Valvular & structural heart disease

Normative values of the aortic valve area and Doppler measurements using two-dimensional transthoracic echocardiography: results from the Multicentre World Alliance of Societies of Echocardiography Study

Eur Heart J Cardiovasc ImagingPublished Cross-sectional study

Authors' conclusion

WASE data provide clinically relevant information about significant differences in normal AVA and Doppler parameters according to sex, age, and race.

Study context

Population
Healthy adults, World Alliance Societies of Echocardiography (WASE) Study48% women
Participants
1,903 adults
Exposure
Women vs men; by age and race
Outcome
Sex-, age- and race-specific normative values for AVA and Doppler parameters
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Women had smaller left ventricular outflow tract (LVOT) diameters and aortic valve area (AVA), and higher AV peak velocities and mean gradients vs men
all P < 0.05
LVOT and AV VTI significantly higher in women; both increased with age in both sexes
P < 0.05

Observational data: associations, not effects.

Further findings

Women meeting current diagnostic criteria for AS

Mild AS
13.5%
Moderate AS
1.4%

LVOT diameter and AVA by age and race

Lower in older subjects, both men and women, and lower in Asians vs whites and blacks

Original publication

Normative values of the aortic valve area and Doppler measurements using two-dimensional transthoracic echocardiography: results from the Multicentre World Alliance of Societies of Echocardiography Study. Eur Heart J Cardiovasc Imaging. Published 4 November 2022. doi:10.1093/ehjci/jeac220

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