schliessen

Filtern

 

Bibliotheken

Comparison of Aortic Root Diameter to Left Ventricular Outflow Diameter Versus Body Surface Area in Patients With Marfan Syndrome

Aortic root dilation is important in the diagnosis of familial aortic syndromes, such as Marfan syndrome, and an important risk factor for aortic complications, such as dissection or rupture. Transthoracic echocardiography reliably measures the absolute aortic root size; however, the degree of abnor... Full description

Journal Title: The American Journal of Cardiology Nov 15, 2012, Vol.110(10), pp.1518-22
Main Author: Shiran, Hadas
Other Authors: Haddad, Francois , Miller, David Craig , Liang, David
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 00029149 ; DOI: 10.1016/j.amjcard.2012.06.062
Link: http://search.proquest.com/docview/1137689436/?pq-origsite=primo
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: proquest1137689436
title: Comparison of Aortic Root Diameter to Left Ventricular Outflow Diameter Versus Body Surface Area in Patients With Marfan Syndrome
format: Article
creator:
  • Shiran, Hadas
  • Haddad, Francois
  • Miller, David Craig
  • Liang, David
subjects:
  • Adolescent–Ultrasonography
  • Adult–Methods
  • Aged–Ultrasonography
  • Aged, 80 & Over–Ultrasonography
  • Aorta, Thoracic–Ultrasonography
  • Echocardiography–Ultrasonography
  • Female–Ultrasonography
  • Follow-Up Studies–Ultrasonography
  • Heart Ventricles–Ultrasonography
  • Humans–Ultrasonography
  • Male–Ultrasonography
  • Marfan Syndrome–Ultrasonography
  • Middle Aged–Ultrasonography
  • Severity of Illness Index–Ultrasonography
  • Young Adult–Ultrasonography
ispartof: The American Journal of Cardiology, Nov 15, 2012, Vol.110(10), pp.1518-22
description: Aortic root dilation is important in the diagnosis of familial aortic syndromes, such as Marfan syndrome, and an important risk factor for aortic complications, such as dissection or rupture. Transthoracic echocardiography reliably measures the absolute aortic root size; however, the degree of abnormality of the measurement requires correction for the expected normal aortic root size for each patient. The expected normal size is currently predicted according to the body surface area (BSA) and age. However, the correlation between root size and BSA is imperfect, particularly for older patients. A potential exists to improve the diagnosis and treatment of patients with aortic disease, with an improved estimation of normal aortic root size. A reference size derived from within the cardiovascular system has been hypothesized to provide a more direct correlation with the aortic root size. Images from the Stanford echocardiography database were reviewed, and measurements of the aortic root and internal dimensions were performed in a control cohort (n = 150). The measurements were repeated in adult patients with Marfan syndrome (n = 70) on serial echocardiograms (145 total studies reviewed). Of the 150 control patients, excellent correlation was found between the aortic root and left ventricular outflow tract diameters, r2 = 0.67, and r2 = 0.34 with BSA (p
language: eng
source:
identifier: ISSN: 00029149 ; DOI: 10.1016/j.amjcard.2012.06.062
fulltext: fulltext
issn:
  • 00029149
  • 0002-9149
url: Link


@attributes
ID124622258
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordid1137689436
sourceidproquest
recordidTN_proquest1137689436
sourcesystemOther
pqid1137689436
galeid306627211
display
typearticle
titleComparison of Aortic Root Diameter to Left Ventricular Outflow Diameter Versus Body Surface Area in Patients With Marfan Syndrome
creatorShiran, Hadas ; Haddad, Francois ; Miller, David Craig ; Liang, David
ispartofThe American Journal of Cardiology, Nov 15, 2012, Vol.110(10), pp.1518-22
identifierISSN: 00029149 ; DOI: 10.1016/j.amjcard.2012.06.062
subjectAdolescent–Ultrasonography ; Adult–Methods ; Aged–Ultrasonography ; Aged, 80 & Over–Ultrasonography ; Aorta, Thoracic–Ultrasonography ; Echocardiography–Ultrasonography ; Female–Ultrasonography ; Follow-Up Studies–Ultrasonography ; Heart Ventricles–Ultrasonography ; Humans–Ultrasonography ; Male–Ultrasonography ; Marfan Syndrome–Ultrasonography ; Middle Aged–Ultrasonography ; Severity of Illness Index–Ultrasonography ; Young Adult–Ultrasonography
descriptionAortic root dilation is important in the diagnosis of familial aortic syndromes, such as Marfan syndrome, and an important risk factor for aortic complications, such as dissection or rupture. Transthoracic echocardiography reliably measures the absolute aortic root size; however, the degree of abnormality of the measurement requires correction for the expected normal aortic root size for each patient. The expected normal size is currently predicted according to the body surface area (BSA) and age. However, the correlation between root size and BSA is imperfect, particularly for older patients. A potential exists to improve the diagnosis and treatment of patients with aortic disease, with an improved estimation of normal aortic root size. A reference size derived from within the cardiovascular system has been hypothesized to provide a more direct correlation with the aortic root size. Images from the Stanford echocardiography database were reviewed, and measurements of the aortic root and internal dimensions were performed in a control cohort (n = 150). The measurements were repeated in adult patients with Marfan syndrome (n = 70) on serial echocardiograms (145 total studies reviewed). Of the 150 control patients, excellent correlation was found between the aortic root and left ventricular outflow tract diameters, r2 = 0.67, and r2 = 0.34 with BSA (p <0.0001, for both). More importantly, using the left ventricular outflow tract to predict the normal aortic root size, instead of the BSA and age, improved the diagnostic accuracy of aortic root measurements for diagnosing Marfan syndrome. In conclusion, an internal cardiovascular reference, the left ventricular outflow tract diameter, can improve the diagnosis of aortic disease and might provide a better reference for the degree of abnormality.
languageeng
source
version6
lds50peer_reviewed
links
openurl$$Topenurl_article
openurlfulltext$$Topenurlfull_article
backlink$$Uhttp://search.proquest.com/docview/1137689436/?pq-origsite=primo$$EView_record_in_ProQuest_(subscribers_only)
search
creatorcontrib
0Shiran, Hadas
1Haddad, Francois
2Miller, David Craig
3Liang, David
titleComparison of Aortic Root Diameter to Left Ventricular Outflow Diameter Versus Body Surface Area in Patients With Marfan Syndrome
descriptionAortic root dilation is important in the diagnosis of familial aortic syndromes, such as Marfan syndrome, and an important risk factor for aortic complications, such as dissection or rupture. Transthoracic echocardiography reliably measures the absolute aortic root size; however, the degree of abnormality of the measurement requires correction for the expected normal aortic root size for each patient. The expected normal size is currently predicted according to the body surface area (BSA) and age. However, the correlation between root size and BSA is imperfect, particularly for older patients. A potential exists to improve the diagnosis and treatment of patients with aortic disease, with an improved estimation of normal aortic root size. A reference size derived from within the cardiovascular system has been hypothesized to provide a more direct correlation with the aortic root size. Images from the Stanford echocardiography database were reviewed, and measurements of the aortic root and internal dimensions were performed in a control cohort (n = 150). The measurements were repeated in adult patients with Marfan syndrome (n = 70) on serial echocardiograms (145 total studies reviewed). Of the 150 control patients, excellent correlation was found between the aortic root and left ventricular outflow tract diameters, r2 = 0.67, and r2 = 0.34 with BSA (p <0.0001, for both). More importantly, using the left ventricular outflow tract to predict the normal aortic root size, instead of the BSA and age, improved the diagnostic accuracy of aortic root measurements for diagnosing Marfan syndrome. In conclusion, an internal cardiovascular reference, the left ventricular outflow tract diameter, can improve the diagnosis of aortic disease and might provide a better reference for the degree of abnormality.
subject
0Adolescent–Ultrasonography
1Adult–Methods
2Aged–Ultrasonography
3Aged, 80 & Over–Ultrasonography
4Aorta, Thoracic–Ultrasonography
5Echocardiography–Ultrasonography
6Female–Ultrasonography
7Follow-Up Studies–Ultrasonography
8Heart Ventricles–Ultrasonography
9Humans–Ultrasonography
10Male–Ultrasonography
11Marfan Syndrome–Ultrasonography
12Middle Aged–Ultrasonography
13Severity of Illness Index–Ultrasonography
14Young Adult–Ultrasonography
general
0English
1Elsevier Limited
210.1016/j.amjcard.2012.06.062
3Medical Database
4Health & Medical Collection (Alumni edition)
5Medical Database (Alumni edition)
6Nursing & Allied Health Database (Alumni edition)
7Health & Medical Collection
8Nursing & Allied Health Database
9Sports Medicine and Education Index
10Research Library China
11Engineering Research Database
12Technology Research Database
13ProQuest Nursing & Allied Health Source
14ProQuest Research Library
15ProQuest Discovery
16ProQuest Biological Science Collection
17ProQuest Central
18ProQuest Engineering Collection
19ProQuest Environmental Science Collection
20ProQuest Hospital Collection
21ProQuest Natural Science Collection
22ProQuest Technology Collection
23Research Library (Alumni edition)
24Hospital Premium Collection (Alumni edition)
25ProQuest SciTech Collection
26ProQuest Health & Medical Complete
27ProQuest Medical Library
28Physical Education Index
29Agricultural & Environmental Science Database
30Biological Science Database
31Materials Science & Engineering Database
32Natural Science Collection
33ProQuest Central (new)
34ProQuest Central K-12
35ProQuest Central Korea
36Research Library Prep
37SciTech Premium Collection
38Technology Collection
39Health Research Premium Collection
40Health Research Premium Collection (Alumni edition)
41ProQuest Central Essentials
42ProQuest Central China
sourceidproquest
recordidproquest1137689436
issn
000029149
10002-9149
rsrctypearticle
creationdate2012
addtitleThe American Journal of Cardiology
searchscope
01000273
11005660
21006759
31006761
41006762
51006763
61006993
71007015
81007067
91007107
101007443
111007555
121007899
131007906
141007945
151008005
161008886
171009127
181009384
1910000004
2010000005
2110000013
2210000015
2310000020
2410000022
2510000025
2610000027
2710000034
2810000038
2910000039
3010000041
3110000043
3210000047
3310000050
3410000053
3510000064
3610000117
3710000118
3810000119
3910000120
4010000155
4110000156
4210000157
4310000158
4410000162
4510000164
4610000198
4710000209
4810000217
4910000234
5010000238
5110000250
5210000253
5310000255
5410000256
5510000257
5610000258
5710000259
5810000260
5910000265
6010000270
6110000271
6210000281
6310000300
64proquest
scope
01000273
11005660
21006759
31006761
41006762
51006763
61006993
71007015
81007067
91007107
101007443
111007555
121007899
131007906
141007945
151008005
161008886
171009127
181009384
1910000004
2010000005
2110000013
2210000015
2310000020
2410000022
2510000025
2610000027
2710000034
2810000038
2910000039
3010000041
3110000043
3210000047
3310000050
3410000053
3510000064
3610000117
3710000118
3810000119
3910000120
4010000155
4110000156
4210000157
4310000158
4410000162
4510000164
4610000198
4710000209
4810000217
4910000234
5010000238
5110000250
5210000253
5310000255
5410000256
5510000257
5610000258
5710000259
5810000260
5910000265
6010000270
6110000271
6210000281
6310000300
64proquest
lsr43
01000273true
11005660true
21006759true
31006761true
41006762true
51006763true
61006993true
71007015true
81007067true
91007107true
101007443false
111007555false
121007899true
131007906true
141007945true
151008005true
161008886true
171009127true
181009384true
1910000004false
2010000005false
2110000013false
2210000015false
2310000020true
2410000022false
2510000025true
2610000027true
2710000034true
2810000038false
2910000039true
3010000041false
3110000043false
3210000047true
3310000050false
3410000053false
3510000064true
3610000117true
3710000118true
3810000119true
3910000120false
4010000155true
4110000156true
4210000157true
4310000158true
4410000162false
4510000164true
4610000198false
4710000209false
4810000217false
4910000234false
5010000238false
5110000250false
5210000253false
5310000255true
5410000256true
5510000257true
5610000258true
5710000259true
5810000260false
5910000265false
6010000270true
6110000271true
6210000281true
6310000300true
startdate20121115
enddate20121115
citationpf 1518 pt 22 vol 110 issue 10
lsr30VSR-Enriched:[galeid, pages, eissn, pqid]
sort
titleComparison of Aortic Root Diameter to Left Ventricular Outflow Diameter Versus Body Surface Area in Patients With Marfan Syndrome
authorShiran, Hadas ; Haddad, Francois ; Miller, David Craig ; Liang, David
creationdate20121115
lso0120121115
facets
frbrgroupid5510339434633638779
frbrtype5
languageeng
creationdate2012
topic
0Adolescent–Ultrasonography
1Adult–Methods
2Aged–Ultrasonography
3Aged, 80 & Over–Ultrasonography
4Aorta, Thoracic–Ultrasonography
5Echocardiography–Ultrasonography
6Female–Ultrasonography
7Follow-Up Studies–Ultrasonography
8Heart Ventricles–Ultrasonography
9Humans–Ultrasonography
10Male–Ultrasonography
11Marfan Syndrome–Ultrasonography
12Middle Aged–Ultrasonography
13Severity of Illness Index–Ultrasonography
14Young Adult–Ultrasonography
collection
0Medical Database
1Health & Medical Collection (Alumni edition)
2Medical Database (Alumni edition)
3Nursing & Allied Health Database (Alumni edition)
4Health & Medical Collection
5Nursing & Allied Health Database
6Sports Medicine and Education Index
7Research Library China
8Engineering Research Database
9Technology Research Database
10ProQuest Nursing & Allied Health Source
11ProQuest Research Library
12ProQuest Discovery
13ProQuest Biological Science Collection
14ProQuest Central
15ProQuest Engineering Collection
16ProQuest Environmental Science Collection
17ProQuest Hospital Collection
18ProQuest Natural Science Collection
19ProQuest Technology Collection
20Research Library (Alumni edition)
21Hospital Premium Collection (Alumni edition)
22ProQuest SciTech Collection
23ProQuest Health & Medical Complete
24ProQuest Medical Library
25Physical Education Index
26Agricultural & Environmental Science Database
27Biological Science Database
28Materials Science & Engineering Database
29Natural Science Collection
30ProQuest Central (new)
31ProQuest Central K-12
32ProQuest Central Korea
33Research Library Prep
34SciTech Premium Collection
35Technology Collection
36Health Research Premium Collection
37Health Research Premium Collection (Alumni edition)
38ProQuest Central Essentials
39ProQuest Central China
prefilterarticles
rsrctypearticles
creatorcontrib
0Shiran, Hadas
1Haddad, Francois
2Miller, David Craig
3Liang, David
jtitleAmerican Journal of Cardiology
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Shiran
1Haddad
2Miller
3Liang
aufirst
0Hadas
1Francois
2David Craig
3David
auinit1
0H.
1F.
2D.
au
0Shiran, Hadas
1Haddad, Francois
2Miller, David Craig
3Liang, David
atitleComparison of Aortic Root Diameter to Left Ventricular Outflow Diameter Versus Body Surface Area in Patients With Marfan Syndrome
jtitleThe American Journal of Cardiology
risdate20121115
volume110
issue10
spage1518
epage22
pages1518-1522
issn00029149
formatjournal
genrearticle
ristypeJOUR
abstractAortic root dilation is important in the diagnosis of familial aortic syndromes, such as Marfan syndrome, and an important risk factor for aortic complications, such as dissection or rupture. Transthoracic echocardiography reliably measures the absolute aortic root size; however, the degree of abnormality of the measurement requires correction for the expected normal aortic root size for each patient. The expected normal size is currently predicted according to the body surface area (BSA) and age. However, the correlation between root size and BSA is imperfect, particularly for older patients. A potential exists to improve the diagnosis and treatment of patients with aortic disease, with an improved estimation of normal aortic root size. A reference size derived from within the cardiovascular system has been hypothesized to provide a more direct correlation with the aortic root size. Images from the Stanford echocardiography database were reviewed, and measurements of the aortic root and internal dimensions were performed in a control cohort (n = 150). The measurements were repeated in adult patients with Marfan syndrome (n = 70) on serial echocardiograms (145 total studies reviewed). Of the 150 control patients, excellent correlation was found between the aortic root and left ventricular outflow tract diameters, r2 = 0.67, and r2 = 0.34 with BSA (p <0.0001, for both). More importantly, using the left ventricular outflow tract to predict the normal aortic root size, instead of the BSA and age, improved the diagnostic accuracy of aortic root measurements for diagnosing Marfan syndrome. In conclusion, an internal cardiovascular reference, the left ventricular outflow tract diameter, can improve the diagnosis of aortic disease and might provide a better reference for the degree of abnormality.
copNew York
pubElsevier Limited
doi10.1016/j.amjcard.2012.06.062
urlhttp://search.proquest.com/docview/1137689436/
eissn18791913
date2012-11-15