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Updated: Apr 3, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Echocardiographic evaluation of the failing heart
Anitha Parthiban1, Girish Shirali1
1Ward Family Heart Center,Children's Mercy Hospital,Kansas City,Missouri,United States of America.
Insights
Echocardiography is key for diagnosing and monitoring pediatric heart failure. This review highlights prognostic echocardiographic measurements for various childhood cardiomyopathies and heart conditions.
Area of Science:
- Pediatric Cardiology
- Cardiac Imaging
- Echocardiography
Background:
- Pediatric heart failure presents diverse etiologies and systolic/diastolic dysfunction.
- Echocardiography is the cornerstone for diagnosis and management in pediatric heart failure.
- Prognostic echocardiographic parameters are crucial for guiding treatment and predicting outcomes.
Purpose of the Study:
- To critically review standard echocardiographic measurements with prognostic significance in pediatric heart failure.
- To discuss specific echocardiographic findings in common childhood cardiomyopathies.
- To emphasize the assessment of right ventricular function and diastolic function in pediatric heart failure.
Main Methods:
- Literature review of standard echocardiographic measurements in pediatric heart failure.
- Critical analysis of prognostic echocardiographic data.
- Separate discussion of dilated, hypertrophic, restrictive, left ventricular non-compaction, and arrhythmogenic right ventricular cardiomyopathies.
Main Results:
- Standard echocardiographic measurements offer prognostic insights in pediatric heart failure.
- Specific patterns of systolic and diastolic dysfunction are associated with different cardiomyopathies.
- Assessment of the failing right ventricle and univentricular hearts is vital.
Conclusions:
- Echocardiography provides essential prognostic information for children with heart failure.
- Tailored echocardiographic assessments are necessary for various pediatric cardiomyopathies.
- Comprehensive evaluation of ventricular and diastolic function is critical for optimal management.
Abstract:
Heart failure in children can result from a wide range of aetiologies and can manifest in systolic and/or diastolic dysfunction. Echocardiography is the primary test for the diagnosis and follow-up of children with heart failure. In this article, we critically review standard echocardiographic measurements that have been shown to have prognostic importance in children with various types of heart failure. Each of the common forms of cardiomyopathy that is encountered in childhood--dilated, hypertrophic, restrictive, left ventricular non-compaction, and arrhythmogenic right ventricular cardiomyopathy--is discussed separately. Special attention is paid to the failing right ventricle, both in the systemic and in the sub-pulmonary position, to the failing univentricular heart, and to the assessment of diastolic function in children.
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