Echographic determination of left ventricular volumes in pediatric patients

Circulation
|February 1, 1975
PubMed

Insights

Echocardiography reliably measures left ventricular (LV) minor dimensions in children. This allows accurate estimation of LV volumes and ejection fraction (EF) in pediatric patients.

Area of Science:

  • Pediatric Cardiology
  • Medical Imaging
  • Echocardiography

Background:

  • Accurate assessment of left ventricular (LV) volumes is crucial for diagnosing and managing pediatric cardiac conditions.
  • Echocardiography is a non-invasive imaging modality widely used in pediatrics, but its accuracy for LV volume determination requires validation.

Purpose of the Study:

  • To validate the accuracy of echocardiography for determining left ventricular (LV) volumes in infants and children.
  • To establish correlations between echocardiographic measurements and cineangiographic data for LV volume assessment.

Main Methods:

  • Thirty-one pediatric patients (2 months to 15 years) underwent biplane left ventriculography (cineangiography).
  • LV volumes were calculated using an ellipsoidal model from cineangiograms.
  • Echocardiographic minor dimensions (Be) were compared with cineangiographic minor lateral dimensions (Bc) at end diastole and end systole.

Main Results:

  • A strong correlation was found between echographic and cineangiographic minor dimensions at end diastole (r = 0.856).
  • A high correlation (r = 0.889) existed between LV end-diastolic volume measured by cineangiography and the echographic minor dimension (Be).
  • A reliable method was formulated to estimate ejection fraction (EF) from echocardiographic measurements.

Conclusions:

  • Echocardiography provides reliable measurements of the LV minor dimension in children.
  • LV volumes, ejection fraction (EF), and stroke volume can be accurately estimated using echocardiography in pediatric patients.

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