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Review
. 2017 Dec 1;18(12):1301-1310.
doi: 10.1093/ehjci/jex244.

Standardization of adult transthoracic echocardiography reporting in agreement with recent chamber quantification, diastolic function, and heart valve disease recommendations: an expert consensus document of the European Association of Cardiovascular Imaging

Maurizio Galderisi  1 , Bernard Cosyns  2 , Thor Edvardsen  3 , Nuno Cardim  4 , Victoria Delgado  5 , Giovanni Di Salvo  6 , Erwan Donal  7 , Leyla Elif Sade  8 , Laura Ernande  9 , Madalina Garbi  10 , Julia Grapsa  11 , Andreas Hagendorff  12 , Otto Kamp  13 , Julien Magne  14 , Ciro Santoro  1 , Alexandros Stefanidis  15 , Patrizio Lancellotti  16   17 , Bogdan Popescu  18 , Gilbert Habib  19   20 ; 2016–2018 EACVI Scientific Documents Committee; 2016–2018 EACVI Scientific Documents Committee
Collaborators, Affiliations
Free article
Review

Standardization of adult transthoracic echocardiography reporting in agreement with recent chamber quantification, diastolic function, and heart valve disease recommendations: an expert consensus document of the European Association of Cardiovascular Imaging

Maurizio Galderisi et al. Eur Heart J Cardiovasc Imaging. .
Free article

Abstract

Aims: This European Association Cardiovascular Imaging (EACVI) Expert Consensus document aims at defining the main quantitative information on cardiac structure and function that needs to be included in standard echocardiographic report following recent ASE/EACVI chamber quantification, diastolic function, and heart valve disease recommendations. The document focuses on general reporting and specific pathological conditions such as heart failure, coronary artery and valvular heart disease, cardiomyopathies, and systemic diseases.

Methods and results: Demographic data (age, body surface area, blood pressure, and heart rhythm and rate), type (vendor and model) of ultrasound system used and image quality need to be reported. In addition, measurements should be normalized for body size. Reference normal values, derived by ASE/EACVI recommendations, shall always be reported to differentiate normal from pathological conditions. This Expert Consensus document suggests avoiding the surveillance of specific variable using different ultrasound techniques (e.g. in echo labs with high expertise in left ventricular ejection fraction by 3D and not by 2D echocardiography). The report should be also tailored in relation with different cardiac pathologies, quality of images, and needs of the caregivers.

Conclusion: The conclusion should be concise reflecting the status of left ventricular structure and function, the presence of left atrial and/or aortic dilation, right ventricular dysfunction, and pulmonary hypertension, leading to an objective communication with the patient health caregiver. Variation over time should be considered carefully, taking always into account the consistency of the parameters used for comparison.

Keywords: 3D echocardiography; chamber quantification; diastolic function; echocardiographic report; global longitudinal strain; heart valve disease.

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