Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-03T08:52:24.789Z Has data issue: false hasContentIssue false

Reference values for echocardiographic measurements of healthy newborns

Published online by Cambridge University Press:  21 September 2011

Alper Güzeltaş*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, İstanbul University Cerrahpaşa Medical Faculty, Istanbul, Turkey
Ayşe Güler Eroğlu
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, İstanbul University Cerrahpaşa Medical Faculty, Istanbul, Turkey
*
Correspondence to: Alper Güzeltaş, Division of Pediatric Cardiology, Department of Pediatrics, İstanbul University Cerrahpaşa Medical Faculty, 34303 Istanbul/Turkey. Tel: 9 0 542 256 06 01; Fax: 9 0 212 581 26 80; E-mail: [email protected]

Abstract

Objective

To assess the reference values of M-mode echocardiographic measurements in healthy newborns according to body weight.

Methods

From January, 2008 to June, 2008, a total of 250 – 130 female and 120 male – term healthy newborns were included in the study. M-mode echocardiographic measurements were recorded by a paediatric cardiologist in accordance with the American Society of Echocardiography recommendations. Right ventricular anterior wall end-diastolic thickness, right ventricular end-diastolic diameter, interventricular septum end-diastolic thickness, left ventricular end-diastolic diameter, left ventricular posterior wall end-diastolic thickness, interventricular septum end-systolic thickness, left ventricular end-systolic diameter, left ventricular posterior wall end-systolic thickness, aortic root dimension, left atrium dimension, left ventricular ejection, and shortening fraction were measured.

Results

The values of echocardiographic measurements revealed a good correlation with body weight. When body weight increased, the measured values also increased in parallel. The measured values were not influenced by gender. Ejection and shortening fraction parameters did not change with body weight and gender.

Conclusion

In this study, normative values related to body weight for cardiac chambers and wall thickness were determined in healthy newborns. These reference values can be used to evaluate whether newborns have normal or abnormal echocardiographic measurement.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Sahn, D, DeMaria, A, Kisslo, J, et al. The committee on M-mode standardization of the American Society of Echocardiography: recommendation regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic methods. Circulation 1978; 58: 10721183.CrossRefGoogle Scholar
2.Pearlman, JD, Triulzi, MO, King, ME, Newell, J, Weyman, AE. Limits of normal left ventricular dimensions in growth and development: analysis of dimensions and variance in the two-dimensional echocardiograms of 268 normal healthy subjects. J Am Coll Cardiol 1988; 12: 14321441.CrossRefGoogle ScholarPubMed
3.Lester, LA, Sodt, PC, Hutcheon, N, Arcilla, RA. M-mode echocardiography in normal children and adolescents: some new perspectives. Pediatr Cardiol 1987; 8: 2733.CrossRefGoogle ScholarPubMed
4.Huwez, FU, Houston, AB, Watson, J, McLaughlin, S, Macfarlane, PW. Age and body surface area related normal upper and lower limits of M-mode echocardiographic measurements and left ventricular volume and mass from infancy to early adulthood. Br Heart J 1994; 72: 276280.CrossRefGoogle ScholarPubMed
5.Schvartzman, PR, Fuchs, FD, Mello, AG, Coli, M, Schvartzman, M, Moreira, LB. Normal values of echocardiographic measurements. A population-based study. Arq Bras Cardiol 2000; 75: 107114.CrossRefGoogle ScholarPubMed
6.Bonatto, RC, Fioretto, JR, Okoshi, K, et al. Percentile curves of normal values of echocardiographic measurements in normal children from the central–southern region of the State of São Paulo, Brazil. Arq Bras Cardiol 2006; 87: 711721.Google ScholarPubMed
7.First, T, Skovránek, J, Marek, J. Normal values of 2-dimensional echocardiographic parameters in children. Cesk Pediatr 1992; 47: 260264.Google ScholarPubMed
8.Akiba, T, Yoshikawa, M, Otaki, S, et al. Echocardiographic measurements of left ventricle in normal infants and children. Tohoku J Exp Med 1986; 149: 3137.CrossRefGoogle ScholarPubMed
9.Epstein, ML, Goldberg, SJ, Allen, HD, Konecke, L, Wood, J. Great vessel, cardiac chamber, and wall growth patterns in normal children. Circulation 1975; 51: 11241129.CrossRefGoogle ScholarPubMed
10.Henry, WL, Ware, J, Gardin, JM, Hepner, SI, McKay, J, Weiner, M. Echocardiographic measurements in normal subjects. Growth-related changes that occur between infancy and early adulthood. Circulation 1978; 57: 278285.CrossRefGoogle ScholarPubMed
11.Gutgesell, HP, Paquet, M, Duff, DF, McNamara, DG. Evaluation of left ventricular size and function by echocardiography. Results in normal children. Circulation 1977; 56: 457462.CrossRefGoogle ScholarPubMed
12.Tomoharu, A, Yoshikawa, M, Otakin, S, Kobayashi, Y, Nakasato, M. Echocardiographic measurements of left ventricle in normal infants and children. Tohoku J Exp Med 1986; 149: 3137.Google Scholar
13.Palcoux, MC, Jouan, JP, Palcoux, JB, Lusson, JR, Jallut, H, Raynaud, EJ. Unidimensional echocardiogram of normal infants and children. Arch Fr Pediatr 1981; 38: 737741.Google ScholarPubMed
14.Nagasawa, H, Arakaki, Y. Identification of gender differences in the thickness of the left ventricular wall by echocardiography in children. Cardiol Young 2002; 12: 3743.CrossRefGoogle ScholarPubMed
15.Epstein, ML, Goldberg, SJ, Allen, HD, Konecke, L, Wood, J. Great vessel, cardiac chamber, and wall growth patterns in normal children. Circulation 1975; 51: 11241129.CrossRefGoogle ScholarPubMed
16.Henry, WL, Ware, J, Gardin, JM, Hepner, SI, McKay, J, Weiner, M. Echocardiographic measurements in normal subjects. Growth-related changes that occur between infancy and early adulthood.. Circulation 1978; 57: 278285.CrossRefGoogle ScholarPubMed
17.Hagan, A, Deely, WJ, Sahn, D, Frıedman, WF. Echocardiographic criteria for normal newborn infants. Circulation 1973; 48: 12211226.CrossRefGoogle ScholarPubMed
18.Solinger, R, Elbl, F, Minhas, K. Echocardiography in the normal neonate. Circulation 1973; 47: 108118.CrossRefGoogle ScholarPubMed
19.Kampmann, C, Wiethoff, CM, Wenzel, A, et al. Normal values of M mode echocardiographic measurements of more than 2000 healthy infants and children in central Europe. Heart 2000; 83: 667672.CrossRefGoogle ScholarPubMed
20.Mercier, JC, DiSessa, TG, Jarmakani, JM, et al. Two-dimensional echocardiographic assessment of left ventricular volumes and ejection fraction in children. Circulation 1982; 65: 962969.CrossRefGoogle ScholarPubMed
21.Stamm, RB, Carabello, BA, Mayers, DL, Martin, RP. Two-dimensional echocardiographic measurement of left ventricular ejection fraction: prospective analysis of what constitutes an adequate determination. Am Heart J 1982; 104: 136144.CrossRefGoogle ScholarPubMed
22.Lopez Sendon, JL, Carrillo Kabana, J, Silvestre García, J, Calderon Montero, J. Relation between the fraction ejection and the shortening of the transverse diameter of the left ventricle. Rev Esp Cardiol 1976; 29: 251257.Google ScholarPubMed
23.Pfisterer, ME, Battler, A, Zaret, BL. Range of normal values for left and right ventricular ejection fraction at rest and during exercise assessed by radionuclide angiocardiography. Eur Heart J 1985; 6: 647655.CrossRefGoogle ScholarPubMed
24.Acar, P, Maunoury, C, Antonietti, T, Bonnet, D, Sidi, D, Kachaner, J. Left ventricular ejection fraction in children measured by three-dimensional echocardiography using a new transthoracic integrated 3D-probe. A comparison with equilibrium radionuclide angiography. Eur Heart J 1998; 19: 15831588.CrossRefGoogle ScholarPubMed