#ASEchoJC #Tweetorial on #WASE
World
Alliance
Societies of Echocardiography
Normal Values Study
#Echofirst most widely used imaging modality BUT
WHAT IS NORMAL for
size & function?
https://bit.ly/32pKxAC @JournalASEcho
World
Alliance
Societies of Echocardiography
Normal Values Study
#Echofirst most widely used imaging modality BUT
WHAT IS NORMAL for

https://bit.ly/32pKxAC @JournalASEcho
2/ Prior
measurement studies:
used VARIOUS methods- M mode, M mode & simpsons, 2D
No standard analysis or core lab
Only single race or country/region
?? State of the art machines or techniques
Need for a prospective international observational study #WASE was born






3/ #DiversityandInclusion
@ASE360 @escardio #EACVI recommended normal values used all over the
but only represent normal Caucasian people from USA & Europe
https://bit.ly/3irijv5 #ASEchoJC
@ASE360 @escardio #EACVI recommended normal values used all over the

https://bit.ly/3irijv5 #ASEchoJC
4/ #PopulationHealth studied
>2000 people from 15 countries
similar age distribution in all countries
dif races/ethnicities
Excluded: pregnancy
Competitive athletes, diseases: No DM or HTN or Kidney,lung,or known
Dz #ASEchoJC #WASE @dr_benoy_n_shah





Competitive athletes, diseases: No DM or HTN or Kidney,lung,or known

5/LV size & function measured LV linear dimensions, volumes, mass, EF,GLS @TOMTEC_IMAGING #echofirst #ASEchoJC
6/Findings:
LV dimensions & volumes are larger in males, while LVEF and GLS are higher in females. #ASEchoJC #Echofirst
LV dimensions & volumes are larger in males, while LVEF and GLS are higher in females. #ASEchoJC #Echofirst
7/ Findings:
Heart size by LVEDVi is same for blacks and whites but smaller for Asians (in fact largest difference b/w
is Indian and Australia in both sexes) #ASEchoJC
Heart size by LVEDVi is same for blacks and whites but smaller for Asians (in fact largest difference b/w

9/Findings: Lower limit of Normal WASE EF was HIGHER than guidelines #ASechoJC : need to adjust lower cutoff of “normal ” upward in guidelines