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Inches
Use of the inch can be traced back as far as the 7th century. The first explicit definition we could find of its length was after 1066 when it was defined as the length of three barleycorns. This was not a satisfactory reference as barleycorn lengths vary naturally. The British Standards Institute defined the inch as 25.4mm in 1930 in the document 'Metric Units in Engineering: Going SI'. In March 1932 the American Standards Association were asked to rule on whether to adopt the same value (at the time the American inch was 1/.03937 mm which approximated to 25.400051 mm). Because the values were so close, and because Britain has already settled on that value, the ASA adopted this value on March 13, 1933.
The Left Ventricle[edit]
Raw converter 2 5 – converter raw to other formats. Tweet cabinet 2 6 – archive public twitter timelines. Each echocardiogram includes an evaluation of the LV dimensions, wall thicknesses and function.
Good measurements are essential and may have implications for therapy. The LV dimensions must be measured when the end-diastolic and end-systolic valves (MV and AoV) are closed in the parasternal long axis (PLAX) view. The measurement is performed in the basal portion of the LV by the chordae.
Left ventricular dimensions[edit]
| Women | Men | |||||||
|---|---|---|---|---|---|---|---|---|
| Reference range | Mildly abnormal | Moderately abnormal | Severely abnormal | Reference range | Mildly abnormal | Moderately abnormal | Severely abnormal | |
| LV dimension | ||||||||
| LV diastolic diameter, cm | 3.9–5.3 | 5.4–5.7 | 5.8–6.1 | ≥6.2 | 4.2–5.9 | 6.0–6.3 | 6.4–6.8 | ≥6.9 |
| LV diastolic diameter/BSA, cm/m2 | 2.4–3.2 | 3.3–3.4 | 3.5–3.7 | ≥3.8 | 2.2–3.1 | 3.2–3.4 | 3.5–3.6 | ≥3.7 |
| LV diastolic diameter/height, cm/m | 2.5–3.2 | 3.3–3.4 | 3.5–3.6 | ≥3.7 | 2.4–3.3 | 3.4–3.5 | 3.6–3.7 | ≥3.8 |
| LV volume | ||||||||
| LV diastolic volume, mL | 56–104 | 105–117 | 118–130 | ≥131 | 67–155 | 156–178 | 179–201 | ≥201 |
| LV diastolic volume/BSA, mL/m2 | 35–75 | 76–86 | 87–96 | ≥97 | 35–75 | 76–86 | 87–96 | ≥97 |
| LV systolic volume, mL | 19–49 | 50–59 | 60–69 | ≥70 | 22–58 | 59–70 | 71–82 | ≥83 |
| LV systolic volume/BSA, mL/m2 | 12–30 | 31–36 | 37–42 | ≥43 | 12–30 | 31–36 | 37–42 | ≥43 |
|
Left ventricular geometry and mass[edit]
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| Women | Men | |||||||
|---|---|---|---|---|---|---|---|---|
| Reference range | Mildly abnormal | Moderately abnormal | Severely abnormal | Reference range | Mildly abnormal | Moderately abnormal | Severely abnormal | |
| Linear Method | ||||||||
| LV mass, g | 67–162 | 163–186 | 187–210 | ≥211 | 88–224 | 225–258 | 259–292 | ≥293 |
| LV mass/BSA, g/m2 | 43–95 | 96–108 | 109–121 | ≥122 | 49–115 | 116–131 | 132–148 | ≥149 |
| LV mass/height, g/m | 41–99 | 100–115 | 116–128 | ≥129 | 52–126 | 127–144 | 145–162 | ≥163 |
| LV mass/height2, g/m2 | 18–44 | 45–51 | 52–58 | ≥59 | 20–48 | 49–55 | 56–63 | ≥64 |
| Relative wall thickness, cm | 0.22–0.42 | 0.43–0.47 | 0.48–0.52 | ≥0.53 | 0.24–0.42 | 0.43–0.46 | 0.47–0.51 | ≥0.52 |
| Septal thickness, cm | 0.6–0.9 | 1.0–1.2 | 1.3–1.5 | ≥1.6 | 0.6–1.0 | 1.1–1.3 | 1.4–1.6 | ≥1.7 |
| Posterior wall thickness, cm | 0.6–0.9 | 1.0–1.2 | 1.3–1.5 | ≥1.6 | 0.6–1.0 | 1.1–1.3 | 1.4–1.6 | ≥1.7 |
| 2D Method | ||||||||
| LV mass, g | 66–150 | 151–171 | 172–182 | >193 | 96–200 | 201–227 | 228–254 | >255 |
| LV mass/BSA, g/m2 | 44–88 | 89–100 | 101–112 | ≥113 | 50–102 | 103–116 | 117–130 | ≥131 |
|
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References[edit]
Echocardiographic derived measures are reported as internal diameter. Armstrong WF, Ryan, T, 'Evaluation of systolic function of the left ventricle' in 'Feigenbaum's Echocardiography', 7th ed, Philadelphia, Lippincott Williams & Wilkins, p.123.
- Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, Picard MH, Roman MJ, Seward J, Shanewise J, Solomon S, Spencer KT, St John Sutton M, Stewart W, American Society of Echocardiography's Nomenclature and Standards Committee., Task Force on Chamber Quantification., American College of Cardiology Echocardiography Committee., American Heart Association., and European Association of Echocardiography, European Society of Cardiology. Recommendations for chamber quantification. Eur J Echocardiogr. 2006 Mar;7(2):79-108.DOI:10.1016/j.euje.2005.12.014 | PubMed ID:16458610
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External links[edit]
