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Echocardiography criteria*

Echocardiography criteria*
LVH (LV mass index >110 g/m2 for women and >130 g/m2 for men or >47 g/m2.7 for women and >50 g/m2.7 for men). Latter measure is LV mass calculated by the area-length method and indexed to height[1-3].
Increased LV volume index >86 mL/m2 diastolic or >37 mL/m2 systolic.
Left atrial enlargement (left atrial volume index ≥34 mL/m2).
Diastolic dysfunction (ASE grade ≥2).
Moderate to severe mitral or aortic valvular disease (stenosis or regurgitation).
RV systolic dysfunction by accepted criteria (eg, TAPSE <17 mm).
LV ejection fraction ≤45%.
Regional wall motion abnormality of LV (>10% of the myocardium).
LVH: left ventricular hypertrophy; LV: left ventricle; ASE: American Society of Echocardiography; RV: right ventricle; TAPSE: tricuspid annular plane systolic excursion.
* At least one (of eight) listed criteria must be abnormal to fulfill the definition of echocardiographic evidence of heart disease.
References:
  1. Lang RM, Bierig M, Devereux RB, et al. Recommendations for chamber quantification: A report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber of Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr 2005; 18:1440.
  2. de Simone G, Devereux RM, Daniels SR, et al. Effect of growth on variability of left ventricular mass: Assessment of allometric signals in adults and children and their capacity to predict cardiovascular risk. J Am Coll Cardiol 1995; 25:1056.
  3. Lauer MS, Anderson KM, Kannel WB, Levy D. The impact of obesity on left ventricular mass and geometry: The Framingham Heart Study. JAMA 1991; 266:231.
Reproduced from: Chawla LS, Herzog CA, Costanzo MR, et al. Proposal for a functional classification system of heart failure in patients with end-stage renal disease: Proceedings of the Acute Dialysis Quality Intiative (ADQI) XI workgroup. J Am Coll Cardiol 2014; 63:1246. Table used with the permission of Elsevier Inc. All rights reserved.
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