#ASEchoJC #Tweetorial on #WASE
World
Alliance
Societies of Echocardiography
Normal Values Study

#Echofirst most widely used imaging modality BUT

WHAT IS NORMAL for https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz"> size & function?

https://bit.ly/32pKxAC ">https://bit.ly/32pKxAC&q... @JournalASEcho

2/ Prior https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">measurement studies:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">used VARIOUS methods- M mode, M mode & simpsons, 2D
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">No standard analysis or core lab
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">Only single race or country/region
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">?? State of the art machines or techniques

https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">Need for a prospective international observational study #WASE was born

3/ #DiversityandInclusion
@ASE360 @escardio #EACVI recommended normal values used all over the https://abs.twimg.com/emoji/v2/... draggable="false" alt="🌎" title="Amerika auf dem Globus" aria-label="Emoji: Amerika auf dem Globus"> but only represent normal Caucasian people from USA & Europe

https://bit.ly/3irijv5 ">https://bit.ly/3irijv5&q... #ASEchoJC

4/ #PopulationHealth studied
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">>2000 people from 15 countries
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">similar age distribution in all countries
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">dif races/ethnicities https://abs.twimg.com/emoji/v2/... draggable="false" alt="🌎" title="Amerika auf dem Globus" aria-label="Emoji: Amerika auf dem Globus">
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz">Excluded: pregnancy
Competitive athletes, diseases: No DM or HTN or Kidney,lung,or known https://abs.twimg.com/emoji/v2/... draggable="false" alt="❤️" title="Rotes Herz" aria-label="Emoji: Rotes Herz"> Dz #ASEchoJC #WASE @dr_benoy_n_shah

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

7/ Findings:
Heart size by LVEDVi is same for blacks and whites but smaller for Asians (in fact largest difference b/w https://abs.twimg.com/emoji/v2/... draggable="false" alt="♥️" title="Herz" aria-label="Emoji: Herz"> is Indian and Australia in both sexes) #ASEchoJC

8/Findings: #WASE Upper Limit of normal LV size by Volumes Larger than current guidelines #ASEchoJC

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

10/“normal” Indexed LV dimensions(size) & Mass are higher in #WASE & guidelines should adjust downwards
#ASEchoJC
Join us Tuesday 9/15 night 8 pm for the discussion