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European Journal of Echocardiography 2006 7(2):79-108; doi:10.1016/j.euje.2005.12.014
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Copyright © 2006, The European Society of Cardiology

Recommendations for chamber quantification*

Roberto M. Lang, Michelle Bierig, Richard B. Devereux, Frank A. Flachskampf*, Elyse Foster, Patricia A. Pellikka, Michael H. Picard, Mary J. Roman, James Seward, Jack Shanewise, Scott Solomon, Kirk T. Spencer, Martin St. John Sutton and William Stewart

Med. Klinik 2, Erlangen University, Ulmenweg 18, 91054 Erlangen, Germany

Received 7 November 2005; accepted after revision 23 December 2005.

* Corresponding author. Tel.: +49 9131 853 5301; fax: +49 9131 853 5303. frank.flachskampf{at}rzmail.uni-erlangen.de


   Abstract

Quantification of cardiac chamber size, ventricular mass and function ranks among the most clinically important and most frequently requested tasks of echocardiography. Over the last decades, echocardiographic methods and techniques have improved and expanded dramatically, due to the introduction of higher frequency transducers, harmonic imaging, fully digital machines, left-sided contrast agents, and other technological advancements. Furthermore, echocardiography due to its portability and versatility is now used in emergency rooms, operating rooms, and intensive care units. Standardization of measurements in echocardiography has been inconsistent and less successful, compared to other imaging techniques and consequently, echocardiographic measurements are sometimes perceived as less reliable. Therefore, the American Society of Echocardiography, working together with the European Association of Echocardiography, a branch of the European Society of Cardiology, has critically reviewed the literature and updated the recommendations for quantifying cardiac chambers using echocardiography. This document reviews the technical aspects on how to perform quantitative chamber measurements of morphology and function, which is a component of every complete echocardiographic examination.

Keywords: LV; left ventricle; LA; left atrium; RA; right atrium; RV; right ventricle; LVID; left ventricular internal dimension; LVIDd; left ventricular internal dimension at end diastole; LVIDs; left ventricular internal dimension at end systole; SWTd; septal wall thickness at end-diastole; PWTd; posterior wall thickness at end-diastole; EBD; endocardial border delineation; TEE; transesophageal echocardiography; MI; myocardial infarction


* A report from the American Society of Echocardiography's Nomenclature and Standards Committee and the Task Force on Chamber Quantification, developed in conjunction with the American College of Cardiology Echocardiography Committee, the American Heart Association, and the European Association of Echocardiography, a branch of the European Society of Cardiology.


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Europace, January 1, 2008; 10(1): 69 - 74.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. S. Hydock, C.-Y. Lien, C. M. Schneider, and R. Hayward
Effects of voluntary wheel running on cardiac function and myosin heavy chain in chemically gonadectomized rats
Am J Physiol Heart Circ Physiol, December 1, 2007; 293(6): H3254 - H3264.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. Neglia, A. De Caterina, P. Marraccini, A. Natali, M. Ciardetti, C. Vecoli, A. Gastaldelli, D. Ciociaro, P. Pellegrini, R. Testa, et al.
Impaired myocardial metabolic reserve and substrate selection flexibility during stress in patients with idiopathic dilated cardiomyopathy
Am J Physiol Heart Circ Physiol, December 1, 2007; 293(6): H3270 - H3278.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
E. T. Vestergaard, N. H. Andersen, T. K. Hansen, L. M. Rasmussen, N. Moller, K. E. Sorensen, E. Sloth, and J. O. L. Jorgensen
Cardiovascular effects of intravenous ghrelin infusion in healthy young men
Am J Physiol Heart Circ Physiol, November 1, 2007; 293(5): H3020 - H3026.
[Abstract] [Full Text] [PDF]


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HeartHome page
J.-P. Laissy, D. Messika-Zeitoun, J.-M. Serfaty, V. Sebban, E. Schouman-Claeys, B. Iung, and A. Vahanian
Comprehensive evaluation of preoperative patients with aortic valve stenosis: usefulness of cardiac multidetector computed tomography
Heart, September 1, 2007; 93(9): 1121 - 1125.
[Abstract] [Full Text] [PDF]


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EuropaceHome page
C. Varounis, N. Dagres, T. Maounis, D. Panagiotakos, and D. V. Cokkinos
Atrial premature complexes and heart rate have prognostic significance in 1-month atrial fibrillation recurrence after electrical cardioversion
Europace, August 1, 2007; 9(8): 633 - 637.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
D. Messika-Zeitoun, M. Bellamy, J.-F. Avierinos, J. Breen, C. Eusemann, A. Rossi, T. Behrenbeck, C. Scott, J. A. Tajik, and M. Enriquez-Sarano
Left atrial remodelling in mitral regurgitation--methodologic approach, physiological determinants, and outcome implications: a prospective quantitative Doppler-echocardiographic and electron beam-computed tomographic study
Eur. Heart J., July 2, 2007; 28(14): 1773 - 1781.
[Abstract] [Full Text] [PDF]


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Br. J. Sports. Med.Home page
M M. Lindsay and F. G Dunn
Biochemical evidence of myocardial fibrosis in veteran endurance athletes
Br. J. Sports Med., July 1, 2007; 41(7): 447 - 452.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
Authors/Task Force Members:, G. Mancia, G. De Backer, A. Dominiczak, R. Cifkova, R. Fagard, G. Germano, G. Grassi, A. M. Heagerty, S. E. Kjeldsen, et al.
2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)
Eur. Heart J., June 11, 2007; (2007) ehm236v1.
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Eur J EchocardiogrHome page
R. Olszewski, J. Timperley, S. Cezary, M. Monaghan, P. Nihoyannopoulis, R. Senior, and H. Becher
The clinical applications of contrast echocardiography
Eur J Echocardiogr, June 1, 2007; 8(3): s13 - s23.
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ChestHome page
L. F. Drager, L. A. Bortolotto, A. C. Figueiredo, B. C. Silva, E. M. Krieger, and G. Lorenzi-Filho
Obstructive Sleep Apnea, Hypertension, and Their Interaction on Arterial Stiffness and Heart Remodeling
Chest, May 1, 2007; 131(5): 1379 - 1386.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. S.P. Lam, V. L. Roger, R. J. Rodeheffer, F. Bursi, B. A. Borlaug, S. R. Ommen, D. A. Kass, and M. M. Redfield
Cardiac Structure and Ventricular-Vascular Function in Persons With Heart Failure and Preserved Ejection Fraction From Olmsted County, Minnesota
Circulation, April 17, 2007; 115(15): 1982 - 1990.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
G. Tripepi, F. A. Benedetto, F. Mallamaci, R. Tripepi, L. Malatino, and C. Zoccali
Left Atrial Volume Monitoring and Cardiovascular Risk in Patients with End-Stage Renal Disease: A Prospective Cohort Study
J. Am. Soc. Nephrol., April 1, 2007; 18(4): 1316 - 1322.
[Abstract] [Full Text] [PDF]


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CirculationHome page
D. Erdogan, I. Yildirim, O. Ciftci, I. Ozer, M. Caliskan, H. Gullu, and H. Muderrisoglu
Effects of Normal Blood Pressure, Prehypertension, and Hypertension on Coronary Microvascular Function
Circulation, February 6, 2007; 115(5): 593 - 599.
[Abstract] [Full Text] [PDF]


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ChestHome page
B. P. Shapiro, M. D. McGoon, and M. M. Redfield
Unexplained Pulmonary Hypertension in Elderly Patients
Chest, January 1, 2007; 131(1): 94 - 100.
[Abstract] [Full Text] [PDF]



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