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J Am Soc Echocardiogr. 2015 Jan;28(1):1-39.e14. doi: 10.1016/j.echo.2014.10.003.

Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

Author information

  • 1University of Chicago Medical Center, Chicago, Illinois.
  • 2University of Padua, Padua, Italy.
  • 3Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
  • 4Johns Hopkins University, Baltimore, Maryland.
  • 5INSERM U955 and Hôpital Henri Mondor, Créteil, France.
  • 6Uppsala University, Uppsala, Sweden.
  • 7University of California, San Francisco, California.
  • 8Medstar Washington Hospital Center, Washington, District of Columbia.
  • 9University Hospital Leuven, Leuven, Belgium.
  • 10University of Liège Hospital, Liège, Belgium.
  • 11Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
  • 12Ghent University Hospital, Ghent, Belgium.
  • 13University of Toronto, Toronto, Ontario, Canada.


The rapid technological developments of the past decade and the changes in echocardiographic practice brought about by these developments have resulted in the need for updated recommendations to the previously published guidelines for cardiac chamber quantification, which was the goal of the joint writing group assembled by the American Society of Echocardiography and the European Association of Cardiovascular Imaging. This document provides updated normal values for all four cardiac chambers, including three-dimensional echocardiography and myocardial deformation, when possible, on the basis of considerably larger numbers of normal subjects, compiled from multiple databases. In addition, this document attempts to eliminate several minor discrepancies that existed between previously published guidelines.


Adult echocardiography; Normal values; Transthoracic echocardiography; Ventricular function

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