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Lopez-Sainz, AAuthor

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October 17, 2022
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Are Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?

Publicated to: Journal Of Clinical Medicine. 10 (22): 5290- - 2021-11-01 10(22), DOI: 10.3390/jcm10225290

Authors:

Servato, ML; Teixido-Tura, G; Sabate-Rotes, A; Galian-Gay, L; Gutierrez, L; Valente, F; Fernandez-Galera, R; Casas, G; Lopez-Sainz, A; Gonzalez-Alujas, MT; Sao-Aviles, A; Ferreira, I; Rodriguez-Palomares, J; Evangelista, A
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Affiliations

Heart Inst, Teknon Med Ctr Quiron Salud, Barcelona 08022, Spain - Author
Univ Hosp Vall dHebron, Dept Cardiol, CIBERCV, Barcelona 08035, Spain - Author
Univ Hosp Vall dHebron, Dept Pediat Cardiol, CIBERCV, Barcelona 08035, Spain - Author
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Abstract

Ascending aorta diameters have important clinical value in the diagnosis, follow-up, and surgical indication of many aortic diseases. However, there is no uniformity among experts regarding ascending aorta diameter quantification by echocardiography. The aim of this study was to compare maximum aortic root and ascending aorta diameters determined by the diastolic leading edge (DLE) and the systolic inner edge (SIE) conventions in adult and pediatric patients with inherited cardiovascular diseases. Transthoracic echocardiograms were performed in 328 consecutive patients (260 adults and 68 children). Aorta diameters were measured twice at the root and ascending aorta by the DLE convention following the 2015 American Society of Echocardiography (ASE) adult guidelines and the SIE convention following the 2010 ASE pediatric guidelines. Comparison of the diameters measured by the two conventions in the overall population showed a non-significant underestimation of the diameter measured by the SIE convention at root level of 0.28 mm (CI -1.36; 1.93) and at tubular ascending aorta level of 0.17 mm (CI -1.69; 2.03). Intraobserver and interobserver variability were excellent. Maximum aorta diameter measured by the leading edge convention in end-diastole and the inner edge convention in mid-systole had similar values to a mild non-significant underestimation of the inner-to-inner method that permits them to be interchangeable when used in clinical practice.
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Keywords

aortaaortic dimensionsechocardiographyAdolescentAdultAgedAortaAortic diameterAortic dimensionsAortic rootArticleAscending aortaCardiovascular diseaseChildComputed-tomographyControlled studyDiastoleDimensionsEchocardiographyEdgeEuropean associationFemaleGenetic disorderGuideline's recommendationsGuideline’s recommendationsHumanIntermethod comparisonMajor clinical studyMalePediatric patientPopulationPractice guidelineQuantificationRecommendationsReference valuesSystoleThoracic aortaTransthoracic echocardiography

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal of Clinical Medicine due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2021, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine (Miscellaneous).

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-05:

  • WoS: 4
  • Scopus: 5
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-05:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 23.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 23 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
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