ObjectiveIn children with coronary disease, clinical decision should be based on detailed measurements of the coronary arteries by two-dimensional echocardiography. We aimed to establish coronary artery reference indexed diameter and z scores regression equations in a large cohort of Chinese Han children. MethodsWe measured the diameter of the proximal right (RCA), left main (LMCA), left anterior descending, and left circumflex coronary artery, and of the aortic annulus, and calculated the coronary-aorta index (coronary artery-to-aortic annulus ratio) in 506 Chinese Han children with normal hearts whose ages ranged from 1 day to 18 years. Regression analyses were performed, relating the coronary artery dimensions to body surface area (BSA). Several models were used, and the best model (yielding the maximum adjusted R-2) was chosen to establish a z score calculator. ResultsBased on cubic regression, (M)=0+1 x BSA+2 x BSA(2)+3 x BSA(3), the adjusted R-2 values were 0.515, 0.553, 0.505, and 0.518 for the RCA, LMCA, left anterior descending, and left circumflex coronary artery models, respectively. RCA/aortic annulus was 0.140.02 (range, 0.07-0.24) and LMCA/AOA was 0.15 +/- 0.03 (range, 0.10-0.28). ConclusionsOur results provide reference values of coronary artery z scores, regression equation, and coronary-aorta index as a quick guide to determine coronary dilation in Chinese Han children. (c) 2014 Wiley Periodicals, Inc. J Clin Ultrasound43:39-46, 2015
[1]Shanghai Jiao Tong Univ, Sch Med, Dept Pediat Cardiol, Shanghai Childrens Med Ctr, Shanghai 200127, Peoples R China.
[2]Fudan Univ, Dept Pediat Cardiol, Childrens Hosp, Shanghai 201102, Peoples R China.
[3]Tianjin Childrens Hosp, Dept Pediat Cardiol, Tianjin 300204, Peoples R China.
[4]Shanghai Jiao Tong Univ, Sch Med, Dept Cardiothorac Surg, Shanghai Childrens Med Ctr, Shanghai 200127, Peoples R China.
(8.0+极速模式)