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Normal Reference Ranges for Echocardiography: Rationale, study design, and methodology (NORRE Study)

  • Patrizio Lancellotti
  • , Luigi P. Badano
  • , Roberto M. Lang
  • , Natela Akhaladze
  • , George D. Athanassopoulos
  • , Daniele Barone
  • , Monica Baroni
  • , Nuno Cardim
  • , Jose Juan Gomez De Diego
  • , Genevieve Derumeaux
  • , Raluca Dulgheru
  • , Thor Edvardsen
  • , Maurizio Galderisi
  • , Alexandra Gonçalves
  • , Gilbert Habib
  • , Andreas Hagendorff
  • , Krasimira Hristova
  • , Seisyou Kou
  • , Teresa Lopez
  • , Julien Magne
  • Gonzalo De La Morena, Bogdan A. Popescu, Martin Penicka, Tolga Rasit, Jose David Rodrigo Carbonero, Alessandro Salustri, Nico Van De Veire, Ralph Stephan Von Bardeleben, Dragos Vinereanu, Jens Uwe Voigt, Damien Voilliot, Jose Louis Zamorano, Erwan Donal, Gerald Maurer
  • University of Liege
  • University of Padua
  • The University of Chicago
  • Department of the JOANN Medical Center
  • Onassis Cardiac Surgery Center
  • Sant'Andrea Hospital
  • Fondazione Toscana 'G.monasterio' - Ospedale Del Cuore
  • Hospital da Luz
  • Hospital Clínico San Carlos de Madrid
  • Department of Cardiology
  • University of Oslo
  • Azienda Ospedaliera Universitaria Federico II
  • University of Porto
  • Aix-Marseille Université
  • Leipzig University
  • University National Heart Hospital
  • Universidad Autónoma de Madrid
  • Hospital Virgen de la Arrixaca
  • Carol Davila University of Medicine and Pharmacy
  • Cardiovascular Center Aalst
  • EkokardiografiLaboratuari
  • Hospital de Cruces
  • Sheikh Khalifa Medical City
  • Echocardiography Unit
  • Johannes Gutenberg University Mainz
  • KU Leuven
  • Servicio Madrileño de Salud
  • Université de Rennes 1
  • Medical University of Vienna

Research output: Contribution to journalArticlepeer-review

Abstract

BackgroundAvailability of normative reference values for cardiac chamber dimensions, volumes, mass, and function is a prerequisite for the accurate application of echocardiography for both clinical and research purposes. However, due to the lack of consistency in current echocardiographic 'reference values', their use for clinical decision-making remains questionable.AimsThe aim of the 'Normal Reference Ranges for Echocardiography Study (NORRE Study)' is to obtain a set of 'normal values' for cardiac chamber geometry and function in a large cohort of healthy Caucasian individuals aged over a wide range of ages (25-75 years) using both conventional and advanced echocardiographic techniques.MethodsThe NORRE Study is a large prospective, observational multicentre study in which transthoracic echocardiographic studies will be acquired in 22 laboratories accredited by the European Association of Cardiovascular Imaging and in one laboratory in the USA accredited by ICAEL. The final sample size has been estimated in 1100 normal subjects in whom M-mode, 2D, and 3D imaging, colour Doppler, pulsed-wave Doppler, pulsed-wave tissue Doppler, and colour tissue Doppler imaging data will be obtained. All studies will be sent to a central echocardiographic core laboratory for quantitative analysis. Multiple studies will be performed for reproducibility analysis.ConclusionAfter completion of the NORRE Study, uniform reference limits according to age, gender, and anthropometric parameters will be available to standardize the quantitative interpretation of echocardiography.

Original languageEnglish
Pages (from-to)303-308
Number of pages6
JournalEuropean Heart Journal Cardiovascular Imaging
Volume14
Issue number4
DOIs
Publication statusPublished - Apr 2013
Externally publishedYes

Keywords

  • 2D and 3D echocardiography
  • Cardiac mechanics
  • Chamber size and function
  • M-mode
  • reference values

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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