(4): 103-104.
7	杨学莲. 心脏彩色多普勒超声诊断高血压左室肥厚伴心力衰竭的临床价值观察 [J]. 中国医疗器械信息, 2020, 26(3): 71-72.
8	李洪幸, 杜小岳, 张冰. 心衰超声指数评价慢性心力衰竭患者心脏功能的临床价值 [J]. 医学影像学杂志, 2020, 30(9): 1607-1610.
9	黄小川, 王晶, 钟小芳. 心脏超声对慢性心力衰竭患者心功能的评估价值 [J]. 基层医学论坛, 2020, 24(13): 108-110.
10	Zhang H, Wang J, Guo R. Application value of color Doppler ultrasound and ultrasound contrast in the differential diagnosis of ovarian tumor [J]. Pak J Med Sci, 2020, 36(2): 80-84.
11	Dai Q, Wang Y. Application of color Doppler ultrasound in the clinical diagnosis of uterine incision infection [J]. J Med Imaging Health Inform, 2021, 11(1): 168-173.
12	Zhi M, Wang M, Li W, et al. Reliability of the application of transvaginal color Doppler ultrasound in the identification of pelvic tumors in women of childbearing age [J]. Ann Transl Med, 2020, 8(24): 1662-1662.
13	Liu T, Duan X. Clinical value of echocardiographic parameters in patients with chronic heart failure [J]. JACC Cardiovasc Imaging, 2021, 11(7): 1939-1947.
14	Li M, Li Q, Yin Q, et al. Evaluation of color Doppler ultrasound combined with plasma miR-21 and miR-27a in the diagnosis of breast cancer [J]. Clin Transl Oncol, 2021, 23(4): 709-717.
15	Guo H, Shen Z, Xu N, et al. Evaluation of prognosis of brain function with early transcranial color Doppler ultrasound in patients after cardiopulmonary resuscitation [J]. World J Cardiovasc Dis, 2020, 10(9): 658-665.
16	Bian P, Zhang X, Liu R, et al. Deep-learning-based color Doppler ultrasound image feature in the diagnosis of elderly patients with chronic heart failure complicated with sarcopenia[J]. J Healthc Eng., 2021, 2021(29):1-8.

心功能分级	LVDD（mm）	LAD（mm）	E峰/Ea峰	LVEF（%）
Ⅰ级	48.62±9.86	39.52±8.46	9.88±5.49	58.44±6.16
Ⅱ级	53.48±8.69	44.21±9.34	13.52±6.84	52.58±4.92
Ⅲ级	59.26±9.57	56.18±9.51	18.29±5.43	42.59±5.12

心功能分级	LVDD（mm）	LAD（mm）	E峰/Ea峰	LVEF（%）
Ⅰ级	48.62±9.86	39.52±8.46	9.88±5.49	58.44±6.16
Ⅱ级	53.48±8.69	44.21±9.34	13.52±6.84	52.58±4.92
Ⅲ级	59.26±9.57	56.18±9.51	18.29±5.43	42.59±5.12

判断方法	例数	诊断明确（例）	准确度（%）	恶心	呕吐	过敏	不良反应发生率（%）
心脏彩色多普勒超声	212	198	93.40	0	0	0	0
冠状动脉造影	212	205	96.70	6	5	4	6.13%
χ²值			3.47				4.43
P值			0.06				0.04

判断方法	例数	诊断明确（例）	准确度（%）	恶心	呕吐	过敏	不良反应发生率（%）
心脏彩色多普勒超声	212	198	93.40	0	0	0	0
冠状动脉造影	212	205	96.70	6	5	4	6.13%
χ²值			3.47				4.43
P值			0.06				0.04

心脏彩色多普勒超声	冠状动脉造影［例（%）］		合计
心脏彩色多普勒超声	+	-	合计
+	196（95.61%）	2（28.57%）	198
-	9（4.39%）	5（71.43%）	14
合计	205	7	212

Please choose a citation manager

Content to export