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What is the LA volume index?

The American Society of Echocardiography recommended LA volume index (LAVI), the value of LA volume divided by body surface area, to measure LA size.

What is normal LA volume index?

LA volume was assessed by the biplane area-length method from apical 4- and 2-chamber views. 11. Measurements were obtained in end systole from the frame preceding mitral valve opening, and the volume was indexed for body surface area. The normal value of indexed LA volume has been reported to be 20±6 mL/m2.

How is La size measured?

LA size was measured on transthoracic echocardiography using several methods: anteroposterior diameter, area in four-chamber view, and volumes by the ellipsoid, single- and biplane area-length formulas.

What is the left atrial volume index?

Increased left atrial volume index is an independent predictor of raised serum natriuretic peptide in patients with suspected heart failure but normal left ventricular ejection fraction: Implication for diagnosis of diastolic heart failure. Eur J Heart Fail.

What is LA in echocardiography?

Although often referred to as “the forgotten chamber”, compared with left ventricle (LV), especially in the past years, the left atrium (LA) plays a critical role in the clinical expression and prognosis of patients with heart and cerebrovascular disease, as demonstrated by several studies.

What is normal LA volume on Echo?

Reference Ranges & Partition Values for LA Volume Index (mL/m2)

LAVI (mL/m2)
Reference Range 16-28
Mildly Abnormal 29-33
Moderately Abnormal 34-39
Severely Abnormal ≥40

What is normal LA area?

A diameter of < 40 mm and a ratio left atrium/aortic root of < 1.3 are considered normal.

Where is La diameter measured?

The LA size is measured at the end-ventricular systole when the LA chamber is at its greatest dimension, in long-axis view (anterior-posterior diameter) and in 4-chamber view (longitudinal and transverse diameters) [16] (Figure 1).

What does LVEF 40 mean?

A normal ejection fraction is more than 55%. This means that 55% of the total blood in the left ventricle is pumped out with each heartbeat. Heart failure with reduced ejection fraction happens when the muscle of the left ventricle is not pumping as well as normal. The ejection fraction is 40% or less.

Which is better La volume or La volume index?

LA Volume & LA Volume Index (Biplane Area-Length Method) When left atrial (LA) size is measured clinically, LA volume determinations are preferred over linear measurements since they allow more accurate assessment of the asymmetric remodeling of the LA chamber.

How is La volume calculated for each patient?

For each patient, a measurement of LA volume was calculated by the AL, SIMP, and PE methods ( Figures 1–3 ). Twenty percent of these patients were randomly selected for repeat measurements to assess the intraclass correlation coefficient of each measurement technique between 2 readers.

How do you calculate left atrial volume index?

Left atrial: Indexed volume = la volume (ml)/body surface area (m2). Ask U.S. doctors your own question and get educational, text answers — it’s anonymous and free! Doctors typically provide answers within 24 hours. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription.

Which is the best method for measuring the volume of the La?

Three commonly used methods for evaluation of LA volume are the biplane area length (AL), the biplane modified Simpson (SIMP), and the prolate ellipse (PE) methods. Each mathematical calculation assumes the LA to be a fixed shape, which may result either in over- or underestimation of true volume.