Table 1. Transthoracic echocardiography.
Two-dimensional and M-mode echocardiography | LV or RV hypertrophy | LV mass index >95 g/m2 in women or >115 g/m2 in men, or RV free wall thickness in end-diastole >5 mm in the subcostal view. |
RV or LV wall motion abnormalities | Diastolic interventricular septal bounce (sign of ventricular interdependence) or systolic or diastolic septal flattening of the interventricular septum (indicative of RV pressure or volume overload, respectively). | |
Significant pericardial effusion | Diameter >1 cm at ventricular end-diastole. | |
RV systolic dysfunction | RV fractional area change (apical 4-chamber view (RV end-diastolic area–RV end-systolic area)/RV end-diastolic area) <35% or TAPSE <16 mm. | |
LV systolic dysfunction | LV ejection fraction <55%. | |
Doppler echocardiography | Significant stenotic or regurgitant valvular lesions | Defined as greater than moderate per guideline definitions.56, 59 |
Elevated pulmonary artery systolic pressure | >40 mmHg | |
Pulse wave TDI | TDI evaluation of the RV (tricuspid annulus) | RV TDI s’ velocity <10 cm/s is indicative of RV systolic dysfunction.62 |
TDI evaluation of the LV | On the LV side, a lateral s’ velocity <8 cm/s is indicative of LV systolic dysfunction. For evidence of LV diastolic dysfunction on TDI, it is helpful to use age-specific cut-offs of lateral e’ velocity63 which have been used in prior clinical trials: <10 cm/s if aged 45–54 years, <9 cm/s if aged 55–65 years or <8 cm/s if aged >65 years.65, 66, 67, 68 |
Abbreviations: LV=left ventricle; RV=right ventricle; TAPSE=tricuspid annular plane systolic excursion; TDI= tissue Doppler imaging.