Skip to main content
Erschienen in: Pediatric Cardiology 8/2020

26.07.2020 | Original Article

Inferior Right Ventricular Wall Thickness by Echocardiogram: A Novel Method of Assessing Hypertrophy in Neonates and Infants

verfasst von: Harrison D. Pravder, Emina Hodzic, Puneet Bhatla, Melissa Busovsky-McNeal, James C. Nielsen

Erschienen in: Pediatric Cardiology | Ausgabe 8/2020

Einloggen, um Zugang zu erhalten

Abstract

An established echocardiographic (echo) standard for assessing the newborn right ventricle (RV) for hypertrophy has not been thoroughly developed. This is partially due to the RV’s complex architecture, which makes quantification of RV mass by echo difficult. Here, we retrospectively evaluate the thickness of the inferior RV wall (iRVWT) by echo in neonates and infants with normal cardiopulmonary physiology. Inferior RVWT was defined at the medial portion of the inferior wall of the RV at the mid-ventricular level, collected from a subxiphoid, short axis view. iRVWT was indexed to body surface area (BSA) to the 0.5 power and normalized to iLVWT to explore the best normalization method. Ninety-eight neonates and 32 infants were included in the final analysis. Mean age for neonates and infants was 2 days and 59 days, respectively. Mean ± SD for neonate and infant end-diastole iRVWT was 2.17 ± 0.35 mm and 1.79 ± 0.28 mm, respectively. There was no residual relationship between the index iRVWT and BSA (r = 0.03, p = NS). In the infant cohort, the iRVWT was significantly lower and iLVWT was significantly higher compared to neonate, consistent with known physiologic changes of RV and LV mass. Thus, iRVWT may serve as a reliable and accurate proxy for RV mass and the parameter warrants further evaluation.
Literatur
7.
Zurück zum Zitat Lopez L, Colan SD, Frommelt PC et al (2010) Recommendations for quantification methods during the performance of a pediatric echocardiogram: a report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. J Am Soc Echocardiogr 23:465–495. https://doi.org/10.1016/j.echo.2010.03.019CrossRefPubMed Lopez L, Colan SD, Frommelt PC et al (2010) Recommendations for quantification methods during the performance of a pediatric echocardiogram: a report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. J Am Soc Echocardiogr 23:465–495. https://​doi.​org/​10.​1016/​j.​echo.​2010.​03.​019CrossRefPubMed
16.
Zurück zum Zitat RStudio Team (2020) RStudio: integrated development for R. RStudio PBC, Boston RStudio Team (2020) RStudio: integrated development for R. RStudio PBC, Boston
19.
Zurück zum Zitat Blalock SE, Banka P, Geva T et al (2013) Interstudy variability in cardiac magnetic resonance imaging measurements of ventricular volume, mass, and ejection fraction in repaired tetralogy of Fallot: a prospective observational study. J Magn Reson Imaging 38:829–835. https://doi.org/10.1002/jmri.24050CrossRefPubMed Blalock SE, Banka P, Geva T et al (2013) Interstudy variability in cardiac magnetic resonance imaging measurements of ventricular volume, mass, and ejection fraction in repaired tetralogy of Fallot: a prospective observational study. J Magn Reson Imaging 38:829–835. https://​doi.​org/​10.​1002/​jmri.​24050CrossRefPubMed
Metadaten
Titel
Inferior Right Ventricular Wall Thickness by Echocardiogram: A Novel Method of Assessing Hypertrophy in Neonates and Infants
verfasst von
Harrison D. Pravder
Emina Hodzic
Puneet Bhatla
Melissa Busovsky-McNeal
James C. Nielsen
Publikationsdatum
26.07.2020
Verlag
Springer US
Erschienen in
Pediatric Cardiology / Ausgabe 8/2020
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-020-02419-7

Weitere Artikel der Ausgabe 8/2020

Pediatric Cardiology 8/2020 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.