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Reference values and correlates of right atrial volume in healthy adults by two‐dimensional echocardiography
Background Right atrial (RA) volume is an important parameter in the evaluation of patients with pulmonary hypertension. Aim of this study was to define reference ranges for RA volume by two‐dimensional echocardiography (2DE) in healthy adults. Methods A total of 596 healthy subjects [mean age 45.7 ...
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| Published in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2018-08, Vol.35 (8), p.1097-1107 |
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| creator | Ferrara, Francesco Gargani, Luna Ruohonen, Saku Vriz, Olga Scalese, Marco Russo, Valentina Marra, Alberto M. Stanziola, Anna Agnese Cittadini, Antonio D’Andrea, Antonello Naeije, Robert Bossone, Eduardo |
| description | Background
Right atrial (RA) volume is an important parameter in the evaluation of patients with pulmonary hypertension. Aim of this study was to define reference ranges for RA volume by two‐dimensional echocardiography (2DE) in healthy adults.
Methods
A total of 596 healthy subjects [mean age 45.7 ± 14.6 years, range 18–88 years; 60.1% women] underwent a transthoracic echocardiography. In addition, a meta‐analysis was performed of published studies measuring RA volume in healthy subjects, using 2DE single plane area‐length (A‐L) and/or method of disks (MOD) at end‐systole in apical four‐chamber view.
Results
In our cohort, RA volume was higher in men than women but did not vary with age. Body surface area (BSA), stroke volume (SV), and tricuspid annular plane systolic excursion (TAPSE) were the only independent variables associated with RA volume (β coefficient 0.569, 0.123, and 0.131, respectively; all P |
| doi_str_mv | 10.1111/echo.14015 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2038706899</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2038706899</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3995-39d5349ce215c682e7a0673528d69d1a8f87cd8ac1b11c540b57c8807ee750ac3</originalsourceid><addsrcrecordid>eNp9kMtKxDAUhoMoOl42PoBkKUI1SZsmXcowXkAYEF2XTHJqI2kzJu0M3fkIPqNPYsdRl57N4cDHx_l_hE4puaTjXIGu_SXNCOU7aEJ5RhJJBd9FEyIyljDJ2AE6jPGVECIozfbRASsEz_OMTVD7CBUEaDXglXI9RKxag7UPAZzqxtNXONiXusOqC1Y5vPKubwDbFtegXFcPWJnedREvBtyt_ef7h7ENtNH6dqQ3r2kVjPUvQS3r4RjtVcpFOPnZR-j5ZvY0vUse5rf30-uHRKdFwZO0MDzNCg2Mcp1LBkKRXKScSZMXhipZSaGNVJouKNVj4gUXWkoiAAQnSqdH6HzrXQb_NqbqysZGDc6pFnwfS0ZSKUgui2JEL7aoDj7GAFW5DLZRYSgpKTf9lpsQ5Xe_I3z24-0XDZg_9LfQEaBbYG0dDP-oytn0br6VfgESSIff</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2038706899</pqid></control><display><type>article</type><title>Reference values and correlates of right atrial volume in healthy adults by two‐dimensional echocardiography</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Ferrara, Francesco ; Gargani, Luna ; Ruohonen, Saku ; Vriz, Olga ; Scalese, Marco ; Russo, Valentina ; Marra, Alberto M. ; Stanziola, Anna Agnese ; Cittadini, Antonio ; D’Andrea, Antonello ; Naeije, Robert ; Bossone, Eduardo</creator><creatorcontrib>Ferrara, Francesco ; Gargani, Luna ; Ruohonen, Saku ; Vriz, Olga ; Scalese, Marco ; Russo, Valentina ; Marra, Alberto M. ; Stanziola, Anna Agnese ; Cittadini, Antonio ; D’Andrea, Antonello ; Naeije, Robert ; Bossone, Eduardo</creatorcontrib><description>Background
Right atrial (RA) volume is an important parameter in the evaluation of patients with pulmonary hypertension. Aim of this study was to define reference ranges for RA volume by two‐dimensional echocardiography (2DE) in healthy adults.
Methods
A total of 596 healthy subjects [mean age 45.7 ± 14.6 years, range 18–88 years; 60.1% women] underwent a transthoracic echocardiography. In addition, a meta‐analysis was performed of published studies measuring RA volume in healthy subjects, using 2DE single plane area‐length (A‐L) and/or method of disks (MOD) at end‐systole in apical four‐chamber view.
Results
In our cohort, RA volume was higher in men than women but did not vary with age. Body surface area (BSA), stroke volume (SV), and tricuspid annular plane systolic excursion (TAPSE) were the only independent variables associated with RA volume (β coefficient 0.569, 0.123, and 0.131, respectively; all P < .001). In the pooled analysis, normalized RA volume was 25.7 ± 7.0 mL/m2 in men and 21.2 ± 5.8 mL/m2 in women for A‐L, 21.6 ± 5.6 mL/m2 in men and 18.2 ± 5.4 mL/m2 in women for MOD (all P values < .0001). The upper limit was about 36 mL/m2 in men and 31 mL/m2 in women for A‐L and 31 mL/m2 in men and 27 mL/m2 in women for MOD.
Conclusions
RA volume was found to be higher in men but not influenced by age. It was mainly correlated with larger BSA, indices of preload (SV) and RV longitudinal function (TAPSE). A statistically significant difference was found between A‐L and MOD.</description><identifier>ISSN: 0742-2822</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/echo.14015</identifier><identifier>PMID: 29756642</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Atrial Function, Right - physiology ; Cardiac Volume - physiology ; Echocardiography - methods ; Female ; healthy subjects ; Healthy Volunteers ; Heart Atria - diagnostic imaging ; Humans ; Male ; Middle Aged ; Prospective Studies ; reference ranges ; Reference Values ; right atrial volume ; Stroke Volume ; two‐dimensional echocardiography ; Ventricular Function, Right ; Young Adult</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2018-08, Vol.35 (8), p.1097-1107</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3995-39d5349ce215c682e7a0673528d69d1a8f87cd8ac1b11c540b57c8807ee750ac3</citedby><cites>FETCH-LOGICAL-c3995-39d5349ce215c682e7a0673528d69d1a8f87cd8ac1b11c540b57c8807ee750ac3</cites><orcidid>0000-0003-2769-9950 ; 0000-0002-9698-9145</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29756642$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferrara, Francesco</creatorcontrib><creatorcontrib>Gargani, Luna</creatorcontrib><creatorcontrib>Ruohonen, Saku</creatorcontrib><creatorcontrib>Vriz, Olga</creatorcontrib><creatorcontrib>Scalese, Marco</creatorcontrib><creatorcontrib>Russo, Valentina</creatorcontrib><creatorcontrib>Marra, Alberto M.</creatorcontrib><creatorcontrib>Stanziola, Anna Agnese</creatorcontrib><creatorcontrib>Cittadini, Antonio</creatorcontrib><creatorcontrib>D’Andrea, Antonello</creatorcontrib><creatorcontrib>Naeije, Robert</creatorcontrib><creatorcontrib>Bossone, Eduardo</creatorcontrib><title>Reference values and correlates of right atrial volume in healthy adults by two‐dimensional echocardiography</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>Background
Right atrial (RA) volume is an important parameter in the evaluation of patients with pulmonary hypertension. Aim of this study was to define reference ranges for RA volume by two‐dimensional echocardiography (2DE) in healthy adults.
Methods
A total of 596 healthy subjects [mean age 45.7 ± 14.6 years, range 18–88 years; 60.1% women] underwent a transthoracic echocardiography. In addition, a meta‐analysis was performed of published studies measuring RA volume in healthy subjects, using 2DE single plane area‐length (A‐L) and/or method of disks (MOD) at end‐systole in apical four‐chamber view.
Results
In our cohort, RA volume was higher in men than women but did not vary with age. Body surface area (BSA), stroke volume (SV), and tricuspid annular plane systolic excursion (TAPSE) were the only independent variables associated with RA volume (β coefficient 0.569, 0.123, and 0.131, respectively; all P < .001). In the pooled analysis, normalized RA volume was 25.7 ± 7.0 mL/m2 in men and 21.2 ± 5.8 mL/m2 in women for A‐L, 21.6 ± 5.6 mL/m2 in men and 18.2 ± 5.4 mL/m2 in women for MOD (all P values < .0001). The upper limit was about 36 mL/m2 in men and 31 mL/m2 in women for A‐L and 31 mL/m2 in men and 27 mL/m2 in women for MOD.
Conclusions
RA volume was found to be higher in men but not influenced by age. It was mainly correlated with larger BSA, indices of preload (SV) and RV longitudinal function (TAPSE). A statistically significant difference was found between A‐L and MOD.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Atrial Function, Right - physiology</subject><subject>Cardiac Volume - physiology</subject><subject>Echocardiography - methods</subject><subject>Female</subject><subject>healthy subjects</subject><subject>Healthy Volunteers</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>reference ranges</subject><subject>Reference Values</subject><subject>right atrial volume</subject><subject>Stroke Volume</subject><subject>two‐dimensional echocardiography</subject><subject>Ventricular Function, Right</subject><subject>Young Adult</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kMtKxDAUhoMoOl42PoBkKUI1SZsmXcowXkAYEF2XTHJqI2kzJu0M3fkIPqNPYsdRl57N4cDHx_l_hE4puaTjXIGu_SXNCOU7aEJ5RhJJBd9FEyIyljDJ2AE6jPGVECIozfbRASsEz_OMTVD7CBUEaDXglXI9RKxag7UPAZzqxtNXONiXusOqC1Y5vPKubwDbFtegXFcPWJnedREvBtyt_ef7h7ENtNH6dqQ3r2kVjPUvQS3r4RjtVcpFOPnZR-j5ZvY0vUse5rf30-uHRKdFwZO0MDzNCg2Mcp1LBkKRXKScSZMXhipZSaGNVJouKNVj4gUXWkoiAAQnSqdH6HzrXQb_NqbqysZGDc6pFnwfS0ZSKUgui2JEL7aoDj7GAFW5DLZRYSgpKTf9lpsQ5Xe_I3z24-0XDZg_9LfQEaBbYG0dDP-oytn0br6VfgESSIff</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Ferrara, Francesco</creator><creator>Gargani, Luna</creator><creator>Ruohonen, Saku</creator><creator>Vriz, Olga</creator><creator>Scalese, Marco</creator><creator>Russo, Valentina</creator><creator>Marra, Alberto M.</creator><creator>Stanziola, Anna Agnese</creator><creator>Cittadini, Antonio</creator><creator>D’Andrea, Antonello</creator><creator>Naeije, Robert</creator><creator>Bossone, Eduardo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2769-9950</orcidid><orcidid>https://orcid.org/0000-0002-9698-9145</orcidid></search><sort><creationdate>201808</creationdate><title>Reference values and correlates of right atrial volume in healthy adults by two‐dimensional echocardiography</title><author>Ferrara, Francesco ; Gargani, Luna ; Ruohonen, Saku ; Vriz, Olga ; Scalese, Marco ; Russo, Valentina ; Marra, Alberto M. ; Stanziola, Anna Agnese ; Cittadini, Antonio ; D’Andrea, Antonello ; Naeije, Robert ; Bossone, Eduardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3995-39d5349ce215c682e7a0673528d69d1a8f87cd8ac1b11c540b57c8807ee750ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Atrial Function, Right - physiology</topic><topic>Cardiac Volume - physiology</topic><topic>Echocardiography - methods</topic><topic>Female</topic><topic>healthy subjects</topic><topic>Healthy Volunteers</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>reference ranges</topic><topic>Reference Values</topic><topic>right atrial volume</topic><topic>Stroke Volume</topic><topic>two‐dimensional echocardiography</topic><topic>Ventricular Function, Right</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferrara, Francesco</creatorcontrib><creatorcontrib>Gargani, Luna</creatorcontrib><creatorcontrib>Ruohonen, Saku</creatorcontrib><creatorcontrib>Vriz, Olga</creatorcontrib><creatorcontrib>Scalese, Marco</creatorcontrib><creatorcontrib>Russo, Valentina</creatorcontrib><creatorcontrib>Marra, Alberto M.</creatorcontrib><creatorcontrib>Stanziola, Anna Agnese</creatorcontrib><creatorcontrib>Cittadini, Antonio</creatorcontrib><creatorcontrib>D’Andrea, Antonello</creatorcontrib><creatorcontrib>Naeije, Robert</creatorcontrib><creatorcontrib>Bossone, Eduardo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferrara, Francesco</au><au>Gargani, Luna</au><au>Ruohonen, Saku</au><au>Vriz, Olga</au><au>Scalese, Marco</au><au>Russo, Valentina</au><au>Marra, Alberto M.</au><au>Stanziola, Anna Agnese</au><au>Cittadini, Antonio</au><au>D’Andrea, Antonello</au><au>Naeije, Robert</au><au>Bossone, Eduardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reference values and correlates of right atrial volume in healthy adults by two‐dimensional echocardiography</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2018-08</date><risdate>2018</risdate><volume>35</volume><issue>8</issue><spage>1097</spage><epage>1107</epage><pages>1097-1107</pages><issn>0742-2822</issn><eissn>1540-8175</eissn><abstract>Background
Right atrial (RA) volume is an important parameter in the evaluation of patients with pulmonary hypertension. Aim of this study was to define reference ranges for RA volume by two‐dimensional echocardiography (2DE) in healthy adults.
Methods
A total of 596 healthy subjects [mean age 45.7 ± 14.6 years, range 18–88 years; 60.1% women] underwent a transthoracic echocardiography. In addition, a meta‐analysis was performed of published studies measuring RA volume in healthy subjects, using 2DE single plane area‐length (A‐L) and/or method of disks (MOD) at end‐systole in apical four‐chamber view.
Results
In our cohort, RA volume was higher in men than women but did not vary with age. Body surface area (BSA), stroke volume (SV), and tricuspid annular plane systolic excursion (TAPSE) were the only independent variables associated with RA volume (β coefficient 0.569, 0.123, and 0.131, respectively; all P < .001). In the pooled analysis, normalized RA volume was 25.7 ± 7.0 mL/m2 in men and 21.2 ± 5.8 mL/m2 in women for A‐L, 21.6 ± 5.6 mL/m2 in men and 18.2 ± 5.4 mL/m2 in women for MOD (all P values < .0001). The upper limit was about 36 mL/m2 in men and 31 mL/m2 in women for A‐L and 31 mL/m2 in men and 27 mL/m2 in women for MOD.
Conclusions
RA volume was found to be higher in men but not influenced by age. It was mainly correlated with larger BSA, indices of preload (SV) and RV longitudinal function (TAPSE). A statistically significant difference was found between A‐L and MOD.</abstract><cop>United States</cop><pmid>29756642</pmid><doi>10.1111/echo.14015</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-2769-9950</orcidid><orcidid>https://orcid.org/0000-0002-9698-9145</orcidid></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Atrial Function, Right - physiology Cardiac Volume - physiology Echocardiography - methods Female healthy subjects Healthy Volunteers Heart Atria - diagnostic imaging Humans Male Middle Aged Prospective Studies reference ranges Reference Values right atrial volume Stroke Volume two‐dimensional echocardiography Ventricular Function, Right Young Adult |
| title | Reference values and correlates of right atrial volume in healthy adults by two‐dimensional echocardiography |
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