Echocardiographic reference ranges for normal cardiac chamber size: results from the NORRE study

被引:318
作者
Kou, Seisyou [1 ]
Caballero, Luis [2 ]
Dulgheru, Raluca [3 ]
Voilliot, Damien [4 ]
De Sousa, Carla [5 ]
Kacharava, George [6 ]
Athanassopoulos, George D. [7 ]
Barone, Daniele [8 ]
Baroni, Monica [9 ]
Cardim, Nuno [10 ]
Gomez De Diego, Jose Juan [11 ]
Hagendorff, Andreas [12 ]
Henri, Christine [3 ]
Hristova, Krasimira [13 ]
Lopez, Teresa [14 ]
Magne, Julien [15 ]
De La Morena, Gonzalo [2 ]
Popescu, Bogdan A. [16 ]
Penicka, Martin [17 ]
Ozyigit, Tolga [18 ]
Rodrigo Carbonero, Jose David [19 ]
Salustri, Alessandro [20 ]
Van de Veire, Nico [21 ]
Von Bardeleben, Ralph Stephan [22 ]
Vinereanu, Dragos [23 ,24 ]
Voigt, Jens-Uwe [25 ]
Luis Zamorano, Jose [26 ]
Donal, Erwan [27 ]
Lang, Roberto M. [28 ]
Badano, Luigi P. [29 ]
Lancellotti, Patrizio [3 ]
机构
[1] St Marianna Univ, Sch Med, Dept Cardiol, Kawasaki, Kanagawa, Japan
[2] Hosp Univ Virgen de la Arrixaca, Serv Cardiol, Unidad Imagen Cardiaca, Murcia, Spain
[3] Univ Liege Hosp, Heart Valve Clin, GIGA Cardiovasc Sci, Liege, Belgium
[4] CHU Brabois, Inst Lorrain Coeur & Vaisseaux Louis Mathieu, Dept Cardiol, F-54000 Nancy, France
[5] Univ Porto, Sch Med, Ctr Hosp Sao Joao, Dept Cardiol, P-4100 Oporto, Portugal
[6] JOANN Med Ctr, Adult Cardiol Dept, Echocardiog Lab, Tbilisi, Georgia
[7] Onassis Cardiac Surg Ctr, Noninvas Diagnost Dept, Athens, Greece
[8] S Andrea Hosp, Dept Cardiol, Lab Cardiovasc Ecog, La Spezia, Italy
[9] Fdn Toscana G Monasterio, Osped Del Cuore, Lab Ecocardiog Adulti, Massa, Italy
[10] Hosp da Luz, Echocardiographylab, Lisbon, Portugal
[11] Hosp Clin San Carlos, ICV, Unidad Imagen Cardiovasc, Madrid, Spain
[12] Univ Leipzig, Dept Cardiol Angiol, Univ Klinikums AoR, Echokardiog Lab, D-04109 Leipzig, Germany
[13] Univ Natl Heart Hosp, Dept Noninvas Funct Diagnost & Imaging, Sofia, Bulgaria
[14] Hosp La Paz, Dept Cardiol, Madrid, Spain
[15] CHU Limoges, Hop Dupuytren, Serv Cardiol, Pole Coeur Poumon Rein, Limoges, France
[16] Carol Davila Univ Med & Pharm, Euroecolab, Inst Cardiovasc Dis, Bucharest, Romania
[17] OLV Clin, Cardiovasc Ctr Aalst, Aalst, Belgium
[18] VKV Amer Hastanesi, Kardiyol Bolumu, Istanbul, Turkey
[19] Hosp Cruces Barakaldo, Lab Ecocardiog, Baracaldo, Spain
[20] SheikhKhalifa Med City, Abu Dhabi, U Arab Emirates
[21] AZ Maria Middelares, Echocardiog Unit, Ghent, Belgium
[22] Johannes Gutenberg Univ Mainz, Univ Med, Dept Med Cardiol, Mainz, Germany
[23] Univ Med & Pharm Carol Davila, Cardiovasc Res Unit, Bucharest, Romania
[24] Univ Med & Pharm Carol Davila, Emergency Hosp, Bucharest, Romania
[25] Univ Hosp Gasthuisberg, Dept Cardiovasc Dis, Echocardiog Lab, B-3000 Leuven, Belgium
[26] Univ Hosp Ramon y Cajal, Madrid, Spain
[27] Univ Rennes 1, CHU Rennes, CIC IT U 804, Serv Cardiol, F-35014 Rennes, France
[28] Univ Chicago, Med Ctr, Dept Med, Chicago, IL 60637 USA
[29] Univ Padua, Sch Med, Dept Cardiac Thorac & Vasc Sci, Padua, Italy
关键词
Two-dimensional echocardiography; Chamber size and function; Reference values; ATRIAL VOLUME INDEX; 3-DIMENSIONAL ECHOCARDIOGRAPHY; EUROPEAN ASSOCIATION; VENTRICULAR VOLUMES; REFERENCE VALUES; HEART; SEX; AGE; RECOMMENDATIONS; GEOMETRY;
D O I
10.1093/ehjci/jet284
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims Availability of normative reference values for cardiac chamber quantitation is a prerequisite for accurate clinical application of echocardiography. In this study, we report normal reference ranges for cardiac chambers size obtained in a large group of healthy volunteers accounting for gender and age. Echocardiographic data were acquired using state-of-the-art cardiac ultrasound equipment following chamber quantitation protocols approved by the European Association of Cardiovascular Imaging. Methods A total of 734 (mean age: 45.8 +/- 13.3 years) healthy volunteers (320 men and 414 women) were enrolled at 22 collaborating institutions of the Normal Reference Ranges for Echocardiography (NORRE) study. A comprehensive echocardiographic examination was performed on all subjects following pre-defined protocols. There were no gender differences in age or cholesterol levels. Compared with men, women had significantly smaller body surface areas, and lower blood pressure. Quality of echocardiographic data sets was good to excellent in the majority of patients. Upper and lower reference limits were higher in men than in women. The reference values varied with age. These age-related changes persisted for most parameters after normalization for the body surface area. Conclusion The NORRE study provides useful two-dimensional echocardiographic reference ranges for cardiac chamber quantification. These data highlight the need for body size normalization that should be performed together with age- and gender-specific assessment for the most echocardiographic parameters.
引用
收藏
页码:680 / 690
页数:11
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