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ECHO 2013 / Pediatric Echocardiography Overview of Quantification and Lessons Learned

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Pediatric Echocardiography:

Overview of Quantification and

Lessons Learned

Wyman W. Lai, MD, MPH

State-of-the-Art ECHO

April 5, 2013

No Disclosures

Objectives

Quantification Guidelines

Rationale for Indexing and Z-scores

Current Pediatric Normal Datasets

Pediatric versus Adult Quantification

Recommendations

Questions Remaining

Chamber Quantification

JASE 2005

More Chamber Quantification

JASE 2010

Quantification Guidelines

www.ASECHO.org

Rationale for Indexing

Rationale for Indexing

Hemodynamic

State

Size of

Cardiovascular

Structures

Rationale for Indexing

 

 

Development

 

 

 

 

 

 

 

 

 

 

 

 

 

Growth

 

 

 

 

 

 

 

 

 

 

 

 

 

Size of

 

 

Basal

Hemodynamic

 

 

 

 

Cardiovascular

 

 

 

 

Metabolic

State

 

 

 

Structures

 

 

Rate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Body

 

Exercise

 

 

Composition

 

 

 

 

Hematocrit

 

Genetics

 

 

 

 

Rationale for Indexing

Development

Growth

 

Size of

Hemodynamic

Cardiovascular

State

Structures

 

 

Body Environment

Composition

Genetics

Basal

Metabolic

Rate

Exercise

Hematocrit

Rationale for Indexing

 

Body

Development

 

Size

 

 

Age

 

Growth

 

 

 

 

Size of

Basal

Hemodynamic

 

 

Cardiovascular

 

Metabolic

State

 

 

Structures

Rate

 

 

 

 

 

 

 

 

Body

Environment

 

Exercise

 

 

Composition

 

 

 

 

 

 

 

 

 

 

Hematocrit

 

 

 

Genetics