Validity of echocardiographic estimates of left ventricular size and performance in infants and children

British Heart Journal
|April 1, 1975
PubMed

Insights

Echocardiography reliably assesses pediatric left ventricular function. Mean circumferential shortening rate (mean Vcf) showed the strongest correlation, validating its use in infants and children.

Area of Science:

  • Pediatric Cardiology
  • Diagnostic Imaging
  • Echocardiography

Background:

  • Echocardiography is established for adult left ventricular assessment.
  • Its application in pediatric populations requires validation.

Purpose of the Study:

  • To validate echocardiography for estimating left ventricular size and function in children.
  • To compare echocardiographic measures with angiocardiography.

Main Methods:

  • A validation study involving 40 children (4 days to 16 years).
  • Comparison of echocardiographic indices with angiocardiographic data.

Main Results:

  • Significant correlations found for left ventricular end-diastolic volume (r=0.76), end-systolic volume (r=0.68), and ejection fraction (r=0.73).
  • Left ventricular mean circumferential shortening rate (mean Vcf) demonstrated the highest correlation (r=0.91).

Conclusions:

  • Echocardiography, particularly mean Vcf, is a useful and reliable method for assessing pediatric left ventricular function.
  • Care is advised when interpreting echocardiographic indices of ventricular size and performance in children.

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