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Normal reference intervals for cardiac dimensions and function for use in echocardiographic practice: a guideline from the British Society of Echocardiography.

Harkness, A, Ring, L, Augustine, DX, Oxborough, D, Robinson, S, Sharma, V and Education Committee of the British Society of Echocardiography, (2020) Normal reference intervals for cardiac dimensions and function for use in echocardiographic practice: a guideline from the British Society of Echocardiography. Echo Research and Practice, 7 (1). G1-G18. ISSN 2055-0464

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Abstract

This guideline presents reference limits for use in echocardiographic practice, updating previous guidance from the British Society of Echocardiography. The rationale for change is discussed, in addition to how the reference intervals were defined and the current limitations to their use. The importance of interpretation of echocardiographic parameters within the clinical context is explored, as is grading of abnormality. Each of the following echo parameters are discussed and updated in turn: left ventricular linear dimensions and LV mass; left ventricular volumes; left ventricular ejection fraction; left atrial size; right heart parameters; aortic dimensions; and tissue Doppler imaging. There are several important conceptual changes to the assessment of the heart’s structure and function within this guideline. New terminology for left ventricular function and left atrial size are introduced. The British Society of Echocardiography has advocated a new approach to the assessment of the aortic root, the right heart, and clarified the optimal methodology for assessment of LA size. The British Society of Echocardiography has emphasized a preference to use, where feasible, indexed measures over absolute values for any chamber size.

Item Type: Article
Uncontrolled Keywords: 2D echocardiography; guidelines; reference ranges
Subjects: R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Sports & Exercise Sciences
Publisher: Bio Scientifica
Related URLs:
Date Deposited: 20 Mar 2020 10:07
Last Modified: 20 Mar 2020 10:15
DOI or Identification number: 10.1530/ERP-19-0050
URI: http://researchonline.ljmu.ac.uk/id/eprint/12557

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