Left Ventricular Dimensions

The Left Ventricle

Example: Measurement end - Diastolic wall thickness (red) + LV diameter (green)

Each echocardiogram is an evaluation of the LV dimensions, wall thicknesses and function.

Good and measurements are essential and may have implications for therapy. The LV dimensions must be measured as the end-diastolic and end-systolic valves (MV and AoV) are closed. Plax in The measurement is located in the basal portion of the LV by the chordae.

Left ventricular dimensions

	Women				Men
	Reference range	Mildly abnormal	Moderately abnormal	Severely abnormal	Reference range	Mildly abnormal	Moderately abnormal	Severely abnormal
LV dimension
LV diastolic diameter, cm	3.9–5.3	5.4–5.7	5.8–6.1	≥6.2	4.2–5.9	6.0–6.3	6.4–6.8	≥6.9
LV diastolic diameter/BSA, cm/m2	2.4–3.2	3.3–3.4	3.5–3.7	≥3.8	2.2–3.1	3.2–3.4	3.5–3.6	≥3.7
LV diastolic diameter/height, cm/m	2.5–3.2	3.3–3.4	3.5–3.6	≥3.7	2.4–3.3	3.4–3.5	3.6–3.7	≥3.8
LV volume
LV diastolic volume, mL	56–104	105–117	118–130	≥131	67–155	156–178	179–201	≥201
LV diastolic volume/BSA, mL/m2	35–75	76–86	87–96	≥97	35–75	76–86	87–96	≥97
LV systolic volume, mL	19–49	50–59	60–69	≥70	22–58	59–70	71–82	≥83
LV systolic volume/BSA, mL/m2	12–30	31–36	37–42	≥43	12–30	31–36	37–42	≥43
BSA, body surface area; LV, left ventricular. Bold values: Recommended and best validated.[1]

Left ventricular geometry and mass

	Women				Men
	Reference range	Mildly abnormal	Moderately abnormal	Severely abnormal	Reference range	Mildly abnormal	Moderately abnormal	Severely abnormal
Linear Method
LV mass, g	67–162	163–186	187–210	≥211	88–224	225–258	259–292	≥293
LV mass/BSA, g/m2	43–95	96–108	109–121	≥122	49–115	116–131	132–148	≥149
LV mass/height, g/m	41–99	100–115	116–128	≥129	52–126	127–144	145–162	≥163
LV mass/height2, g/m2	18–44	45–51	52–58	≥59	20–48	49–55	56–63	≥64
Relative wall thickness, cm	0.22–0.42	0.43–0.47	0.48–0.52	≥0.53	0.24–0.42	0.43–0.46	0.47–0.51	≥0.52
Septal thickness, cm	0.6–0.9	1.0–1.2	1.3–1.5	≥1.6	0.6–1.0	1.1–1.3	1.4–1.6	≥1.7
Posterior wall thickness, cm	0.6–0.9	1.0–1.2	1.3–1.5	≥1.6	0.6–1.0	1.1–1.3	1.4–1.6	≥1.7
2D Method
LV mass, g	66–150	151–171	172–182	>193	96–200	201–227	228–254	>255
LV mass/BSA, g/m2	44–88	89–100	101–112	≥113	50–102	103–116	117–130	≥131
BSA, body surface area; LV, left ventricular. Bold values: Recommended and best validated.[1] Click here for calculation of LV mass.

References

1. Echocardiographic derived measures are reported as internal diameter. Armstrong WF, Ryan, T, "Evaluation of systolic function of the left ventricle" in "Feigenbaum's Echocardiography", 7th ed, Philadelphia, Lippincott Williams & Wilkins, p.123.

2. Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, Picard MH, Roman MJ, Seward J, Shanewise J, Solomon S, Spencer KT, St John Sutton M, Stewart W, American Society of Echocardiography's Nomenclature and Standards Committee, Task Force on Chamber Quantification, American College of Cardiology Echocardiography Committee, American Heart Association, and European Association of Echocardiography, European Society of Cardiology. Recommendations for chamber quantification. Eur J Echocardiogr. 2006 Mar;7(2):79-108. DOI:10.1016/j.euje.2005.12.014 |