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, JASE, May 2010

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Echocardiographic quantification is crucial in the diagnosis and management of patients with acquired and congenital heart disease (CHD). ASE and the European Association of Echocardiography have published recommendations on how to measure the size and function of cardiovascular structures in adults, providing reference limits to distinguish normal from abnormal values. Identifying an abnormal measurement helps assess the effect of a disease on the size of a cardiovascular structure, determine when intervention may be necessary, and monitor the effect of the intervention. However, the size of cardiovascular structures is influenced not only by the hemodynamics of disease states and their treatments but also by confounding factors, such as growth, age, gender, race, body composition, basal metabolic rate, hematocrit, exercise, and altitude. (05/10)

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