ArticleCureus2026
Interobserver Reproducibility of the Visual Echocardiographic Scoring System for Left Ventricular Filling Pressure.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background The visually assessed time difference between mitral and tricuspid valve opening (VMT) scoring is a simple B-mode echocardiographic method for estimating left ventricular filling pressure (LVFP). This study aimed to evaluate the interobserver reproducibility of VMT scoring between a resident doctor using a handheld ultrasound device and experienced sonographers using a stationary system. Methodology In this prospective observational study, 27 inpatients underwent two echocardiographic examinations on the same day: a handheld ultrasound performed by a resident doctor and standard echocardiography performed by cardiac sonographers. Both observers independently assessed VMT scores (0-3) based on the time sequence of atrioventricular valve opening and inferior vena cava findings. Interobserver agreement was evaluated using weighted kappa statistics. Results Among the 27 patients (mean age = 76 ± 12 years; 56% female), 11 (41%) had a VMT score ≥2, indicating elevated LVFP. The weighted kappa value for interobserver agreement was 0.97, demonstrating almost-perfect concordance regardless of operator experience or device type. Conclusions VMT scoring appears to be a practical and reliable method for LVFP evaluation in diverse clinical settings, particularly those with limited access to expert echocardiography.
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