美国心血管学会/美国心脏协会ACC/AHA关于经胸心超相关字段定义资源-CSDN文库

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CDE Label CDE Deﬁnition Permissible Values

Permissible Value

Deﬁnitions Sources

Left atrial size

or volume

A qualitative description of

the size or volume of the left

atrium.

Normal

Reduced

Mildly enlarged

Moderately enlarged

Severely enlarged

Dilated, unable to

characterize further

Unknown

Lang RM, Badano LP, Mor-Avi V, et al.

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;28:1-39.e14.(7)

Reduced Size of the left atrium is smaller than

normal.

Mildly enlarged Size of the left atrium is slightly

larger than normal.

Moderately enlarged Size of the left atrium is moderately

larger than normal.

Severely enlarged Size of the left atrium is considerably

larger than normal.

Dilated, unable to

characterize further

Size of the left atrium is larger than

normal, but the enlargement cannot

be quantiﬁed.

Unknown Size of left atrium is unknown.

Left atrial antero-

posterior

diameter

The cross-sectional diameter of

the left atrium measured in an

antero-posterior direction at end-

ventricular systole reported in cm.

Float

Left atrial medial-

lateral diameter

The cross-sectional diameter of

the left atrium measured in a

medial lateral direction at end-

ventricular systole reported in cm.

Float

Left atrial superior-

inferior

diameter

The cross-sectional diameter of

the left atrium measured in a

superior-inferior direction at end-

ventricular systole reported in cm.

Float

Left atrial area The area of the left atrium at

end-ventricular systole in the

4-chamber view reported in cm

Float

Left atrial volume The volume of the left atrium at

end-ventricular systole

reported in mL.

Float

(Continued on the next page)

APPENDIX 3. LEFT AND RIGHT HEART STRUCTURES

A. Left Heart Structures – Left Atrium

JACC VOL. 74, NO. 3, 2019

Douglas et al.

JULY 23, 2019:403-69

Transthoracic Echo Data Standards

413

B. Right Heart Structures – Right Atrium

CDE Label CDE Deﬁniti on Permissible Values

Permissible Value

Deﬁnitions Sources

Left atrial volume

calculation

method

The method used to calculate

volume for the left atrium.

M-mode

Area-length

2D single-plane

method of discs (2D

single-plane)

2D biplane method

of discs (2D bipl ane)

Other

Unknown

Lang RM, Badano LP, Mor-Avi V, et al.

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;28:1-39.e14.(7)

M-mode Measurement of volume by

extrapolation from a diameter

measured on M-mode echo.

Area-length Measurement of volume by

extrapolation from planimetry of a

single imaging plane and an

orthogonal long-axis diameter.

2D single-plane method

of discs

(2D single-plane)

Measurement of volume by

extrapolation from planimetry of a

single long-axis imaging plane.

2D biplane Measurement of volume by

extrapolation from planimetry of 2

orthogonal long-axis imaging planes.

3D Direct summation of volume enclosed

by the endocardial borders.

Other chamber volume

calculation

method

Chamber volume calculation method

is different from the methods

previously described.

Unknown Chamber volume calculation method

is unknown.

Left atrial volume

index

The left atrial volume divided

by body surface area

reported in mL/m

Float

2D indicates 2-dimensional; 3D, 3-dimensional; CDE, common data element; and echo, echocardiography.

APPENDIX 3. CONTINUED

CDE Label CDE Deﬁnition Permissible Values

Permissible Value

Deﬁnitions Sources

Right atrial size

or volume

A qualitative description

of the size or volume of

the right atrium.

Normal

Reduced

Mildly enlarged

Moderately enlarged

Severely enlarged

Dilated, unable to

characterize further

Unknown

Lang RM, Badano LP, Mor-Avi V, et al.

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;28:1-39.e14.(7)

Normal Size of right atrium is

normal.

Reduced Size of the right atrium is

smaller than normal.

Mildly enlarged Size of the right atrium is

slightly larger than normal.

Moderately enlarged Size of the right atrium is

moderately larger than

normal.

Severely enlarged Size of the right atrium is

considerably larger than

normal.

Dilated, unable to

characterize further

Size of the left atrium is

larger than normal, but the

enlargement cannot be

quantiﬁed

Unknown Size of right atrium is

unknown.

(Continued on the next page)

Douglas et al.

JACC VOL. 74, NO. 3, 2019

Transthoracic Echo Data Standards

JULY 23, 2019:403-69

414

CDE Label CDE Deﬁnition Permissible Values

Permissible Value

Deﬁnitions Sources

Right atrial

medial-lateral

diameter

The cross-sectional diameter

of the right atrium measured in

a medial lateral direction at

end-ventricular systole

reported in cm.

Float Lang RM, Badano LP, Mor-Avi V, et al.

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;28:1-39.e14.(7)

Right atrial

superior-inferior

diameter

The cross-sectional diameter of

the right atrium measured in a

superior-inferior direction

at end-ventricular systole

reported in cm.

Float

Right atrial area The area of the right atrium

measured using the apical

4-chamber view at end

ventricular systole reported

in cm

Float

Right atrial

volume

The volume of the right

atrium at end-ventricular

systole reported in mL.

Float

Right atrial chamber

volume calculation

method

The method used to calculate

right atrial volume.

Area length

2D single-plane

2D biplane

Other

Unknown

Lang RM, Badano LP, Mor-Avi V, et al.

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;28:1-39.e14.(7)

Area length Measurement of volume by

extrapolation from

planimetry of area derived

from an imaging plane and a

long-axis diameter.

2D single-plane Measurement of volume by

extrapolation from

planimetry of a single long-

axis imaging plane.

2D biplane Measurement of volume by

extrapolation from

planimetry of 2 orthogonal

long-axis imaging planes.

3D Direct summation of

volume enclosed by the

endocardial borders.

Other Chamber volume calculation

method is different from the

methods described on this

list.

Unknown Volume calculation

method is unknown.

2D indicates 2-dimensional; 3D, 3-dimensional; and CDE, common data element.

APPENDIX 3. CONTINUED

JACC VOL. 74, NO. 3, 2019

Douglas et al.

JULY 23, 2019:403-69

Transthoracic Echo Data Standards

415

CDE Label CDE Deﬁ nitio n Permissible Values Permissible Value Deﬁnitio ns Sources

Left ventricular

wall segment

name

The region of the left ventricular wall

associated with segmental wall motion

ﬁndings (see section on left

ventricular function below).

The left ventricle is divided into

basal, mid, and apical segments

by dividing it into thirds along

the long axis, with basal corresponding to

the region form mitral annulus to the tips

of the papillary muscles; mid includes the

entire length of the papillary muscles; apex

corresponds to the area beyond the

papillary muscles to just before the cavity

ends, and the apical cap is the area of

myocardium beyond the end of the left

ventricular cavity. There are 6 segments at

the base and mid ventricle, and 4 at the

apex (plus an apical cap).

Basal anterior

Basal anteroseptal

Basal inferoseptal

Basal inferior

Basal inferolateral

(basal posterior)

Basal anterolateral

Mid anterior

Mid anteroseptal

Mid inferoseptal

Mid inferior

Mid inferolateral

(mid posterior)

Mid anterolateral

Apical anterior

Apical septal

Apical inferior

Apical lateral

Apical cap

Cerqueira MD, Weissman NJ, Dilsizian V, et al.

Standardized myocardial segmentation and

nomenclature for tomographic imaging of the heart:

a statement for healthcare professionals from the

Cardiac Imaging Committee of the Council on

Clinical Cardiology of the American Heart

Association. Circulation. 2002;105:539-42.(8)

Basal anterior Front portion of the left ventricular wall at the base.

Basal anteroseptal Portion of the ventricular septum closest to the anterior segment at the base.

Basal inferoseptal Portion of the ventricular septum closest to the inferior segment at the base.

Basal inferior Lower or diaphragmatic portion of the left ventricular wall at the base.

Basal inferolateral

(basal posterior)

Inferior po rt io n of th e le ft v en t ri cul a r fre e wa l l tha t is l ate r al to the inferior wall

(sometim es called posterior wall) at the base.

Basal anterolateral Portion of the left ventricular free wall between the anterior and inferolateral

segments at the base.

Mid anterior Front portion of the left ventricular wall at the level of the mid left ventricle.

Mid anteroseptal Portion of the ventricular septum closest to the anterior segment at the level

of the mid left ventricle.

Mid inferoseptal Portion of the ventricular septum closest to the inferior segment at the level

of the mid left ventricle.

Mid inferior Lower or diaphragmatic portion of the left ventricular wall at the level of the

mid left ventricle.

Mid inferolateral

(mid posterior)

Inferior portion of the left ventricular free wall that is lateral to the inferior

wall (sometimes called posterior wall) at the level of the mid left ventricle.

Mid anterolateral Portion of the left ventricular free wall between the anterior and inferolateral

segments at the level of the mid left ventricle.

Apical anterior Front portion of the left ventricular wall at the level of the apex.

Apical septal Portion of the ventricular septum at the apex.

Apical inferior Lower or diaphragmatic portion of the left ventricular wall at the apex.

Apical lateral Portion of the free wall of the left ventricular wall at the apex.

Apical cap Cap of muscle of the left ventricular apex beyond the left ventricular cavity.

Continued on the next page

APPENDIX 3. CONTINUED

JACC VOL. 74, NO. 3, 2019

Douglas et al.

JULY 23, 2019:403-69

Transthoracic Echo Data Standards

417

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