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July 29, 2021International journal of cardiac imagingOpen Access

Absolute aortic root dimensions were significantly smaller in women than men, but indexing for body surface area reversed this effect, with age, sex, and body size being significant determinants.

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Why the study?

Up-to-date reference values of transthoracic echocardiographic aortic root dimensions matched by sex, age, and body surface area were needed to support the diagnosis, monitoring, and treatment of aortic root disease.

What are the population-based reference values for transthoracic echocardiographic aortic root dimensions in healthy adults?

Population

1687 healthy subjects from the population-based Hamburg City Health Study cohort

Design

Population-based prospective cohort study

Key result

Absolute aortic root dimensions were significantly smaller in women than men, but indexing for body surface area reversed this effect, with age, sex, and body size being significant determinants.

Authors

JWJan‐Per WenzelEPElina PetersenJNJulius Nikorowitsch

Discussion

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Overview

Supplies updated aortic root norms by sex, age, and BSA; extends prior references but leaves open clinical impact pending validation.

Study Design

Type

Cross-Sectional (n=1,687)

Multicenter

No

Structured PICO

What are the population-based reference values for transthoracic echocardiographic aortic root dimensions in healthy adults?

P
Population
1,687 healthy adults aged 46 to 78 years from the general population of Hamburg, Germany, free of cardiovascular disease and significant comorbidities, evaluated to establish echocardiographic reference values.
E
Exposure
2-dimensional transthoracic echocardiography to measure aortic root dimensions in systole and diastole.
O
Outcome
Aortic root dimensions (diameters at aortic annulus, Sinus of Valsalva, sinotubular junction, and ascending aorta).surrogate

This study provides updated, population-based reference values for aortic root dimensions assessed by transthoracic echocardiography, stratified by age, sex, and body surface area.

Limitations

  • Study sample mostly of Caucasian descent from a single city.
  • Females were overrepresented due to the exclusion of subjects with relevant comorbidities.
  • No representation of subjects younger than 45 years.
  • Combination of inner-edge and leading-edge conventions in aortic root measurements is not a fully validated approach.

Cite This Study

Wenzel et al. (2021) conducted a cross-sectional in Healthy adults (n=1,687). Transthoracic echocardiography was evaluated on Aortic root dimensions (aortic annulus, sinus of Valsalva, sinotubular junction, ascending aorta). Absolute aortic root dimensions were significantly smaller in women than men, but indexing for body surface area reversed this effect, with age, sex, and body size being significant determinants.

synapsesocial.com/papers/6a6dc53af44fa9f079dbd623https://doi.org/10.1007/s10554-021-02354-5
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