...
Exam accuracy of systolic murmurs
No vs. any systolic murmur
- Simple agreement among cardiologists listening to tapes was 70%.
- Simple agreement among cardiologists listening to patients varied from 54 to 97%.
- Simple agreement among noncardiologists listening to patients was 76%.
No or grade 1 vs. louder murmur.
- Simple agreement between cardiologists with tapes was 87%.
- Simple agreement between cardiologists with patients was 76%.
Abnormal vs. not abnormal systolic murmur
- Cardiologists were “fair” at detecting systolic murmurs.
- In clinical setting kappa score was 0.30 to 0.48.
JAMA.1997;277:564
Disclaimer:
Material is for discussion & review and is not advice or endorsement. Comments
to Donald Vine MD.