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Cited by 768

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Interobserver variability in coronary angiography.

Open access
Zir, L M, Miller, S W, Dinsmore, R E, Gilbert, J P, Harthorne, J W·1976·Circulation

Abstract

Four experienced coronary angiographers (two radiologists and two cardiologists) independently assessed the location and degree of coronary artery stenosis, and the location and degree of left ventricular wall motion abnormalities in 20 coronary angiograms. Marked interobserver variability was noted in quantifying percent coronary artery stenosis and degree of left ventricular wall motion abnormalities. For example, in only 13/20 (65%) of the coronary angiograms did all observers agree about the significance of a stenosis (defined as greater than 50% in diameter luminal narrowing) in the proximal or mid left anterior descending coronary artery. In 3/20 (15%) angiograms there was disagreement by at least one observer about the significance of lesions noted in the main left coronary artery. The ventricle was divided into five segments and the degree of wall motion abnormality graded into six categories of increasing severity from normal to dyskinesis. There was a 42% mean disagreement among all four observers where a disagreement between observers was defined as any difference in grading wall motion abnormalities. Interobserver variability reveals a significant limitation of coronary angiography.

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Crossref · 10.1161/01.cir.53.4.627

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Metadata

Authors
Zir, L. M., Miller, S. W., Dinsmore, R. E., Gilbert, J. P., & Harthorne, J. W.
Venue
Circulation
Published
1976-04
Volume
53
Issue
4
Pages
627-632
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2024866658
Cited by
768
References
0
FWCI
16.18
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Interobserver variability in coronary angiography. https://app.cochat.ai/papers/10.1161/01.cir.53.4.627
The paper
Zir, L. M., Miller, S. W., Dinsmore, R. E., Gilbert, J. P., & Harthorne, J. W. (1976). Interobserver variability in coronary angiography. Circulation. https://doi.org/10.1161/01.cir.53.4.627

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.