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A Brick in Claremont W6k Case Wn 622n Driver 80 wn |.Quantification of left ventricular wall mass and volume from two-dimensional echocardiography.
This study assesses the degree of interference of the sum of the LV inner wall mass and the LV endocardial surface in a circular cut of the LV short axis on a two-dimensional echocardiogram. We studied 20 patients, mean age 54 +/- 17 years, with normal LV function and no mitral regurgitation, undergoing serial left ventriculography. Measurements obtained from these latter examinations were compared with those obtained from two-dimensional echocardiographic studies performed immediately following the left ventriculography. The LV end-diastolic volume was determined as the product of the LV internal diastolic diameter and the slice thickness. The LV mass was determined as the sum of the linear endocardial contour, which was traced over the inner layer of the LV wall. A rectifying ellipse was calculated using a least-squares method from the internal and external segment lengths of the left ventricle. The LV endocardial surface area was calculated by summing the areas of the segments in each short axis slice which was multiplied by the slice thickness. The myocardial thickness was measured at a midventricular level, on a tracing from base to apex. The sum of the inner and outer wall masses ranged from 130 to 272 grams with an excellent correlation with the measured LV end-diastolic volume (r = 0.91). The mean sum of the inner and outer wall masses was similar in patients and controls, 148.5 +/- 32.1 and 151.2 +/- 32.3 grams respectively (not significant), but when the wall mass was plotted against the end-diastolic volume, it was found to be the same in patients and controls (r = 0.87). The mean difference between the measured inner wall mass and the echocardiographic endocardial surface area and LV volume was 5.3 +/- 12.9 grams (not significant) and 4.5 +/- 2.9 grams respectively, with a significant correlation between them (r = 0.68). The LV inner wall mass was calculated using the two-dimensional echocardiogram and the LV endocardial surface area and the left ventricular cavity size and this resulted in a significantly lower value than that obtained by the planimetric measurements of the LV endocardial area (
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