Imaging Protocol, Feasibility, and Reproducibility of Cardiovascular Phenotyping in a Large Tri-Ethnic Population-Based Study of Older People: The Southall and Brent Revisited (SABRE) Study

Background: People of South Asian and African Caribbean ethnicities living in UK have a high risk of cardiometabolic disease. Limited data exist regarding detailed cardiometabolic phenotyping in this population. Methods enabling this are widely available, but the practical aspects of undertaking suc...

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Autores principales: Lamia Al Saikhan, Muath Alobaida, Anish Bhuva, Nish Chaturvedi, John Heasman, Alun D. Hughes, Siana Jones, Sophie Eastwood, Charlotte Manisty, Katherine March, Arjun K. Ghosh, Jamil Mayet, Ayodipupo Oguntade, Therese Tillin, Suzanne Williams, Andrew Wright, Chloe Park
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Publicado: Frontiers Media S.A. 2020
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spelling oai:doaj.org-article:45ee274e872b47508455123024b5e8be2021-11-04T14:30:47ZImaging Protocol, Feasibility, and Reproducibility of Cardiovascular Phenotyping in a Large Tri-Ethnic Population-Based Study of Older People: The Southall and Brent Revisited (SABRE) Study2297-055X10.3389/fcvm.2020.591946https://doaj.org/article/45ee274e872b47508455123024b5e8be2020-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2020.591946/fullhttps://doaj.org/toc/2297-055XBackground: People of South Asian and African Caribbean ethnicities living in UK have a high risk of cardiometabolic disease. Limited data exist regarding detailed cardiometabolic phenotyping in this population. Methods enabling this are widely available, but the practical aspects of undertaking such studies in large and diverse samples are seldom reported.Methods: The Southall and Brent Revisited (SABRE) study is the UK's largest tri-ethnic longitudinal cohort. Over 1,400 surviving participants (58–85 years) attended the 2nd study visit (2008–2011); during which, comprehensive cardiovascular phenotyping, including 3D-echocardiography [3D-speckle-tracking (3D-STE)], computed tomography, coronary artery calcium scoring, pulse wave velocity, central blood pressure, carotid artery ultrasound, and retinal imaging, were performed. We describe the methods used with the aim of providing a guide to their feasibility and reproducibility in a large tri-ethnic population-based study of older people.Results: Conventional echocardiography and all vascular measurements showed high feasibility (>90% analyzable of clinic attendees), but 3D-echocardiography (3DE) and 3D-STE were less feasible (71% 3DE acquisition feasibility and 38% 3D-STE feasibility of clinic attendees). 3D-STE feasibility differed by ethnicity, being lowest in South Asian participants and highest in African Caribbean participants (p < 0.0001). Similar trends were observed in men (P < 0.0001) and women (P = 0.005); however, in South Asians, there were more women with unreadable 3D-images compared to men (67 vs. 58%). Intra- and inter-observer variabilities were excellent for most of conventional and advanced echocardiographic measures. The test-retest reproducibility was good-excellent and fair-good for conventional and advanced echocardiographic measures, respectively, but lower than when re-reading the same images. All vascular measures demonstrated excellent or fair-good reproducibility.Conclusions: We describe the feasibility and reproducibility of detailed cardiovascular phenotyping in an ethnically diverse population. The data collected will lead to a better understanding of why people of South Asian and African Caribbean ancestry are at elevated risk of cardiometabolic diseases.Lamia Al SaikhanMuath AlobaidaMuath AlobaidaAnish BhuvaNish ChaturvediJohn HeasmanAlun D. HughesSiana JonesSophie EastwoodCharlotte ManistyKatherine MarchArjun K. GhoshArjun K. GhoshArjun K. GhoshJamil MayetAyodipupo OguntadeTherese TillinSuzanne WilliamsAndrew WrightChloe ParkFrontiers Media S.A.articlepopulation-basedcardiovascularimagingechocardiographyvascularfeasibilityDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 7 (2020)
institution DOAJ
collection DOAJ
language EN
topic population-based
cardiovascular
imaging
echocardiography
vascular
feasibility
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle population-based
cardiovascular
imaging
echocardiography
vascular
feasibility
Diseases of the circulatory (Cardiovascular) system
RC666-701
Lamia Al Saikhan
Muath Alobaida
Muath Alobaida
Anish Bhuva
Nish Chaturvedi
John Heasman
Alun D. Hughes
Siana Jones
Sophie Eastwood
Charlotte Manisty
Katherine March
Arjun K. Ghosh
Arjun K. Ghosh
Arjun K. Ghosh
Jamil Mayet
Ayodipupo Oguntade
Therese Tillin
Suzanne Williams
Andrew Wright
Chloe Park
Imaging Protocol, Feasibility, and Reproducibility of Cardiovascular Phenotyping in a Large Tri-Ethnic Population-Based Study of Older People: The Southall and Brent Revisited (SABRE) Study
description Background: People of South Asian and African Caribbean ethnicities living in UK have a high risk of cardiometabolic disease. Limited data exist regarding detailed cardiometabolic phenotyping in this population. Methods enabling this are widely available, but the practical aspects of undertaking such studies in large and diverse samples are seldom reported.Methods: The Southall and Brent Revisited (SABRE) study is the UK's largest tri-ethnic longitudinal cohort. Over 1,400 surviving participants (58–85 years) attended the 2nd study visit (2008–2011); during which, comprehensive cardiovascular phenotyping, including 3D-echocardiography [3D-speckle-tracking (3D-STE)], computed tomography, coronary artery calcium scoring, pulse wave velocity, central blood pressure, carotid artery ultrasound, and retinal imaging, were performed. We describe the methods used with the aim of providing a guide to their feasibility and reproducibility in a large tri-ethnic population-based study of older people.Results: Conventional echocardiography and all vascular measurements showed high feasibility (>90% analyzable of clinic attendees), but 3D-echocardiography (3DE) and 3D-STE were less feasible (71% 3DE acquisition feasibility and 38% 3D-STE feasibility of clinic attendees). 3D-STE feasibility differed by ethnicity, being lowest in South Asian participants and highest in African Caribbean participants (p < 0.0001). Similar trends were observed in men (P < 0.0001) and women (P = 0.005); however, in South Asians, there were more women with unreadable 3D-images compared to men (67 vs. 58%). Intra- and inter-observer variabilities were excellent for most of conventional and advanced echocardiographic measures. The test-retest reproducibility was good-excellent and fair-good for conventional and advanced echocardiographic measures, respectively, but lower than when re-reading the same images. All vascular measures demonstrated excellent or fair-good reproducibility.Conclusions: We describe the feasibility and reproducibility of detailed cardiovascular phenotyping in an ethnically diverse population. The data collected will lead to a better understanding of why people of South Asian and African Caribbean ancestry are at elevated risk of cardiometabolic diseases.
format article
author Lamia Al Saikhan
Muath Alobaida
Muath Alobaida
Anish Bhuva
Nish Chaturvedi
John Heasman
Alun D. Hughes
Siana Jones
Sophie Eastwood
Charlotte Manisty
Katherine March
Arjun K. Ghosh
Arjun K. Ghosh
Arjun K. Ghosh
Jamil Mayet
Ayodipupo Oguntade
Therese Tillin
Suzanne Williams
Andrew Wright
Chloe Park
author_facet Lamia Al Saikhan
Muath Alobaida
Muath Alobaida
Anish Bhuva
Nish Chaturvedi
John Heasman
Alun D. Hughes
Siana Jones
Sophie Eastwood
Charlotte Manisty
Katherine March
Arjun K. Ghosh
Arjun K. Ghosh
Arjun K. Ghosh
Jamil Mayet
Ayodipupo Oguntade
Therese Tillin
Suzanne Williams
Andrew Wright
Chloe Park
author_sort Lamia Al Saikhan
title Imaging Protocol, Feasibility, and Reproducibility of Cardiovascular Phenotyping in a Large Tri-Ethnic Population-Based Study of Older People: The Southall and Brent Revisited (SABRE) Study
title_short Imaging Protocol, Feasibility, and Reproducibility of Cardiovascular Phenotyping in a Large Tri-Ethnic Population-Based Study of Older People: The Southall and Brent Revisited (SABRE) Study
title_full Imaging Protocol, Feasibility, and Reproducibility of Cardiovascular Phenotyping in a Large Tri-Ethnic Population-Based Study of Older People: The Southall and Brent Revisited (SABRE) Study
title_fullStr Imaging Protocol, Feasibility, and Reproducibility of Cardiovascular Phenotyping in a Large Tri-Ethnic Population-Based Study of Older People: The Southall and Brent Revisited (SABRE) Study
title_full_unstemmed Imaging Protocol, Feasibility, and Reproducibility of Cardiovascular Phenotyping in a Large Tri-Ethnic Population-Based Study of Older People: The Southall and Brent Revisited (SABRE) Study
title_sort imaging protocol, feasibility, and reproducibility of cardiovascular phenotyping in a large tri-ethnic population-based study of older people: the southall and brent revisited (sabre) study
publisher Frontiers Media S.A.
publishDate 2020
url https://doaj.org/article/45ee274e872b47508455123024b5e8be
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