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Echographic determination of left ventricular volumes in pediatric patients
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.
Abstract:
The purpose of this study was to validate the accuracy of determining left ventricular (LV) volumes by echocardiography in infants and children. Thirty-one patients between the ages of two months and 15 years underwent left ventriculography (biplane antero-posterior and lateral cine). Ventricular volumes using an ellipsoidal model were calculated for end diastole from the cineangiograms. There was a strong correlation (r = 0.856) between the echographic minor dimension (Be) and the minor lateral cine dimension (Bc) at end diastole. A similar correlation (r = 0.889) existed between the LV volume in end diastole measured by cineangiography and Be. The correlation coefficient between the echo minor dimension and the lateral minor cine dimension in end systole was 0.753. A relation between ejection fraction (EF) and the echo minor dimension measurements in end diastole and end systole was formulated, which permitted estimation of the EF from the echo measurements. As a result of this study, it was concluded that the LV minor dimension can be measured reliably by echocardiography in children and from these measurements LV volumes, ejection fraction, and hence, stroke volume can be estimated.
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