title: Prevalence of an increased ascending thoracic aorta diameter diagnosed by two-dimensional echocardiography versus 64-multislice cardiac computed tomography.
abstract: The prevalence of an enlarged ascending thoracic aortic diameter (AAD) diagnosed by 2-dimensional echocardiography compared with 64-slice cardiac computed tomography (MSCT) was investigated in 97 women and 117 men (mean age 65 +/- 12 years). Enlarged AADs were diagnosed in 42 of 214 patients (20%) by echocardiography and in 45 of 214 patients (21%) by MSCT (p = NS). The sensitivity, specificity, positive predictive value, and negative predictive value of echocardiography in diagnosing an enlarged AAD using MSCT were 69%, 93%, 74%, and 92%, respectively. A Bland-Altman plot showed that the agreement for AAD measured by echocardiography and MSCT was 95% inside the 2-SD limits. In conclusion, the sensitivity, specificity, positive predictive value, and negative predictive value of 2-dimensional echocardiography in diagnosing enlarged AAD using MSCT were 69%, 93%, 74%, and 92%, respectively.
authors.affiliation: Department of Medicine, Cardiology Division, New York Medical College, Valhalla, New York, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Kaplan
authors.forename: Wilbert S
authors.initials: WS
authors.lastname: Aronow
authors.forename: Chul
authors.initials: C
authors.lastname: Ahn
authors.forename: Hoang
authors.initials: H
authors.lastname: Lai
authors.forename: Albert J
authors.initials: AJ
authors.lastname: DeLuca
authors.forename: Melvin B
authors.initials: MB
authors.lastname: Weiss
authors.forename: Hajir
authors.initials: H
authors.lastname: Dilmanian
authors.forename: David
authors.initials: D
authors.lastname: Spielvogel
authors.forename: Steven L
authors.initials: SL
authors.lastname: Lansman
authors.forename: Robert N
authors.initials: RN
authors.lastname: Belkin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000473:pathology*; D001027:Aortography / Q000379:methods*; D004108:Dilatation, Pathologic / Q000175:diagnosis; D004452:Echocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D015995:Prevalence; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000379:methods*