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Table 2 Study indication and areas of disagreement in TTE interpretation between fellows and attendings

From: On-call transthoracic echocardiographic interpretation by first year cardiology fellows: comparison with attending cardiologists

Reason for disagreement

Primary TTE Indication

LV function

Pericardial Effusion

Other

Total

LV size, LV function, LV wall motion abnormalities

56 (63.6%)

7 (15.6%)

6 (19.4%)

69 (42.1%)

Valve Pathology

13 (14.8%)

4 (8.9%)

12 (38.7%)

29 (17.7%)

Pericardial effusion

2 (2.3%)

25 (55.6%)

1 (3.2%)

28 (17.1%)

RV size and function

16 (18.2%)

8 (17.8%)

10 (32.3%)

34 (20.7%)

Other (LV hypertrophy, pulmonary hypertension, LVOT gradient)

1 (1.1%)

1 (2.2%)

2 (6.5%)

4 (2.4%)

Total

88 (53.7%)

45 (27.4%)

31 (18.9%)

164 (100.0%)

  1. Values are n (%). Abbreviations: RV Right ventricle, LV Left ventricle, LVOT Left ventricular outflow tract, TTE Transthoracic echocardiogram. In 3 out of 167 discordant TTEs, attendings did not specify a reason for discordance even though it was graded as minor discordance