Heart failure & cardiomyopathies

Meta-Analysis of Normal Reference Values for Right and Left Ventricular Quantification by Cardiovascular Magnetic Resonance

Circ Cardiovasc ImagingPublished Systematic review and Bayesian hierarchical meta-analysis

Authors' conclusion

Our Bayesian hierarchical meta-analysis provides normative reference values for CMR parameters of LV and RV size, systolic function, and mass, encompassing both tracing techniques across a diverse multinational sample of healthy men and women.

Study context

Population
Healthy adults; Cardiovascular magnetic resonance (CMR) SSFP short-axis stack at 1.5T or 3T; 25 countries
Participants
12,812 adults254 studies
Comparison
Men vs Women
Outcome
Pooled lower and upper reference values for each CMR parameter (LV and RV size, systolic function, mass)
Methodological detailsBayesian hierarchical model, informative priors from external data set, published and unpublished data
  • Bayesian hierarchical model
  • Informative priors from external data set
  • Published and unpublished data

Pooled result

As reported in the abstract

Pooled normative reference ranges
GroupLVEF (papillary/trabeculations in left ventricular (LV) volume)LV end-diastolic volume index (in LV volume)LV end-systolic volume index (in LV volume)LV mass index (in LV volume)LVEF (papillary/trabeculations in LV mass)LV end-diastolic volume index (in LV mass)LV end-systolic volume index (in LV mass)LV mass index (in LV mass)Right ventricular (RV) EFRV end-diastolic volume indexRV end-systolic volume indexRV mass index
Men52% to 73%60 to 109 mL/m²18 to 45 mL/m²41 to 76 g/m²57% to 74%60 to 97 mL/m²18 to 37 mL/m²50 to 83 g/m²47% to 68%64 to 115 mL/m²23 to 52 mL/m²14 to 29 g/m²
Women54% to 75%56 to 96 mL/m²16 to 38 mL/m²33 to 57 g/m²57% to 75%55 to 88 mL/m²15 to 34 mL/m²38 to 65 g/m²49% to 71%57 to 99 mL/m²18 to 42 mL/m²13 to 25 g/m²

LVEF (papillary/trabeculations in left ventricular (LV) volume)

Men52% to 73%
Women54% to 75%

LV end-diastolic volume index (in LV volume)

Men60 to 109 mL/m²
Women56 to 96 mL/m²

LV end-systolic volume index (in LV volume)

Men18 to 45 mL/m²
Women16 to 38 mL/m²

LV mass index (in LV volume)

Men41 to 76 g/m²
Women33 to 57 g/m²

LVEF (papillary/trabeculations in LV mass)

Men57% to 74%
Women57% to 75%

LV end-diastolic volume index (in LV mass)

Men60 to 97 mL/m²
Women55 to 88 mL/m²

LV end-systolic volume index (in LV mass)

Men18 to 37 mL/m²
Women15 to 34 mL/m²

LV mass index (in LV mass)

Men50 to 83 g/m²
Women38 to 65 g/m²

Right ventricular (RV) EF

Men47% to 68%
Women49% to 71%

RV end-diastolic volume index

Men64 to 115 mL/m²
Women57 to 99 mL/m²

RV end-systolic volume index

Men23 to 52 mL/m²
Women18 to 42 mL/m²

RV mass index

Men14 to 29 g/m²
Women13 to 25 g/m²

Original publication

Meta-Analysis of Normal Reference Values for Right and Left Ventricular Quantification by Cardiovascular Magnetic Resonance. Circ Cardiovasc Imaging. Published 20 February 2024. doi:10.1161/circimaging.123.016090

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