Circulation, Vol 55, 613-618, Copyright © 1977 by American Heart Association
RB Devereux and N Reichek
An accurte echocardiographic (E) method for determination of left
ventricular mass (LVM) was derived from systematic analysis of the
relationship between the antemortem left ventricular echogram and
postmortem anatomic LVM in 34 adults with a wide range of anatomic LVM
(101-505 g). No subject had massive myocardial infarction, ventricular
aneurysm, severe right ventricular volume overload or hypertrophic
cardiography. The best method for LVM-E identified combined cube function
geometry with a modified convention for determination of left ventricular
internal dimension (LVID), posterior wall thickness (PWT), and
interventricular septal thickness (IVST), which excluded the thickness of
endocardial echo lines from wall thicknesses and included the thickness of
left septal and posterior wall endocardial echo lines in LVID (Penn
Convention, P). By this method, anatomic LVM = 1.04 ([LVIDp + PWTp +
IVSTp]3--[LVIDp]3) -- 14 g; r = 0.96, SD= 29 g, N= 34. Standard echo
measurements gave less accurate results, as did previously reported methods
for LVM-E. LVM-Dp is an accurate, widely applicable method for the study of
left ventricular hypertrophy.
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Echocardiographic determination of left ventricular mass in man. Anatomic validation of the method
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