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Cross-sectional echocardiographic determination of right ventricular volume and myocardial mass in children. Normal values and values in children with interatrial communication

Published online by Cambridge University Press:  19 August 2008

Zhen Jin ,
Walter Briedigkeit ,
Andreas Gamillscheg ,
Felix Berger ,
Jonathan R Skinner ,
Farideh Golshahi ,
Frank Uhlemann  and
Peter E. Lange
Zhen Jin*
Affiliation:
General Hospital of Commission of Science and Technologyand Industry for National Defense, Beijing, China
Walter Briedigkeit
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Andreas Gamillscheg
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Felix Berger
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Jonathan R Skinner
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Farideh Golshahi
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Frank Uhlemann
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
Peter E. Lange
Affiliation:
Klinik fuer Angeborene Herzfeler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
*
Dr. Z. Jin, Klinik fuer Angeborene Herzfehler/Kinderkardiologie, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. Tel: 0049-30-45068130. Fax: 0049-30-45068713.
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Abstract

Cross-sectional echocardiography was performed on 108 healthy children (7 days – 17 years old) and 55 children (6 months - 16.5 years old) with interatrial communication. Right ventricular end-diastolic volume, end-systolic volume, stroke volume, ejection fraction, muscle volume, and the ratio of muscle to cavity were calculated on the basis of outlined cavity and myocardium of an apical fourchamber view.

In the normal subjects right ventricular end-diastolic volume, end-systolic volume, stroke volume and muscle volume correlated with body surface area (end-diastolic volume: y=12.5x+7.8x2, r=0.99; end-systolic volume: y=4.8x+3.6x2, r=0.98; stroke volume: y=7.7x+4.2x2, r=0.98; muscle volume: y=14.1x+2.9x2, r=0.97), muscle/cavity ratio (0.85±0.17) and ejection fraction (58.9 ± 6.2%) were unrelated to body surface area. In the subjects with interatrial communication, the right ventricular volumes were significantly larger (p<0.001) than the normal values with a linear relationship to the ratio of pulmonary to systemic flows.

Right ventricular volumes can be determined in normal children with acceptable repeatability using a standard apical four-chamber view. The growth related normal values provide a basis for future quantitative studies.

Keywords

Quantitative echocardiographymuscle massright ventricleventricular volumeventricular functionatrial septal defect
Type
Original Articles
Information
Cardiology in the Young , Volume 7 , Issue 3 , July 1997 , pp. 302 - 309
Copyright
Copyright © Cambridge University Press 1997

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