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August 29, 2013Current Opinion in Critical Care

Evaluation of left ventricular structure and function by three-dimensional echocardiography

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Why the study?

Does 3-dimensional transthoracic echocardiography improve the quantification of left ventricular volumes, ejection fraction, and mass compared to 2D echocardiography and CMR?

Population

Normal patients and patients with a variety of cardiac conditions

Comparison

3-dimensional transthoracic echocardiography vs 2-dimensional transthoracic echocardiography…

Design

Review

Key result

Three-dimensional transthoracic echocardiography provides more accurate left ventricular volumes and mass quantification than 2D echocardiography, though it slightly underestimates volumes compared to MRI.

Authors

NBNicole M. BhaveRLRoberto M. Lang

Discussion

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Overview

May inform preference for 3D over 2D echocardiography in LV quantification; leaves open prospective validation versus MRI.

Structured PICO

Does 3-dimensional transthoracic echocardiography improve the quantification of left ventricular volumes, ejection fraction, and mass compared to 2D echocardiography and CMR?

P
Population
Normal patients and patients with a variety of cardiac conditions
I
Intervention
3-dimensional transthoracic echocardiography (3DTTE)
C
Comparator
2-dimensional transthoracic echocardiography (2DTTE), M-mode echocardiography, and cardiovascular magnetic resonance (CMR)
O
Outcome
Quantification of left ventricular (LV) volumes, ejection fraction, and masssurrogate

3D echocardiography provides more accurate quantification of left ventricular volumes and mass compared to 2D echocardiography, with emerging prognostic applications in various cardiac conditions.

Limitations

  • Limited spatial resolution makes identification of the true endocardial border more difficult
  • Limited spatial resolution making identification of the true endocardial border more difficult

Cite This Study

Bhave et al. (2013) conducted a review in Cardiac conditions requiring left ventricular assessment. 3-dimensional transthoracic echocardiography (3DTTE) vs. 2D echocardiography, M-mode echocardiography, and cardiovascular magnetic resonance was evaluated on Quantification of left ventricular volumes, ejection fraction, and mass. Three-dimensional transthoracic echocardiography provides more accurate left ventricular volumes and mass quantification than 2D echocardiography, though it slightly underestimates volumes compared to MRI.

synapsesocial.com/papers/6a13e37b286917d7ca624e10https://doi.org/10.1097/mcc.0b013e328364d75e
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Real-Time Three-Dimensional Echocardiography2005 · 542 citations
  2. 2Side‐by‐Side Viewing of Anatomically Aligned Left Ventricular Segments in Three‐Dimensional Stress Echocardiography2008 · 23 citations
  3. 3Mechanical dyssynchrony by 3D echo correlates with acute haemodynamic response to biventricular pacing in heart failure patients2007 · 45 citations
  4. 4Early identification of left ventricular remodelling after myocardial infarction, assessed by transthoracic 3D echocardiography2004 · 177 citations