European Journal of Echocardiography Advance Access published online on September 30, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen242
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org
Normalization of echocardiographically derived paediatric cardiac dimensions to body surface area: time for a standardized approach
Consultant Paediatric and Fetal Cardiologist, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK
* Corresponding author. National Heart and Lung Institute, Imperial College, London. Tel: +44 20 7351 8430; fax: +44 20 7351 8547. Email address: p.daubeney@rbht.nhs.uk
| The first 10% of the full text of this article appears below. |
The quantification of cardiac dimensions derived from echocardiography is important in paediatric cardiac practice. Evaluation of the size and growth of cardiac chambers, valves, and great vessels plays a key role in the management of congenital heart disease, from the initial decision-making in the neonatal period to the nature and timing of subsequent interventions. It may also be important in the assessment and risk stratification of children with acquired heart disease such as hypertrophic cardiomyopathy or coronary artery involvement in Kawasaki disease. Body size and cardiac dimensions change dramatically during normal growth and development. Therefore, it is necessary to place in context the measured size of a given cardiac structure by correcting for body size, through the process of normalization. The
| Requirements for normalization |
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| How best to express normalized data? |
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| Limitations of current normalization data |
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| Time for a standardized approach |
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