Abstract
Original language | English |
---|---|
Pages (from-to) | 219-226 |
Number of pages | 8 |
Journal | International Journal of Cardiovascular Imaging |
Volume | 33 |
Issue number | 2 |
Early online date | Oct 6 2016 |
DOIs | |
Publication status | Published - 2017 |
Keywords
- Echocardiography
- Healthy
- Reference ranges
- Risk stratification
- RVOT-AT
- acceleration
- adult
- blood pressure
- body mass
- calculation
- clinical examination
- confidence interval
- controlled study
- demography
- female
- heart left ventricle
- heart rate
- heart right ventricle outflow tract
- human
- male
- meta analysis
- middle aged
- practice guideline
- reference value
- statistical analysis
- stratification
- two dimensional echocardiography
- vital sign
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Reference ranges and determinants of right ventricle outflow tract acceleration time in healthy adults by two-dimensional echocardiography. / Marra, A.M.; Benjamin, Nicola; Ferrara, F. et al.
In: International Journal of Cardiovascular Imaging, Vol. 33, No. 2, 2017, p. 219-226.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Reference ranges and determinants of right ventricle outflow tract acceleration time in healthy adults by two-dimensional echocardiography
AU - Marra, A.M.
AU - Benjamin, Nicola
AU - Ferrara, F.
AU - Vriz, Olga
AU - D’Alto, M.
AU - D’Andrea, A.
AU - Stanziola, Anna Agnese
AU - Gargani, Luna
AU - Cittadini, Antonio
AU - Grünig, Ekkehard
AU - Bossone, Eduardo
N1 - Export Date: 21 March 2017 CODEN: IJCIB Correspondence Address: Bossone, E.; Cardiology Division, “Cava de’ Tirreni and Amalfi Coast” Hospital, Heart Department, University of Salerno – Italy, Via Pr. 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PY - 2017
Y1 - 2017
N2 - The right ventricular outflow tract acceleration time (RVOT-AT) has shown to progressively shorten with increasing degrees of pulmonary pressure. However, the physiologic ranges of RVOT AT are based on small sample sizes and have not been investigated regarding their determining factors. The aim of this study was to investigate reference values and determining factors of RVOT-AT in a large population of healthy subjects and by values described in the literature. In the first part of the study, 1029 healthy subjects (mean age 45.6 ± 16.0 years, 565 (54.7 %) females) were prospectively assessed by clinical examination including demography, vital signs and echocardiography. In the second part, we performed a pooled analysis of eight published studies describing RVOT-AT in healthy subjects (n = 450). Statistical analysis included the calculation of 5 % quantiles for defining reference values. RVOT-AT significantly but weakly correlated with age (r: −0.207; p <0.001), body mass Index (r: −0.16), systolic (r: −0.158) and diastolic (r: −0.137) blood pressure, heart rate (r: −0.197) and left ventricular (LV) E/A ratio (r: 0.229) (all p <0.001). No differences were found with regards to sex. In a synopsis of both prospective and literature-based data sets, RVOT-AT weighted means was 138.51 ms and the 5 % quantile was 104.7 ms (95 % confidence interval 98.2–110.1). This study delineates the range of RVOT-AT in healthy adults and it’s determining factors. Our study is in line with the cut-off value stated by the European guidelines with an RVOT-AT ≤105 ms denoting abnormal values. © 2016, Springer Science+Business Media Dordrecht.
AB - The right ventricular outflow tract acceleration time (RVOT-AT) has shown to progressively shorten with increasing degrees of pulmonary pressure. However, the physiologic ranges of RVOT AT are based on small sample sizes and have not been investigated regarding their determining factors. The aim of this study was to investigate reference values and determining factors of RVOT-AT in a large population of healthy subjects and by values described in the literature. In the first part of the study, 1029 healthy subjects (mean age 45.6 ± 16.0 years, 565 (54.7 %) females) were prospectively assessed by clinical examination including demography, vital signs and echocardiography. In the second part, we performed a pooled analysis of eight published studies describing RVOT-AT in healthy subjects (n = 450). Statistical analysis included the calculation of 5 % quantiles for defining reference values. RVOT-AT significantly but weakly correlated with age (r: −0.207; p <0.001), body mass Index (r: −0.16), systolic (r: −0.158) and diastolic (r: −0.137) blood pressure, heart rate (r: −0.197) and left ventricular (LV) E/A ratio (r: 0.229) (all p <0.001). No differences were found with regards to sex. In a synopsis of both prospective and literature-based data sets, RVOT-AT weighted means was 138.51 ms and the 5 % quantile was 104.7 ms (95 % confidence interval 98.2–110.1). This study delineates the range of RVOT-AT in healthy adults and it’s determining factors. Our study is in line with the cut-off value stated by the European guidelines with an RVOT-AT ≤105 ms denoting abnormal values. © 2016, Springer Science+Business Media Dordrecht.
KW - Echocardiography
KW - Healthy
KW - Reference ranges
KW - Risk stratification
KW - RVOT-AT
KW - acceleration
KW - adult
KW - blood pressure
KW - body mass
KW - calculation
KW - clinical examination
KW - confidence interval
KW - controlled study
KW - demography
KW - female
KW - heart left ventricle
KW - heart rate
KW - heart right ventricle outflow tract
KW - human
KW - male
KW - meta analysis
KW - middle aged
KW - practice guideline
KW - reference value
KW - statistical analysis
KW - stratification
KW - two dimensional echocardiography
KW - vital sign
U2 - 10.1007/s10554-016-0991-0
DO - 10.1007/s10554-016-0991-0
M3 - Article
VL - 33
SP - 219
EP - 226
JO - International Journal of Cardiovascular Imaging
JF - International Journal of Cardiovascular Imaging
SN - 1569-5794
IS - 2
ER -