Echocardiographic Measurements of Cardiac Dimensions Correlate Better With Body Length Than With Body Weight or Body Surface Area

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• 作者：R. Motz (1)
  M. Schumacher (1)
  J. Nürnberg (1)
  M. Viemann (1)
  S. Grafmüller (2)
  K. Fiedler (1)
  M. Claus (2)
  K. Kronberg (2)
  
• 关键词：Echocardiographic measurement ; Aortic valve diameter ; Pulmonary valve diameter ; Left ventricular diameter ; Ventricular septal diameter
• 刊名：Pediatric Cardiology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：35
• 期：8
• 页码：1327-1336
• 全文大小：2,033 KB
• 参考文献：1. ACC/AHA/ASE (2003) 2003 Guideline Update for the Clinical Application of Echocardiography: Summary Article: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography). Committee Members: Cheitlin MD, Armstrong WF, Aurigemma GP, et al. Circulation 108:1146-162
  2. Du Bois D, Du Bois EF (1916) A formula to estimate the approximate surface area if height and weight be known. Arch Intern Med 17:863-71 <a class="external" href="http://dx.doi.org/10.1001/archinte.1916.00080130010002" target="_blank" title="It opens in new window">CrossRefa>
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  7. Silverman NH (1993) Pediatric echocardiography: quantitative methods to enhance morphological information using M-mode, Doppler, and cross-sectional ultrasound. Williams-Wilkins, Baltimore, pp. 35-0 ISBN 0-683-07713-9
  8. Sluysmans T, Colan SD (2005) Theoretical and empirical derivation of cardiovascular allometric relationships in children. J Appl Physiol 99:445-57 <a class="external" href="http://dx.doi.org/10.1152/japplphysiol.01144.2004" target="_blank" title="It opens in new window">CrossRefa>
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  11. Wessel A (1978) Quantitative 2D-Echokardiographie des linken Ventrikels im Kindesalter (quantitave 2d-echocardiography of the left ventricle in childhood). Dr. Kovac 1992, ISBN3-86064-029-1, Hamburg
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• 作者单位：R. Motz (1)
  M. Schumacher (1)
  J. Nürnberg (1)
  M. Viemann (1)
  S. Grafmüller (2)
  K. Fiedler (1)
  M. Claus (2)
  K. Kronberg (2)
  
  1. Department of Paediatric Cardiology, Elisabeth Children’s Hospital, Klinikum Oldenburg, Rahel-Straus-Strasse 10, 26133, Oldenburg, Germany
  2. Department of Cardiology, Klinikum Oldenburg, Oldenburg, Germany
  
• ISSN：1432-1971

文摘

Looking after children means caring for very small infants up to adult-sized adolescents, with weights ranging from 500 g to more than 100 kg and heights ranging from 25 to more than 200 cm. The available echocardiographic reference data were drawn from a small sample, which did not include preterm infants. Most authors have used body weight or body surface area to predict left ventricular dimensions. The current authors had the impression that body length would be a better surrogate parameter than body weight or body surface area. They analyzed their echocardiographic database retrospectively. The analysis included all available echocardiographic data from 6 June 2001 to 15 December 2011 from their echocardiographic database. The authors included 12,086 of 26,325 subjects documented as patients with normal hearts in their analysis by the examining the pediatric cardiologist. For their analysis, they selected body weight, length, age, and aortic and pulmonary valve diameter in two-dimensional echocardiography and left ventricular dimension in M-mode. They found good correlation between echocardiographic dimensions and body surface area, body weight, and body length. The analysis showed a complex relationship between echocardiographic measurements and body weight and body surface area, whereas body length showed a linear relationship. This makes prediction of echo parameters more reliable. According to this retrospective analysis, body length is a better parameter for evaluating echocardiographic measurements than body weight or body surface area and should therefore be used in daily practice.