Left Ventricular Dimensions: Difference between revisions

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==The Left Ventricular==
==The Left Ventricle==
[[Image:LeftVentricle.jpg|200px|right|thumb|'''Example:''' Measurement end - Diastolic wall thickness (red) + LV diameter (green)]]
[[Image:LeftVentricle.svg|200px|right|thumb|'''Example:''' Measurement end - Diastolic wall thickness (red) + LV diameter (green)]]


Each echocardiogram is an evaluation of the LV dimensions, wall thicknesses and described function.  
Each echocardiogram includes 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.
Good measurements are essential and may have implications for therapy. The LV dimensions must be measured when the end-diastolic and end-systolic valves (MV and AoV) are closed in the parasternal long axis (PLAX) view. The measurement is performed in the basal portion of the LV by the chordae.


==Left ventricular dimensions==
===Left ventricular dimensions===


{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="600px"
{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="700px"
|-
|-
!rowspan="2"|
!rowspan="2"|
Line 99: Line 99:
|colspan="9"|
|colspan="9"|
*BSA, body surface area; LV, left ventricular.
*BSA, body surface area; LV, left ventricular.
*'''Bold values:''' Recommended and best validated.
*'''Bold values:''' Recommended and best validated.<cite>1</cite>
|}


'''Source:''' 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.
===Left ventricular geometry and mass===


{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="700px"
|-
!rowspan="2"|
!colspan="4"|Women
!colspan="4"|Men
|-
|align="center"|'''Reference range'''
|align="center"|'''Mildly abnormal'''
|align="center"|'''Moderately abnormal'''
|align="center"|'''Severely abnormal'''
|align="center"|'''Reference range'''
|align="center"|'''Mildly abnormal'''
|align="center"|'''Moderately abnormal'''
|align="center"|'''Severely abnormal'''
|-
|colspan="9"|'''Linear Method'''
|-
|LV mass, g
|align="center"|67–162
|align="center"|163–186
|align="center"|187–210
|align="center"|≥211
|align="center"|88–224
|align="center"|225–258
|align="center"|259–292
|align="center"|≥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
|align="center"|41–99
|align="center"|100–115
|align="center"|116–128
|align="center"|≥129
|align="center"|52–126
|align="center"|127–144
|align="center"|145–162
|align="center"|≥163
|-
|LV mass/height<sup>2</sup>, g/m2
|align="center"|18–44
|align="center"|45–51
|align="center"|52–58
|align="center"|≥59
|align="center"|20–48
|align="center"|49–55
|align="center"|56–63
|align="center"|≥64
|-
|Relative wall thickness, cm
|align="center"|0.22–0.42
|align="center"|0.43–0.47
|align="center"|0.48–0.52
|align="center"|≥0.53
|align="center"|0.24–0.42
|align="center"|0.43–0.46
|align="center"|0.47–0.51
|align="center"|≥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
|-
|colspan="9"|'''2D Method'''
|-
|LV mass, g
|align="center"|66–150
|align="center"|151–171
|align="center"|172–182
|align="center"|>193
|align="center"|96–200
|align="center"|201–227
|align="center"|228–254
|align="center"|>255
|-
!LV mass/BSA, g/m<sup>2</sup>
!44–88
!89–100
!101–112
!≥113
!50–102
!103–116
!117–130
!≥131
|-
|colspan="9"|
*BSA, body surface area; LV, left ventricular.
*'''Bold values:''' Recommended and best validated.<cite>1</cite>
*Click [http://csecho.ca/cardiomath/?eqnHD=echo&eqnDisp=lvmlvmi '''here'''] for calculation of LV mass.
|}
|}
==Left ventricular geometry and mass==
Click [http://csecho.ca/cardiomath/?eqnHD=echo&eqnDisp=lvmlvmi here] for calculation of LV mass.


==References==
==References==
<biblio>
<biblio>
#Ref pmid=16458610
#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 pmid=16458610
</biblio>
</biblio>
==External links==
* [https://www.techmed.sk/en/echo/left-ventricle/ Left ventricular dimensions - all measurements (TECHmED)]