Comparative angiographic right and left ventricular volumes

Comparative angiographic right and left ventricular volumes and right and left ventricular ejection fractions have been reported in the same normal infants and children. This relationship was assessed in adult patients to determine if these pediatric observations persist in later life. Seventeen adults, who had both right and left ventricular angiograms and who had no demonstrable organic heart disease, were studied. Right ventricular end-diastolic volume ranged from 54 to 98 (76 ± 14, mean ± SD) cc/m2 and left ventricular end-diastolic volume ranged from 48 to 90 (70 ± 12) cc/m2; p < 0.03. Right ventricular end-systolic volume ranged from 22 to 47 (33 ± 8.0) cc/m2 and left ventricular end-systolic volume ranged from 13 to 34 (22 ± 5.3) cc/m2; p < 0.00005. Calculated right ventricular stroke volume ranged from 31 to 60 (43 ± 8.3) cc/m2 and left ventricular stroke volume ranged from 29 to 70 (48 ± 11) cc/m2; p = NS. Calculated right ventricular ejection fraction ranged from 0.48 to 0.62 (0.57 ± 0.04) and the left ventricular ejection fraction ranged from 0.57 to 0.84 (0.68 ± 0.07; p < 0.00005. Both right ventricular end-systolic and end-diastolic volumes were greater than left ventricular end-systolic and end-diastolic volumes. This resulted in decreased right ventricular ejection fraction compared to left ventricular ejection fraction. The difference between the two ventricles may be due to compliance, muscle mass, and anatomic configuration with a net result of one chamber more completely emptying than the other. Thus it appears that the relationships between right and left ventricular volumes noted in infancy and childhood persist in adult life.