Quantification by Echocardiography in Adults:
An Update from the American Society of
Echocardiography and the European Association
of Cardiovascular Imaging
Roberto M. Lang, MD, FASE, FESC, Luigi P. Badano, MD, PhD, FESC,
VictorMor-Avi,PhD, FASE, JonathanAfilalo,MD,MSc,AndersonArmstrong,MD,MSc,
Laura Ernande, MD, PhD, Frank A. Flachskampf,MD, FESC, Elyse Foster,MD, FASE,
Steven A.Goldstein,MD, Tatiana Kuznetsova,MD, PhD, Patrizio Lancellotti,MD, PhD,
FESC,Denisa Muraru,MD, PhD, MichaelH. Picard,MD, FASE, Ernst R. Rietzschel,MD,
PhD, Lawrence Rudski, MD, FASE, Kirk T. Spencer, MD, FASE,Wendy Tsang, MD,
and Jens-Uwe Voigt,MD, PhD, FESC
Chicago, Illinois; Padua, Italy; Montreal, Quebec and Toronto, Ontario, Canada; Baltimore, Maryland; Cre´teil, France; Uppsala, Sweden; San Francisco, California; Washington, District of Columbia; Leuven, Lie`ge, and Ghent, Belgium; Boston, Massachusetts
The rapid technological developments of the past decade and the changes in echocardiographic practice brought about by these developments
have resulted in the need for updated recommendations to the previously published guidelines for cardiac chamber quantification, which was the
goal of the joint writing group assembled by the American Society of Echocardiography and the European Association of Cardiovascular Imaging.
This document provides updated normal values for all four cardiac chambers, including three-dimensional echocardiography and myocardial deformation,
when possible, on the basis of considerably larger numbers of normal subjects, compiled from multiple databases. In addition, this
document attempts to eliminate several minor discrepancies that existed between previously published guidelines.
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Keywords Adult echocardiography † Transthoracic echocardiography † Ventricular function † Normal values
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