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A meta-analysis of echocardiographic measurements of the left heart for the development of normative reference ranges in a large international cohort : the EchoNoRMAL study

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Doughty, R. N., Gardin, J. M., Hobbs, F. D. R., McMurray, J. J. V., Nagueh, S. F., Poppe, K. K., Senior, R., Thomas, L., Whalley, G. A., Aune, E. et al.
(2014) A meta-analysis of echocardiographic measurements of the left heart for the development of normative reference ranges in a large international cohort : the EchoNoRMAL study. European Heart Journal , 15 (3). pp. 341-348. doi:10.1093/ehjci/jet240

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Official URL: http://dx.doi.org/10.1093/ehjci/jet240

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Abstract

Aim:
To develop age-, sex-, and ethnic-appropriate normative reference ranges for standard echocardiographic measurements of the left heart by combining echocardiographic measurements obtained from adult volunteers without clinical cardiovascular disease or significant cardiovascular risk factors, from multiple studies around the world.
Methods and results:
The Echocardiographic Normal Ranges Meta-Analysis of the Left heart (EchoNoRMAL) collaboration was established and population-based data sets of echocardiographic measurements combined to perform an individual person data meta-analysis. Data from 43 studies were received, representing 51 222 subjects, of which 22 404 adults aged 18–80 years were without clinical cardiovascular or renal disease, hypertension or diabetes. Quantile regression or an appropriate parametric regression method will be used to derive reference values at the 5th and 95th centile of each measurement against age.
Conclusion:
This unique data set represents a large, multi-ethnic cohort of subjects resident in a wide range of countries. The resultant reference ranges will have wide applicability for normative data based on age, sex, and ethnicity.

Item Type: Journal Article
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Medicine > Warwick Medical School
Journal or Publication Title: European Heart Journal
Publisher: Oxford University Press
ISSN: 1522-9645
Official Date: 17 November 2014
Dates:
DateEvent
17 November 2014Published
16 October 2014Accepted
Volume: 15
Number: 3
Page Range: pp. 341-348
DOI: 10.1093/ehjci/jet240
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access

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