Left Ventricular Mass in Normal Children and its Correlation with Weight, Height and Body Surface Area

Abstract

SUMMARY:Echocardiographic measurement of left ventricular mass (LVM) is being used for the diagnosis of left ventricular hypertrophy in children with various cardiovascular diseases. The purposes of this study was to establish normal values of LVM according to weight, height and body surface area (BSA) in children and to determine the sex differences. We evaluated 208 children (143 males and 65 females), aged 1 day to 14 years who had no cardiovascular disease. The end-diastolic left ventricular internal dimension (LVIDd), end-diastolic left ventricular posterior wall thickness (LVPWd) and end-diastolic interventricular septum (IVSd) values were determined by M-mode echocardiographic examination. By using these values, left ventricular mass was calculated. The difference between LVIDd, LVPWd and LVM values of boys and girls were not statistically significant . We observed statistically significant differences between the sexes relative to IVSd and LVM/BSA values. The left ventricular mass and its components presented a good correlation with age, weight, height and BSA. The study let us know the lower and upper limits of cardiac dimensions and LVM obtained by echocardiography in normal Turkish children according to BSA. Also, as the LVM/BSA values show gender difference in children, sex should be taken in consideration while evaluating the left ventricular hypertrophy.

Reference Echocardiographic Measurements in Very Low Birth Weight Preterm Infants

“…We chose to present the results plotted by weight, however, as this is easily accessible and accurate in the preterm population. Similar to Kervancioglu et al 15 and unlike Motz et al, 10 we did not find length to be superior to other variables in a way that would justify its use. Length is not always readily available in the first days of life, especially when the infant is unwell.…”

Intensive gestational glycemic management and childhood obesity: a systematic review and meta-analysis

“…The contribution of intrauterine diabetes exposure to LV diastolic filling dynamics (E/A) was explored in linear regression to adjust for known determinants of E/A (LVID, diastolic blood pressure) and potential confounders (HbA1c, fasting glucose, weight, height) that were different between our exposure groups or had previously been identified as determinants of E/A. 148,162,165 However, in our study, the only determinant that was significant in fully adjusted models was LVID. This could be explained by the small difference of LV diastolic function markers between groups or the possibility that intrauterine diabetes exposure might not contribute meaningfully to impairments in LV morphology and function in adolescents.…”

Echocardiographic Follow up After Surgical Correction of Aortic Coarctation During The First Year of Life

“…The measurements of cardiovascular structures were expressed as Z scores using the Haycock formula to calculate the body surface area (BSA) (Lopez et al, 2010). The left ventricle (LV) mass was calculated from M-mode measurements using the formula of Devereux et al (Kervancioglu et al, 2011). Left ventricle mass was indexed to height 2.7 (LVMi) (Foster et al, 2008).…”