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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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