Doppler Echocardiographic Measurements in Normal Chinese Adults (EMINCA): a prospective, nationwide, and multicentre study

Eur Heart J Cardiovasc Imaging. 2016 May;17(5):512-22. doi: 10.1093/ehjci/jev330. Epub 2015 Dec 28.

Abstract

Aims: Currently, available Doppler echocardiographic reference values are derived mainly from North American and European population studies, which may not applicable to the Chinese population. We aimed to establish normal reference values of Doppler echocardiographic parameters in a nationwide, population-based cohort of healthy Han Chinese adults.

Methods and results: A total of 1394 qualified healthy subjects (mean age 47.3 ± 16.0 years, 678 men) were enrolled at 43 collaborating laboratories, 37 transvalvular flow and tissue Doppler parameters were obtained, and the impacts of gender and age on each parameter were analysed. Significant differences were found between men and women in 48.6% (18/37) of the parameters analysed, and among different age groups in 83.8% (31/37) of the parameters in men and in 86.5% (32/37) of the parameters in women.

Conclusions: Normal reference values of Doppler echocardiographic parameters were established for the first time in a nationwide, population-based cohort of healthy Han Chinese adults. Since most of these parameters differed by gender and/or age, reference values specified for gender and age should be recommended in clinical practice.

Keywords: Chinese adults; Doppler; Echocardiography; Normal reference values.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Body Mass Index
  • China
  • Echocardiography, Doppler / methods*
  • Female
  • Healthy Volunteers
  • Heart Atria / diagnostic imaging*
  • Heart Ventricles / diagnostic imaging*
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Reference Values
  • Reproducibility of Results
  • Risk Factors
  • Sex Distribution
  • Ventricular Function, Left / physiology