Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-16T15:46:40.263Z Has data issue: false hasContentIssue false
  • English
  • Français

Cross-sectional echocardiographic determination of right ventricular volume and myocardial mass in children. Normal values and values in children with interatrial communication

Published online by Cambridge University Press:  19 August 2008

Zhen Jin ,
Walter Briedigkeit ,
Andreas Gamillscheg ,
Felix Berger ,
Jonathan R Skinner ,
Farideh Golshahi ,
Frank Uhlemann  and
Peter E. Lange
Zhen Jin*
Affiliation:
General Hospital of Commission of Science and Technologyand Industry for National Defense, Beijing, China
Walter Briedigkeit
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Andreas Gamillscheg
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Felix Berger
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Jonathan R Skinner
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Farideh Golshahi
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Frank Uhlemann
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Peter E. Lange
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
*
Dr. Z. Jin, Klinik fuer Angeborene Herzfehler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. Tel: 0049-30-45068130. Fax: 0049-30-45068713.
Get access Rights & Permissions [Opens in a new window]

Abstract

Cross-sectional echocardiography was performed on 108 healthy children (7 days – 17 years old) and 55 children (6 months - 16.5 years old) with interatrial communication. Right ventricular end-diastolic volume, end-systolic volume, stroke volume, ejection fraction, muscle volume, and the ratio of muscle to cavity were calculated on the basis of outlined cavity and myocardium of an apical fourchamber view.

In the normal subjects right ventricular end-diastolic volume, end-systolic volume, stroke volume and muscle volume correlated with body surface area (end-diastolic volume: y=12.5x+7.8x2, r=0.99; end-systolic volume: y=4.8x+3.6x2, r=0.98; stroke volume: y=7.7x+4.2x2, r=0.98; muscle volume: y=14.1x+2.9x2, r=0.97), muscle/cavity ratio (0.85±0.17) and ejection fraction (58.9 ± 6.2%) were unrelated to body surface area. In the subjects with interatrial communication, the right ventricular volumes were significantly larger (p<0.001) than the normal values with a linear relationship to the ratio of pulmonary to systemic flows.

Right ventricular volumes can be determined in normal children with acceptable repeatability using a standard apical four-chamber view. The growth related normal values provide a basis for future quantitative studies.

Keywords

Quantitative echocardiographymuscle massright ventricleventricular volumeventricular functionatrial septal defect
Type
Original Articles
Information
Cardiology in the Young , Volume 7 , Issue 3 , July 1997 , pp. 302 - 309
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Hiraishi, S, Disessa, T, Jarmakani, JM, Toshio, N, Jones, JBI, Friedman, WF. Two-dimensional echocardiographic assessment of right vebtricular volume in children with congenital heart disease. Am J Cardiol. 1982;50:1368–1375.CrossRefGoogle Scholar
2.Lange, PE, Seiffert, PA, Pries, F, Wessel, A, Onnasch, DGW, Hahne, HJ, Heintzen, PH. Value of image enhancement and injection of contrast medium for right ventricular volume determination by two-dimensional echocardiography in congenital heart disease. Am J Cardiol 1985;55:152–157.CrossRefGoogle ScholarPubMed
3.Wessel, A. Normal values of two-dimensional echocardiographic evaluation of left and right ventricular geometry in children. Herz 1985;10:248–254.Google ScholarPubMed
4.Shimazaki, Y, Kitamure, S, Hata, S, Nakano, S, Ihara, K, Yagihara, T, Sato, S, Kishimoto, H, Ogawa, M, Kawashima, Y. Right ventricular volume estimation by two-dimensional echocardiogram. J Cardiogr 1981;11:187–198.Google ScholarPubMed
5.Schiller, NB. Two-Dimensional echocardiographic determination of left ventricular volume, systolic function, and mass. Summary and discussion of the 1989 recommendations of the American Society of Echocardiography. Circulation 1991;84 suppl I: 280–287Google ScholarPubMed
6.Wyatt, HL, Haendchen, RV, Meerbaum, S, Corday, E. Assessment of quantitative methods for 2-dimensional echocardiography. Am J Cardiol 1983;52:396–401CrossRefGoogle ScholarPubMed
7.Graham, TP, Jarmakani, JM, Atwood, GF; Canent, RV: Right ventricular volume determinations in children: normal values and observations with volume or pressure overload. Circulation 1973;47:144–153CrossRefGoogle ScholarPubMed
8.Dackley, CE, Dodge, HT, Coble, YD Jr, Hay, RE. A method for determining left ventricular mass in man. Circulation 1964;29:666–671Google Scholar
9.Bland, JM, Altman, DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;8:307–310.CrossRefGoogle Scholar
10.Lange, PE, Onnasch, DGW, Schaupp, GH, Zill, C, Heintzen, PH. Size and function of the human left and right ventricles during growth. Normal angiographic data Pediatr cardiol 1982;3:205–211.CrossRefGoogle ScholarPubMed
11.Watanabe, T, Katsume, H, Matsukubo, H, Furukawa, K, Ijichi, H. Estimation of right ventricular volume with two dimensional echocadiography. Am J Cardiol 1982;49: 1946–1953.CrossRefGoogle Scholar
12.Silvermann, NH, Hudsen, S. Evaluation of right ventricular volume and ejection fraction in children by two-dimensional echocardiography. Pediatr Cardiol 1983;4:197–204.CrossRefGoogle Scholar
13.Satomi, G, Nakazawa, M, Kanaya, M, Narai, S, Minami, Y, Nakamura, K, Takao, A. A new method for the measurement of right ventricular volume in children by two-dimensional echocardiography. J Cardiogr 1982;12:481–488.Google ScholarPubMed
14.Ewert, P. Echicardiographische Bestimmung der rechts- und linkventrikulaeren Volumeverhaeltnisse bei herzgesunden Kindern und Kindern mit Vorhofseptumdefect. Disseratation Georg-August-Universitaet zu Goettingen, Germany. 1990.Google Scholar
15.Berdau, W: Ein- und zweidimensionale echocardiographische Normalwerte des rechten Ventrikels im Kindersalter. Dissertation Christian-Albrechts Universitaet zu Kiel, Germany. 1989.Google Scholar
16.Starling, MR, Crawford, MH, Sorensen, SG, O'Rourke, RA. A new two- demisional echocardiographic technique for evaluating right ventricular size and performance in patients with obstructive lung disease. Circulation 1982;66:612–620.CrossRefGoogle ScholarPubMed
17.Norgard, G, Vik-Mo, H. Effects of respiration on right ventricular size and function: an echcardiographic study. Pediatr Cardiol 1992;13:136–140.CrossRefGoogle Scholar
18.Tomita, M, Masuda, H, Sumi, T, Shiraki, H, Gotok, Yagi Y, Tsukamoto, T, Terashima, Y, Miwa, Y, Hirakawa, S. Estimation of right ventricular volume by modified echocardiographic subtraction method. Am Heart J. 1992;123:1011–1022.CrossRefGoogle ScholarPubMed
19.Onnasch, DGW, Lange, PE, Heintzen, PH. Left ventricular muscle volume in children and young adults. Pediatr Cardiol 1984;5.101–106.CrossRefGoogle ScholarPubMed
20.Vogel, M, Staller, W, Buehlmeyer, K. Left ventricular myocardial mass determined by cross-sectional echocardiography in normal newborns, infants, and children. Pediatr cardiol 1991;12:143–149.CrossRefGoogle ScholarPubMed
21.Lange, PE, Budach, W, Radtke, W, Onnasch, DGW, Heintzen, PH. Right ventricular imaging with digital subtraction angiocardiography using intraventricular contrast injection. Am J Cardiol. 1984;54:839–842.CrossRefGoogle ScholarPubMed
22.Lange, PE, Beurich, HW, Onnasch, DGW, Heintzen, PH. The accuracy of experimentally determined angiographic right ventricular volume. Basic Res.Cardiol. 1983;78.172–182.CrossRefGoogle ScholarPubMed
23.Graham, TP Jr, Jarkamai, JM, Canent, RV, Morrow, MN. Left heart volume estimation in infancy and childhood. Circulation 1971;43:895–904.CrossRefGoogle ScholarPubMed
24.Graham, TP Jr, Lewis, BW, Jarmakani, MM, Canent, RV, Capp, MP. Left heart volume and mass quantification in children with left ventricular pressure overload. Circulation 1970;41:203–212.CrossRefGoogle ScholarPubMed