Echocardiographic Nomograms for Chamber Diameters and Areas in Caucasian Children

Cantinotti, Massimiliano; Scalese, Marco; Murzi, Bruno; Assanta, Nadia; Spadoni, Isabella; Lucia, Vittoria De; Crocetti, Maura; Cresti, Alberto; Gallotta, Milena; Marotta, Marco; Tyack, Karin; Molinaro, Sabrina; Iervasi, Giorgio

doi:10.1016/j.echo.2014.08.005

Cited by 81 publications

(146 citation statements)

References 45 publications

Supporting

Mentioning

135

Contrasting

Unclassified

Order By: Relevance

“…The ASE has published recommendations for quantification methods during the performance of a pediatric echocardiogram, with the RV internal-dimension parameters described as useful but with normative data for a comparison to dilated RVs still not available. 23 Recently, normative data of the pediatric RV internal dimensions have been published, 108,109 with sufficient TTE data of enlarged RV dimensions in pediatric PH currently missing. RV and RA enlargement, plus interatrial septal bowing from right to left (as shown in Fig.…”

Section: Rv and Ra Enlargementmentioning

confidence: 99%

See 1 more Smart Citation

Transthoracic Echocardiography in the Evaluation of Pediatric Pulmonary Hypertension and Ventricular Dysfunction

et al. 2016

View full text Add to dashboard Cite

Transthoracic echocardiography (TTE) is the most accessible noninvasive diagnostic procedure for the initial assessment of pediatric pulmonary hypertension (PH). This review focuses on principles and use of TTE to determine morphologic and functional parameters that are also useful for follow-up investigations in pediatric PH patients. A basic echocardiographic study of a patient with PH commonly includes the hemodynamic calculation of the systolic pulmonary artery pressure (PAP), the mean and diastolic PAP, the pulmonary artery acceleration time, and the presence of a pericardial effusion. A more detailed TTE investigation of the right ventricle (RV) includes assessment of its size and function. RV function can be evaluated by RV longitudinal systolic performance (e.g., tricuspid annular plane systolic excursion), the tricuspid regurgitation velocity/right ventricular outflow tract velocity time integral ratio, the fractional area change, tissue Doppler imaging-derived parameters, strain measurements, the systolic-to-diastolic duration ratio, the myocardial performance (Tei) index, the RV/left ventricle (LV) diameter ratio, the LV eccentricity index, determination of an enlarged right atrium and RV size, and RV volume determination by 3-dimensional echocardiography. Here, we discuss the potential use and limitations of TTE techniques in children with PH and/or ventricular dysfunction. We suggest a protocol for TTE assessment of PH and myocardial function that helps to identify PH patients and their response to pharmacotherapy. The outlined protocol focuses on the detailed assessment of the hypertensive RV; RV-LV crosstalk must be analyzed separately in the evaluation of different pathologies that account for pediatric PH.

show abstract

Section: Rv and Ra Enlargementmentioning

confidence: 99%

“…For the pediatric PH cohort, limited data for a comparison to a dilated RA are available, in contrast to RV size. 109 One of the major limitations of the reliability of RA and RV size determination is that only limited TTE data on RA and RV size enlargement in pediatric PH are available.…”

Section: Rv and Ra Enlargementmentioning

confidence: 99%

Transthoracic Echocardiography in the Evaluation of Pediatric Pulmonary Hypertension and Ventricular Dysfunction

et al. 2016

View full text Add to dashboard Cite

show abstract

“…6 (16), up to 33.1±4.2 mm (22), according to the nomogram employed. Thus interpretation of nomograms requires knowledge of their accuracy and limitations (6)(7)(8)(9)(10), and similar analysis has never been performed so far.…”

Section: Introductionmentioning

confidence: 99%

“…Echocardiographic nomograms are tools to estimate whether a cardiac dimension is within the range of normality or how far it diverges from it (6)(7)(8)(9)(10). In pediatric echocardiography, where cardiac dimensions significantly change with somatic growth, nomograms are essential and consolidate tools for the estimation of the severity of many congenital and acquired cardiac defects (6)(7)(8)(9)(10). In adults instead fixed rather than subject specific echocardiographic cut-off values have been generally employed for decades to grade disease severity and pose surgical indications (11,12).…”

Section: Introductionmentioning

confidence: 99%

“…Quantification of cardiac dimensions is essential during the performance of echocardiography (1)(2)(3)(4)(5) and such measurements should be evaluated according to normative data (6)(7)(8)(9)(10). Echocardiographic nomograms are tools to estimate whether a cardiac dimension is within the range of normality or how far it diverges from it (6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adult echocardiographic nomograms: overview, critical review and creation of a software for automatic, fast and easy calculation of normal values

Cantinotti¹,

Giordano²,

Paterni³

et al. 2017

J. Thorac. Dis.

Self Cite

View full text Add to dashboard Cite

There is a crescent interest on normal adult echocardiographic values and the introduction of new deformation imaging and 3D parameters pose the issue of normative data. A multitude of nomograms has been recently published, however data are often fragmentary, difficult to find, and their strengths/ limitations have been never evaluated. Aims: (I) to provide a review of current echocardiographic nomograms; (II) to generate a tool for easy and fast access to these data. A literature search was conducted accessing the National Library of Medicine using the keywords: 2D/3D echocardiography, strain, left/ right ventricle, atrial, mitral/tricuspid valve, aorta, reference values/nomograms/normal values. Adding the following keywords, the results were further refined: range/intervals, myocardial velocity, strain rate and speckle tracking. Forty one published studies were included. Our study reveals that for several of 2D/3D parameters sufficient normative data exist, however, a few limitations still persist. For some basic parameters (i.e., mitral/tricuspid/pulmonary valves, great vessels) and for 3D valves data are scarce. There is a lack of studies evaluating ethnic differences. Data have been generally expressed as mean values normalised for gender and age instead of computing models incorporating different variables (age/gender/body sizes) to calculate z scores. To summarize results a software (Echocardio-Normal Values) who automatically calculate range of normality for a broad range of echocardiographic measurements according to age/gender/weight/ height, has been generated. We provide an up-to-date and critical review of strengths/limitation of current adult echocardiographic nomograms. Furthermore we generated a software for automatic, easy and fast access to multiple echocardiographic normative data.

show abstract

Echocardiographic Assessment of Pulmonary Hypertension

Jone

2021

Echocardiography in Pediatric and Congenital Heart Disease

View full text Add to dashboard Cite

Echocardiographic Nomograms for Chamber Diameters and Areas in Caucasian Children

Cited by 81 publications

References 45 publications

Transthoracic Echocardiography in the Evaluation of Pediatric Pulmonary Hypertension and Ventricular Dysfunction

Transthoracic Echocardiography in the Evaluation of Pediatric Pulmonary Hypertension and Ventricular Dysfunction

Adult echocardiographic nomograms: overview, critical review and creation of a software for automatic, fast and easy calculation of normal values

Echocardiographic Assessment of Pulmonary Hypertension

Contact Info

Product

Resources

About