Jin-Oh Choi1, Mi-Seung Shin2, Mi-Jeong Kim3, Hae Ok Jung4, Jeong Rang Park5, Il Suk Sohn6, Hyungseop Kim7, Seong-Mi Park8, Nam Jin Yoo9, Jung Hyun Choi10, Hyung-Kwan Kim11, Goo-Yeong Cho12, Mi-Rae Lee13, Jin-Sun Park14, Chi Young Shim15, Dae-Hee Kim16, Dae-Hee Shin17, Gil Ja Shin18, Sung Hee Shin19, Kye Hun Kim20, Jae-Hyeong Park21, Sang Yeub Lee22, Woo-Shik Kim23, Seung Woo Park1. 1. Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. 2. Division of Cardiology, Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea. 3. Division of Cardiology, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. 4. Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. 5. Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea. 6. Department of Cardiology, Kyung Hee University School of Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Korea. 7. Division of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea. 8. Division of Cardiology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. 9. Department of Internal Medicine, Wonkwang University Hospital, Institute of Wonkwang Medical Science, Iksan, Korea. 10. Department of Internal Medicine, Division of Cardiology, Pusan National University School of Medicine, Busan, Korea. 11. Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Seoul National University College of Medicine, Seoul, Korea. 12. Division of Cardiology, Department of Internal Medicine, Seoul National University and Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea. 13. Division of Cardiology, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. 14. Department of Cardiology, Ajou University School of Medicine, Suwon, Korea. 15. Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea. 16. Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. 17. Division of Cardiology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. 18. Division of Cardiology, Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. 19. Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. 20. Department of Cardiology, Chonnam National University Hospital, Gwangju, Korea. 21. Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea. 22. Division of Cardiology, Department of Internal Medicine, Chungbuk National University School of Medicine, Cheongju, Korea. 23. Cardiovascular Center, Department of Internal Medicine, Kyung Hee University Medical Center, Seoul, Korea.
Abstract
BACKGROUND: Measurement of the cardiac chamber is essential, and current guidelines recommend measuring and reporting values for both sides of the cardiac chamber during echocardiographic evaluation. Normal echocardiographic reference values have been suggested previously, but detailed information about right-sided chambers and values according to gender was not included. METHODS: This is a prospective multicenter (23 centers) study evaluating normal Korean adult subjects using comprehensive echocardiography. We included normal adult subjects (age; 20-79 years old) who had no significant cardiac disorders or illnesses, such as hypertension or diabetes, which could affect cardiac structure and function. We measured the cardiac chamber including both right and left ventricles as well as atria according to current echocardiography guidelines and compared values according to gender and age groups. RESULTS: A total of 1003 subjects were evaluated and the mean age was 48 ± 16 years. Left ventricular (LV) dimensions increased, but LV volume decreased in older subjects. Right ventricular (RV) area decreased in women and older subjects, and the RV long-axis dimension showed a similar trend. Left atrial (LA) volume increased in men but there were no differences in LA volume index between men and women. The dimension of great arteries increased in men and older subjects. CONCLUSION: Since there were considerable differences between men and women and in the different age groups, and the trends differed significantly between different echo variables, normal echocardiographic cutoff values should be differentially applied based on age and gender.
BACKGROUND: Measurement of the cardiac chamber is essential, and current guidelines recommend measuring and reporting values for both sides of the cardiac chamber during echocardiographic evaluation. Normal echocardiographic reference values have been suggested previously, but detailed information about right-sided chambers and values according to gender was not included. METHODS: This is a prospective multicenter (23 centers) study evaluating normal Korean adult subjects using comprehensive echocardiography. We included normal adult subjects (age; 20-79 years old) who had no significant cardiac disorders or illnesses, such as hypertension or diabetes, which could affect cardiac structure and function. We measured the cardiac chamber including both right and left ventricles as well as atria according to current echocardiography guidelines and compared values according to gender and age groups. RESULTS: A total of 1003 subjects were evaluated and the mean age was 48 ± 16 years. Left ventricular (LV) dimensions increased, but LV volume decreased in older subjects. Right ventricular (RV) area decreased in women and older subjects, and the RV long-axis dimension showed a similar trend. Left atrial (LA) volume increased in men but there were no differences in LA volume index between men and women. The dimension of great arteries increased in men and older subjects. CONCLUSION: Since there were considerable differences between men and women and in the different age groups, and the trends differed significantly between different echo variables, normal echocardiographic cutoff values should be differentially applied based on age and gender.
Entities:
Keywords:
Echocardiography; Normal population; Reference value
Authors: Lawrence G Rudski; Wyman W Lai; Jonathan Afilalo; Lanqi Hua; Mark D Handschumacher; Krishnaswamy Chandrasekaran; Scott D Solomon; Eric K Louie; Nelson B Schiller Journal: J Am Soc Echocardiogr Date: 2010-07 Impact factor: 5.251
Authors: Frederick E Dewey; David Rosenthal; Daniel J Murphy; Victor F Froelicher; Euan A Ashley Journal: Circulation Date: 2008-04-29 Impact factor: 29.690
Authors: Soo Lim; Hayley Shin; Jung Han Song; Soo Heon Kwak; Seon Mee Kang; Ji Won Yoon; Sung Hee Choi; Sung Il Cho; Kyong Soo Park; Hong Kyu Lee; Hak Chul Jang; Kwang Kon Koh Journal: Diabetes Care Date: 2011-04-19 Impact factor: 19.112
Authors: Hena N Patel; Tatsuya Miyoshi; Karima Addetia; Rodolfo Citro; Masao Daimon; Pedro Gutierrez Fajardo; Ravi R Kasliwal; James N Kirkpatrick; Mark J Monaghan; Denisa Muraru; Kofo O Ogunyankin; Seung Woo Park; Ricardo E Ronderos; Anita Sadeghpour; Gregory M Scalia; Masaaki Takeuchi; Wendy Tsang; Edwin S Tucay; Ana Clara Tude Rodrigues; Vivekanandan Amuthan; Yun Zhang; Marcus Schreckenberg; Michael Blankenhagen; Markus Degel; Niklas Hitschrich; Victor Mor-Avi; Federico M Asch; Roberto M Lang Journal: J Am Soc Echocardiogr Date: 2021-10-04 Impact factor: 7.722
Authors: Matthew K Armstrong; Martin G Schultz; Alun D Hughes; Dean S Picone; J Andrew Black; Nathan Dwyer; Philip Roberts-Thomson; James E Sharman Journal: J Hypertens Date: 2021-03-01 Impact factor: 4.776