Maurizio Galderisi1, Bernard Cosyns2, Thor Edvardsen3, Nuno Cardim4, Victoria Delgado5, Giovanni Di Salvo6, Erwan Donal7, Leyla Elif Sade8, Laura Ernande9, Madalina Garbi10, Julia Grapsa11, Andreas Hagendorff12, Otto Kamp13, Julien Magne14, Ciro Santoro1, Alexandros Stefanidis15, Patrizio Lancellotti16,17, Bogdan Popescu18, Gilbert Habib19,20. 1. Interdepartmental Laboratory of Cardiac Imaging, Federico II University Hospital, Naples, Italy. 2. CHVZ (Centrum voor Hart en Vaatziekten)-Universitair ziekenhuis Brussel; and ICMI (In Vivo Cellular and Molecular Imaging) laboratory, Brussels, Belgium. 3. Department of Cardiology, Oslo University Hospital, Rikshospitalet, University of Oslo, Oslo, Norway. 4. Echocardiography Laboratory, Hospital da Luz, Lisbon, Portugal. 5. Department of Cardiology, Leiden University Medical Centre, Leiden 2300RC, The Netherlands. 6. Pediatric Cardiology, Royal Brompton Hospital, London, United Kingdom. 7. Cardiologie, LTSI-INSERM U 1099, CHU Rennes, Université Rennes 1, Rennes, France. 8. Baskent University, Ankara, Turkey. 9. Department of Physiology, INSERM U955, Université Paris-Est Creteil, Henri Mondor Hospital, DHU-ATVB, AP-HP, Créteil, France. 10. King's College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS UK. 11. Department of Cardiovascular Sciences, Imperial College of London, London, UK. 12. Department of Cardiology-Angiology, Echokardiographie-Labore des Universitätsklinikums AöR, University of Leipzig, Leipzig, Germany. 13. Department of Cardiology, VU University Medical Center, Amsterdam, The Netherlands. 14. CHU Limoges, Hôpital Dupuytren, Service Cardiologie, Limoges, F-87042 France. 15. 1st Department of Cardiology, General Hospital of Nikea, 3 P. Mela str., 184 54, Athens, Greece. 16. University of Liège Hospital, GIGA Cardiovascular Science, Heart Valve Clinic, Imaging Cardiology, Liège, Belgium. 17. Gruppo Villa Maria Care and Research, Anthea Hospital, Bari, Italy. 18. University of Medicine and Pharmacy 'Carol Davila'-Euroecolab, Institute of Cardiovascular Diseases, Bucharest, Romania. 19. Aix- Aix-Marseille Univ, URMITE, Aix Marseille Université-UM63, CNRS 7278, IRD 198, INSERM 1095. 20. Cardiology Department, APHM, La Timone Hospital, Boulevard Jean Moulin, Marseille 13005, France.
Abstract
AIMS: This European Association Cardiovascular Imaging (EACVI) Expert Consensus document aims at defining the main quantitative information on cardiac structure and function that needs to be included in standard echocardiographic report following recent ASE/EACVI chamber quantification, diastolic function, and heart valve disease recommendations. The document focuses on general reporting and specific pathological conditions such as heart failure, coronary artery and valvular heart disease, cardiomyopathies, and systemic diseases. METHODS AND RESULTS: Demographic data (age, body surface area, blood pressure, and heart rhythm and rate), type (vendor and model) of ultrasound system used and image quality need to be reported. In addition, measurements should be normalized for body size. Reference normal values, derived by ASE/EACVI recommendations, shall always be reported to differentiate normal from pathological conditions. This Expert Consensus document suggests avoiding the surveillance of specific variable using different ultrasound techniques (e.g. in echo labs with high expertise in left ventricular ejection fraction by 3D and not by 2D echocardiography). The report should be also tailored in relation with different cardiac pathologies, quality of images, and needs of the caregivers. CONCLUSION: The conclusion should be concise reflecting the status of left ventricular structure and function, the presence of left atrial and/or aortic dilation, right ventricular dysfunction, and pulmonary hypertension, leading to an objective communication with the patient health caregiver. Variation over time should be considered carefully, taking always into account the consistency of the parameters used for comparison. Published on behalf of the European Society of Cardiology. All rights reserved.
AIMS: This European Association Cardiovascular Imaging (EACVI) Expert Consensus document aims at defining the main quantitative information on cardiac structure and function that needs to be included in standard echocardiographic report following recent ASE/EACVI chamber quantification, diastolic function, and heart valve disease recommendations. The document focuses on general reporting and specific pathological conditions such as heart failure, coronary artery and valvular heart disease, cardiomyopathies, and systemic diseases. METHODS AND RESULTS: Demographic data (age, body surface area, blood pressure, and heart rhythm and rate), type (vendor and model) of ultrasound system used and image quality need to be reported. In addition, measurements should be normalized for body size. Reference normal values, derived by ASE/EACVI recommendations, shall always be reported to differentiate normal from pathological conditions. This Expert Consensus document suggests avoiding the surveillance of specific variable using different ultrasound techniques (e.g. in echo labs with high expertise in left ventricular ejection fraction by 3D and not by 2D echocardiography). The report should be also tailored in relation with different cardiac pathologies, quality of images, and needs of the caregivers. CONCLUSION: The conclusion should be concise reflecting the status of left ventricular structure and function, the presence of left atrial and/or aortic dilation, right ventricular dysfunction, and pulmonary hypertension, leading to an objective communication with the patient health caregiver. Variation over time should be considered carefully, taking always into account the consistency of the parameters used for comparison. Published on behalf of the European Society of Cardiology. All rights reserved.
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