{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T09:22:26Z","timestamp":1768641746988,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,5,28]],"date-time":"2021-05-28T00:00:00Z","timestamp":1622160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Anomalous aortic origin of a coronary artery (AAOCA) is a potential etiology of sudden cardiac death (SCD) in physically active individuals. Identification of coronary artery origins is an essential part of comprehensive pre\u2010participation athletic screening. Although echocardiography is an established method for identifying AAOCA, current imaging protocols are time intensive and readers frequently have low confidence in coronary artery identification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Echocardiographic images from a sample of 110 patients from a database of competitive athletes ages 13\u201022\u00a0years from the Kansas City metropolitan area were reviewed by six echocardiographers of varying experience. Coronary artery images were provided to the readers in the conventional single plane for all the patients; then biplane images of the same patients were presented to the readers. While reviewing the images, readers recorded perceived confidence level of identifying the coronary artery from 1 (least confident) to 5 (most confident). Ratings and differences between ratings were summarized descriptively by means and standard deviations across all readings as well as by individual reader.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean confidence level of echocardiogram readers in identifying coronary artery origins increased by 0.4 points (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.05) on a five\u2010point confidence scale when using biplane imaging rather than single plane imaging. When assessing the variability of confidence of readers on the same patient, the between\u2010reader variability improved from 25.9% to 10.3%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Biplane echocardiographic imaging increases the confidence of readers in identifying coronary artery origins.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.15082","type":"journal-article","created":{"date-parts":[[2021,5,28]],"date-time":"2021-05-28T11:10:36Z","timestamp":1622200236000},"page":"1179-1185","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A novel echocardiographic approach for assessing coronary artery origins"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4862-099X","authenticated-orcid":false,"given":"Christopher","family":"DeZorzi","sequence":"first","affiliation":[{"name":"Department of Cardiology Saint Luke\u2019s Mid America Heart Institute Kansas City MO USA"},{"name":"Department of Cardiology University of Missouri \u2010 Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Marsh","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saint Luke\u2019s Mid America Heart Institute Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Binkley","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saint Luke\u2019s Mid America Heart Institute Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Fleddermann","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saint Luke\u2019s Mid America Heart Institute Kansas City MO USA"},{"name":"Department of Cardiology University of Missouri \u2010 Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis","family":"Gratton","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saint Luke\u2019s Mid America Heart Institute Kansas City MO USA"},{"name":"Department of Cardiology University of Missouri \u2010 Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Main","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saint Luke\u2019s Mid America Heart Institute Kansas City MO USA"},{"name":"Department of Cardiology University of Missouri \u2010 Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saint Luke\u2019s Mid America Heart Institute Kansas City MO USA"},{"name":"Department of Cardiology University of Missouri \u2010 Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Magalski","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saint Luke\u2019s Mid America Heart Institute Kansas City MO USA"},{"name":"Department of Cardiology University of Missouri \u2010 Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.181423"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy408"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra022783"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.004622"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.804617"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2016.02.031"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2019.10.011"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v096.i06"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2015.07.072"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.06.029"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.102.12.1461"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00059-009-3239-0"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.14797\/mdcj-15-2-111"},{"key":"e_1_2_9_15_1","first-page":"806291","article-title":"Malignant course of anomalous left coronary artery causing sudden cardiac arrest: a case report and review of the literature","volume":"2015","author":"Anantha Narayanan M","year":"2015","journal-title":"Case Rep Cardiol"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.04.112"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2017.06.011"},{"key":"e_1_2_9_18_1","first-page":"324","article-title":"Three echocardiographic signs to identify anomalous origin of the circumflex coronary artery from the right sinus of Valsalva: a case report","volume":"4","author":"Mancinelli A","year":"2020","journal-title":"CASE (Phila)"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/echo.13141"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.04.095"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.15082","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/echo.15082","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.15082","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T20:06:01Z","timestamp":1693425961000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.15082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,28]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1111\/echo.15082"],"URL":"https:\/\/doi.org\/10.1111\/echo.15082","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,28]]},"assertion":[{"value":"2021-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}