Right ventricular volume and function by three‐dimensional echocardiography: results of the echocardiographic measurements in normal Chinese adults (EMINCA) II

Author:

Zhang Yu1,Wang Ying‐Bin1,Yao Gui‐Hua12,Tang Hong3,Chen Li‐Xin4,Yin Li‐Xue5,Zhu Tian‐Gang6,Yuan Jian‐Jun7,Han Wei8,Yang Jun9,Shu Xian‐Hong10,Yang Ya11,Wei Yu‐Lin12,Guo Yan‐Li13,Ren Wei‐Dong14,Gao Dong‐Mei15,Lu Gui‐Lin16,Wu Ji17,Yin Hong‐Ning18,Mu Yu‐Ming19,Tian Jia‐Wei20,Yuan Li‐Jun21,Ma Xiao‐Jing22,Dai Hong‐Yan23,Ding Yun‐Chuan24,Ding Ming‐Yan25,Zhou Qing26,Wang Hao27,Xu Di28,Zhang Mei1,Zhang Yun1

Affiliation:

1. State Key Laboratory for Innovation and Transformation of Luobing Theory, Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, Department of Cardiology Qilu Hospital of Shandong University Jinan China

2. Department of Cardiology Qilu Hospital of Shandong University (Qingdao) Qingdao China

3. Department of Ultrasonography West China Hospital, Sichuan University Chengdu China

4. Department of Ultrasonography Shenzhen People's Hospital/The Second Clinical Medical College of Jinan University Shenzhen China

5. Department of Ultrasonography Electronic Science and Technology University of China, The Affiliated Sichuan Provincial People's Hospital Chengdu China

6. Department of Cardiology Peking University People's Hospital Beijing China

7. Department of Ultrasonography Henan Provincial People's Hospital Zhengzhou China

8. Department of Cardiology The First Affiliated Hospital of Harbin Medical University Harbin China

9. Department of Echocardiography The First Affiliated Hospital of China Medical University Shenyang China

10. Department of Echocardiography Zhongshan Hospital, Fudan University Shanghai China

11. Department of Echocardiography Beijing Anzhen Hospital, Capital Medical University Beijing China

12. Department of Cardiology Sun Yat‐Sen Memorial Hospital, Sun Yat‐Sen University Guangzhou China

13. Department of Ultrasonography The Southwest Hospital of AMU Chongqing China

14. Department of Ultrasonography Shengjing Hospital of China Medical University Shenyang China

15. Department of Ultrasonography China‐Japan Union Hospital of Jilin University Changchun China

16. Department of Ultrasonography First Affiliated Hospital, School of Medicine, Shihezi University Shihezi China

17. Department of Ultrasonography The First Affiliated Hospital of Guangxi Medical University Nanning China

18. Department of Echocardiography The Second Hospital of Hebei Medical University Shijiazhuang China

19. Department of Ultrasonography The First Affiliated Hospital of Xinjiang Medical University Urumqi China

20. Department of Ultrasonography The Second Affiliated Hospital of Harbin Medical University Harbin China

21. Department of Ultrasonography Tangdu Hospital of Air Force Medical University of PLA Xi'an China

22. Department of Ultrasonography Wuhan Asia Heart Hospital Wuhan China

23. Department of Cardiology Qingdao Municipal Hospital Qingdao China

24. Department of Ultrasonography Yan'an Hospital Affiliated to Kunming Medical University Kunming China

25. Department of Ultrasonography The People's Hospital of Liaoning Province Shenyang China

26. Department of Ultrasonography Renmin Hospital of Wuhan University/ Hubei General Hospital Wuhan China

27. Department of Ultrasonography Fuwai Hospital/Chinese Academy of Medical Sciences Beijing China

28. Department of Ultrasonography Jiangsu Province Hospital Nanjing China

Abstract

AbstractThree‐dimensional (3D) echocardiography is an emerging technique for assessing right ventricular (RV) volume and function, but 3D‐RV normal values from a large Chinese population are still lacking. The aim of the present study was to establish normal values of 3D‐RV volume and function in healthy Chinese volunteers. A total of 1117 Han Chinese volunteers from 28 laboratories in 20 provinces of China were enrolled, and 3D‐RV images of 747 volunteers with optimal image quality were ultimately analyzed by a core laboratory. Both vendor‐dependent and vendor‐independent software platforms were used to analyze the 3D‐RV images. We found that men had larger RV volumes than women did in the whole population, even after indexing to body surface area, and older individuals had smaller RV volumes. The normal RV volume was significantly smaller than that recommended by the American Society of Echocardiography/European Association of Cardiovascular Imaging guidelines in both sexes. There were significant differences in 3D‐RV measurements between the two vendor ultrasound systems and the different software platforms. The echocardiographic measurements in normal Chinese adults II study revealed normal 3D‐RV volume and function in a large Chinese population, and there were significant differences between the sexes, ages, races, and vendor groups. Thus, normal 3D‐RV values should be stratified by sex, age, race, and vendor.

Funder

National Natural Science Foundation of China

Publisher

Wiley

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