Congenital heart disease

Normative Echocardiographic Left Ventricular Parameters and Reference Intervals in Infants

J Am Coll CardiolPublished Cross-sectional study

Authors' conclusion

This study provides normative reference intervals and z-scores for 10 clinical, widely used echocardiographic measures of LV structure and function based on a large cohort of newborns.

Study context

Population
Healthy term newborns born to healthy mothers, echocardiogram within 30 days of birth, without congenital heart diseaseCopenhagen Baby Heart Study
Participants
13,454 newborns
Outcome
Normative reference intervals and z-scores for 10 2-dimensional echocardiographic left ventricular (LV) parameters, modelled as a function of body surface area
Methodological detailspopulation-based cohort (Copenhagen Baby Heart Study)
  • Population-based cohort (Copenhagen Baby Heart Study)

Main finding

As reported in the abstract

  • All normative reference intervals performed well in both sexes without stratification on infant sex
  • Separate reference models needed for infants examined at <7 days vs 7-30 days of age to optimise performance

Observational data: associations, not effects.

Further findings

Characteristics at examination

Female
48.5%
Median body surface area
0.23 m² (IQR: 0.22-0.25 m²)
Median age
12.0 days (IQR: 8.0-15.0 days)

Original publication

Normative Echocardiographic Left Ventricular Parameters and Reference Intervals in Infants. J Am Coll Cardiol. Published 6 June 2023. doi:10.1016/j.jacc.2023.03.423

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