Normal Echocardiographic Measurements in Indian Adults: How Different Are We from the Western Populations? A Pilot Study

Overview

Journal Indian Heart J

Publisher Elsevier

Specialty Cardiology & Vascular Diseases

Date 2016 Dec 10

PMID 27931544

Citations 9

Authors

Manish Bansal

Jagdish C Mohan

Shantanu P Sengupta

Affiliations

Soon will be listed here.

Abstract

This study sought to gain insights into the magnitude of error resulting in echocardiographic interpretations in Indian subjects by using western data as the reference. Standard transthoracic echocardiographic examination was performed in 100 healthy volunteers (mean age 34.0±8.8 years, 59% males). Compared with the reference values published by the American Society of Echocardiography (ASE), our subjects had much smaller left ventricular (LV) end-diastolic dimension, end-systolic dimension, and end-diastolic volume (only 58%, 61%, and 61% of the subjects were having values within the ASE-defined normal ranges). Indexing to body surface area increased these proportions to 81%, 90%, and 68%, respectively. In contrast, LV ejection fraction and most of the measures of LV diastolic function coincided with the ASE-recommended age- and gender-specific values.

Citing Articles

Echocardiography parameters and cardiac geometry in pregnancy by race and ethnicity.

Wilkie G, Essa A, Person S, Kovell L Obstet Med. 2025; :1753495X241312774.

PMID: 39844784 PMC: 11748140. DOI: 10.1177/1753495X241312774.

Echocardiographic Measurements in Normal Healthy Adult Population of North India.

Rashid A, Shah A, Rather H, Rasool V, Hafeez I, Ajaz S Cureus. 2023; 15(10):e47449.

PMID: 38022041 PMC: 10660080. DOI: 10.7759/cureus.47449.

Echocardiography protocol and cardiometabolic phenotyping in Indian birth cohorts-the IndEcho study.

Vasan S, Alex A, Roy A, Gowri M, Sinha S, Suresh J Front Cardiovasc Med. 2023; 10():1055454.

PMID: 37522075 PMC: 10372793. DOI: 10.3389/fcvm.2023.1055454.

Global longitudinal strain and echocardiographic parameters of left ventricular geometry and systolic function in healthy adult Angolans: Effect of age and gender.

Morais H, Feijao A, Pereira S Glob Cardiol Sci Pract. 2022; 2022(1-2):e202202.

PMID: 36339675 PMC: 9629302. DOI: 10.21542/gcsp.2022.2.

Three-Dimensional Transthoracic Static and Dynamic Normative Values of the Mitral Valve Apparatus: Results from the Multicenter World Alliance Societies of Echocardiography Study.

Henry M, Cotella J, Mor-Avi V, Addetia K, Miyoshi T, Schreckenberg M J Am Soc Echocardiogr. 2022; 35(7):738-751.e1.

PMID: 35245668 PMC: 10257802. DOI: 10.1016/j.echo.2022.02.010.

References

. Ethnic-Specific Normative Reference Values for Echocardiographic LA and LV Size, LV Mass, and Systolic Function: The EchoNoRMAL Study. JACC Cardiovasc Imaging. 2015; 8(6):656-65. DOI: 10.1016/j.jcmg.2015.02.014. View

Zabalgoitia M, Ur Rahman S, Haley W, Oneschuk L, Yunis C, Lucas C . Impact of ethnicity on left ventricular mass and relative wall thickness in essential hypertension. Am J Cardiol. 1998; 81(4):412-7. DOI: 10.1016/s0002-9149(97)00925-9. View

Nagueh S, Appleton C, Gillebert T, Marino P, Oh J, Smiseth O . Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr. 2009; 22(2):107-33. DOI: 10.1016/j.echo.2008.11.023. View

Chahal N, Lim T, Jain P, Chambers J, Kooner J, Senior R . Population-based reference values for 3D echocardiographic LV volumes and ejection fraction. JACC Cardiovasc Imaging. 2012; 5(12):1191-7. DOI: 10.1016/j.jcmg.2012.07.014. View

Bahl V, Dave T, Sundaram K, Shrivastava S . Pulsed Doppler echocardiographic indices of left ventricular diastolic function in normal subjects. Clin Cardiol. 1992; 15(7):504-12. DOI: 10.1002/clc.4960150707. View

Trivedi S, Gupta O, Jain A, Jajoo U, Kamble A, Bharambe M . Left ventricular M-mode echocardiographic measurements of Indian population. J Assoc Physicians India. 1993; 41(1):14-6. View

Chadha D, Gupta N, Goel K, Pandey R, Kondal D, Ganjoo R . Impact of obesity on the left ventricular functions and morphology of healthy Asian Indians. Metab Syndr Relat Disord. 2009; 7(2):151-8. DOI: 10.1089/met.2008.0054. View

Lang R, Bierig M, Devereux R, Flachskampf F, Foster E, Pellikka P . Recommendations for chamber quantification: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of.... J Am Soc Echocardiogr. 2005; 18(12):1440-63. DOI: 10.1016/j.echo.2005.10.005. View

Yancy C, Jessup M, Bozkurt B, Butler J, Casey Jr D, Drazner M . 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013; 62(16):e147-239. DOI: 10.1016/j.jacc.2013.05.019. View

10.

Quinones M, Otto C, Stoddard M, Waggoner A, Zoghbi W . Recommendations for quantification of Doppler echocardiography: a report from the Doppler Quantification Task Force of the Nomenclature and Standards Committee of the American Society of Echocardiography. J Am Soc Echocardiogr. 2002; 15(2):167-84. DOI: 10.1067/mje.2002.120202. View

11.

Chahal N, Lim T, Jain P, Chambers J, Kooner J, Senior R . Ethnicity-related differences in left ventricular function, structure and geometry: a population study of UK Indian Asian and European white subjects. Heart. 2009; 96(6):466-71. DOI: 10.1136/hrt.2009.173153. View

12.

Nishimura R, Otto C, Bonow R, Carabello B, Erwin 3rd J, Guyton R . 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014; 63(22):e57-185. DOI: 10.1016/j.jacc.2014.02.536. View

13.

Ilercil A, OGrady M, Roman M, Paranicas M, Lee E, Welty T . Reference values for echocardiographic measurements in urban and rural populations of differing ethnicity: the Strong Heart Study. J Am Soc Echocardiogr. 2001; 14(6):601-11. DOI: 10.1067/mje.2001.113258. View

14.

Lang R, Badano L, Mor-Avi V, Afilalo J, Armstrong A, Ernande L . Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015; 28(1):1-39.e14. DOI: 10.1016/j.echo.2014.10.003. View