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Accuracy and reliability of apical S3 gallop detection.

Publication ,  Journal Article
Westman, EC; Matchar, DB; Samsa, GP; Mulrow, CD; Waugh, RA; Feussner, JR
Published in: J Gen Intern Med
August 1995

This study assessed physician performance in detecting the apical S3 gallop using a cardiology patient simulator. Six physicians (two cardiology fellows, two medicine residents, and two attending physicians) performed two sets of 24 cardiac examinations that included the presence or absence of an apical S3 gallop. All the examiners were able to significantly alter the prior odds of an apical S3 gallop's being present, but the cardiology fellows had higher sensitivities. Sensitivity was lower for detecting soft S3 gallops, and specificity was lower when a diastolic murmur was also present. Physician performance in detecting apical S3 gallops is variable, but can be excellent.

Duke Scholars

Published In

J Gen Intern Med

DOI

ISSN

0884-8734

Publication Date

August 1995

Volume

10

Issue

8

Start / End Page

455 / 457

Location

United States

Related Subject Headings

  • Sensitivity and Specificity
  • Reproducibility of Results
  • Physicians
  • Patient Simulation
  • Likelihood Functions
  • Humans
  • Heart Sounds
  • Heart Murmurs
  • General & Internal Medicine
  • 4206 Public health
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Westman, E. C., Matchar, D. B., Samsa, G. P., Mulrow, C. D., Waugh, R. A., & Feussner, J. R. (1995). Accuracy and reliability of apical S3 gallop detection. J Gen Intern Med, 10(8), 455–457. https://doi.org/10.1007/BF02599919
Westman, E. C., D. B. Matchar, G. P. Samsa, C. D. Mulrow, R. A. Waugh, and J. R. Feussner. “Accuracy and reliability of apical S3 gallop detection.J Gen Intern Med 10, no. 8 (August 1995): 455–57. https://doi.org/10.1007/BF02599919.
Westman EC, Matchar DB, Samsa GP, Mulrow CD, Waugh RA, Feussner JR. Accuracy and reliability of apical S3 gallop detection. J Gen Intern Med. 1995 Aug;10(8):455–7.
Westman, E. C., et al. “Accuracy and reliability of apical S3 gallop detection.J Gen Intern Med, vol. 10, no. 8, Aug. 1995, pp. 455–57. Pubmed, doi:10.1007/BF02599919.
Westman EC, Matchar DB, Samsa GP, Mulrow CD, Waugh RA, Feussner JR. Accuracy and reliability of apical S3 gallop detection. J Gen Intern Med. 1995 Aug;10(8):455–457.
Journal cover image

Published In

J Gen Intern Med

DOI

ISSN

0884-8734

Publication Date

August 1995

Volume

10

Issue

8

Start / End Page

455 / 457

Location

United States

Related Subject Headings

  • Sensitivity and Specificity
  • Reproducibility of Results
  • Physicians
  • Patient Simulation
  • Likelihood Functions
  • Humans
  • Heart Sounds
  • Heart Murmurs
  • General & Internal Medicine
  • 4206 Public health