Original Research

Limitations of Standard Echocardiographic Methods for Quantification of Right Ventricular Size and Function in Children and Young Adults

Corresponding Author

Chandra Srinivasan MD

[email protected]

Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

Address correspondence to Chandra Srinivasan, MD, Texas Children's Hospital, 6621 Fannin, MC 19345-C, Houston, TX 77030 USA. ,Search for more papers by this author

Ritu Sachdeva MD,

Ritu Sachdeva MD

Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

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W. Robert Morrow MD,

W. Robert Morrow MD

Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

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S. Bruce Greenberg MD,

S. Bruce Greenberg MD

Division of Pediatric Radiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

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Himesh V. Vyas MD,

Himesh V. Vyas MD

Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

Search for more papers by this author

Chandra Srinivasan MD,

Corresponding Author

Chandra Srinivasan MD

[email protected]

Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

Address correspondence to Chandra Srinivasan, MD, Texas Children's Hospital, 6621 Fannin, MC 19345-C, Houston, TX 77030 USA. ,Search for more papers by this author

Ritu Sachdeva MD,

Ritu Sachdeva MD

Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

Search for more papers by this author

W. Robert Morrow MD,

W. Robert Morrow MD

Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

Search for more papers by this author

S. Bruce Greenberg MD,

S. Bruce Greenberg MD

Division of Pediatric Radiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

Search for more papers by this author

Himesh V. Vyas MD,

Himesh V. Vyas MD

Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas USA

Search for more papers by this author

First published: 01 April 2011

https://doi.org/10.7863/jum.2011.30.4.487

Citations: 49

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Abstract

Objectives

The aim of this study was to evaluate correlation of 2-dimensional (2D) echocardiographic assessment of right ventricular (RV) and left ventricular (LV) size and function with magnetic resonance imaging (MRI) in children and young adults.

Methods

Patients with repaired tetralogy of Fallot (n = 23) and those who had normal RV volumes (n = 13) and a normal ejection fraction (EF) by MRI constituted the study groups. Echocardiographic indices including the end-diastolic area (EDa), end-systolic area (ESa), fractional area change (FAC), tricuspid annular motion (TAM), RV basal diameter, and RV basal shortening fraction were compared with MRI ventricular volumes and the EF. Two echocardiographers qualitatively graded RV size and function.

Results

In both groups, neither the RV EDa nor the ESa correlated with MRI RV volumes. Only TAM correlated with the RV EF. Qualitative assessment of the RV showed poor interobserver agreement. The LV area and FAC correlated well with MRI data.

Conclusions

In contrast to the LV, 2D echocardiographic indices of RV size and function, with the exception of TAM, do not correlate with MRI data.

References

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Citing Literature

Volume30, Issue4

April 2011

Pages 487-493

Limitations of Standard Echocardiographic Methods for Quantification of Right Ventricular Size and Function in Children and Young Adults

Abstract

Objectives

Methods

Results

Conclusions

References

Citing Literature

References

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Limitations of Standard Echocardiographic Methods for Quantification of Right Ventricular Size and Function in Children and Young Adults

Abstract

Objectives

Methods

Results

Conclusions

References

Citing Literature

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