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October 1, 1971Circulation288 citations

Determination of Left Ventricular Volumes by Ultrasound

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NFNicholas J. FortuinWHWilliam P. HoodMSMark E. Sherman

Key Result

Echocardiographic measurements of the left ventricular minor axis highly correlated with angiographic dimensions (r=0.85-0.87) and volumes (r=0.83-0.84), allowing accurate volume prediction.

Study Design

Type

Observational (n=27)

Structured PICO

Does echocardiography accurately predict left ventricular volumes compared to biplane angiocardiography in patients with diverse cardiac abnormalities?

P
Population
27 patients with diverse cardiac abnormalities
I
Intervention
Echocardiography (measurement of left ventricular minor axis at end-diastole and end-systole)
C
Comparator
Biplane angiocardiography
O
Outcome
Correlation between echographic and angiographic ventricular minor-axis dimensions and ventricular volumessurrogate

Echocardiographic measurement of the left ventricular minor axis can accurately predict left ventricular volumes using linear regression formulae, whereas the cube function overestimates volumes in larger hearts.

Main Result

Effect estimate: r = 0.85 to 0.87

Limitations

  • The use of a cube function of the echographic minor axis overestimated volumes in larger hearts.

Abstract

We compared dimensions of the left ventricular minor axis (S) measured at enddiastole (S D ) and end-systole (S S ) by echocardiography with dimensions and left ventricular volumes measured by biplane angiocardiography in 27 patients with diverse cardiac abnormalities. There were high correlations between echographic and angiographic ventricular minor-axis dimensions (r = 0.85 for S D and 0.87 for S S ), between echographic dimensions and ventricular volumes (r = 0.84 for end-systolic volume ESV and S S , 0.83 for end-diastolic volume EDV and S D ), and between the relative change in the echographic minor axis with systole (% Δ S) and ejection fraction (r = 0.79). Regression formulae were derived from these relationships which allowed calculation of ventricular volumes from echo dimensions alone: ESV = 47 S D —120, EDV = 59 S D —153. These equations allowed relatively accurate prediction of volumes over a wide range of ventricular sizes. The use of a cube function of the echographic minor axis was an accurate predictor of volumes only in smaller ventricular chambers, but overestimated volumes in larger hearts.

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Cite This Study

Fortuin et al. (1971) conducted an observational in Diverse cardiac abnormalities (n=27). Echocardiography vs. Biplane angiocardiography was evaluated on Correlation between echographic and angiographic ventricular minor-axis dimensions and volumes (r = 0.85 to 0.87). Echocardiographic measurements of the left ventricular minor axis highly correlated with angiographic dimensions (r=0.85-0.87) and volumes (r=0.83-0.84), allowing accurate volume prediction.

synapsesocial.com/papers/6a0eef4bfca5c6c9f447acdehttps://doi.org/10.1161/01.cir.44.4.575
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