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LV Calculator

Use our free Lvcalculator Calculator to get personalized health results. Based on validated medical formulas and clinical guidelines.

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Medicine & Health

LV Calculator

Calculate left ventricular function parameters including ejection fraction, stroke volume, cardiac output, fractional shortening, and LV mass from echocardiographic measurements.

Last updated: January 2026Reviewed by NovaCalculator Medical Editorial Team

Calculator

Adjust values & calculate
50 mm
32 mm
10 mm
10 mm
72 bpm
Ejection Fraction
65.4%
Preserved (HFpEF range)
Stroke Volume
77.3 mL
Cardiac Output
5.56 L/min
Fract. Shortening
36.0%
EDV / ESV
118.2 / 41.0 mL
LV Geometry
Normal
LV Mass
186.0 g
Relative Wall Thickness
0.40
Clinical Disclaimer: This calculator provides estimates based on simplified geometric models. Clinical decisions should be based on comprehensive echocardiographic assessment by qualified cardiologists.
Your Result
EF: 65.4% (Preserved (HFpEF range)) | SV: 77.3 mL | CO: 5.56 L/min
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Understand the Math

Formula

EF = (EDV - ESV) / EDV x 100; Teichholz: V = 7D^3 / (2.4 + D)

Where EF = Ejection Fraction, EDV = End-Diastolic Volume, ESV = End-Systolic Volume. The Teichholz formula estimates ventricular volume from the internal diameter D (in cm). Fractional Shortening = (LVEDD - LVESD) / LVEDD x 100. LV Mass uses the Devereux ASE-corrected formula incorporating septal thickness, posterior wall thickness, and LV diameter.

Last reviewed: January 2026

Worked Examples

Example 1: Normal LV Function Assessment

A 45-year-old patient has echocardiographic measurements: LVEDD = 48 mm, LVESD = 30 mm, IVSd = 10 mm, PWd = 10 mm, HR = 70 bpm. Calculate LV function parameters.
Solution:
Teichholz EDV = 7 x (4.8)^3 / (2.4 + 4.8) = 7 x 110.59 / 7.2 = 107.5 mL Teichholz ESV = 7 x (3.0)^3 / (2.4 + 3.0) = 7 x 27 / 5.4 = 35.0 mL Stroke Volume = 107.5 - 35.0 = 72.5 mL Ejection Fraction = 72.5 / 107.5 x 100 = 67.4% Fractional Shortening = (48 - 30) / 48 x 100 = 37.5% Cardiac Output = 72.5 x 70 / 1000 = 5.08 L/min
Result: EF: 67.4% (Normal) | SV: 72.5 mL | CO: 5.08 L/min | FS: 37.5%

Example 2: Dilated Cardiomyopathy Assessment

A 62-year-old patient with heart failure: LVEDD = 68 mm, LVESD = 58 mm, IVSd = 8 mm, PWd = 8 mm, HR = 95 bpm.
Solution:
Teichholz EDV = 7 x (6.8)^3 / (2.4 + 6.8) = 7 x 314.43 / 9.2 = 239.2 mL Teichholz ESV = 7 x (5.8)^3 / (2.4 + 5.8) = 7 x 195.11 / 8.2 = 166.5 mL Stroke Volume = 239.2 - 166.5 = 72.7 mL Ejection Fraction = 72.7 / 239.2 x 100 = 30.4% Fractional Shortening = (68 - 58) / 68 x 100 = 14.7% RWT = (2 x 8) / 68 = 0.24
Result: EF: 30.4% (Reduced - HFrEF) | SV: 72.7 mL | FS: 14.7% | Eccentric Hypertrophy
Expert Insights

Background & Theory

The LV Calculator applies the following established principles and formulas. Health and medicine calculators are grounded in validated physiological measurement methods established through decades of clinical research. Body Mass Index, or BMI, is calculated by dividing weight in kilograms by height in meters squared (kg/m²), a formula originating from Adolphe Quetelet's 19th-century statistical work and later codified by the WHO into standard classifications: underweight below 18.5, normal weight 18.5 to 24.9, overweight 25 to 29.9, and obese at 30 and above. Basal Metabolic Rate quantifies the minimum energy required to sustain life at rest. The Mifflin-St Jeor equation, published in 1990 and widely regarded as the most accurate for most adults, calculates BMR as (10 × weight in kg) + (6.25 × height in cm) − (5 × age) ± sex adjustment. The older Harris-Benedict equations, revised in 1984 by Roza and Shizgal, remain in common use. Total Daily Energy Expenditure is derived by multiplying BMR by a physical activity factor ranging from 1.2 for sedentary individuals to 1.9 for extremely active ones, following the methodology validated by doubly labeled water studies. Body fat percentage can be estimated without laboratory equipment using the U.S. Navy circumference method, which uses neck, waist, and hip measurements, or via BMI-derived equations adjusted for age and sex. The Jackson-Pollock skinfold method offers higher precision with calipers. Blood pressure classification, according to the American College of Cardiology and the 2017 ACC/AHA guidelines, defines normal as below 120/80 mmHg, elevated as 120 to 129 systolic, and hypertension stage 1 as 130 to 139 systolic or 80 to 89 diastolic. Target heart rate zones for aerobic exercise are derived from maximum heart rate estimates, most commonly using the formula 220 minus age in years, with moderate-intensity training typically defined as 50 to 70 percent of maximum heart rate and vigorous intensity at 70 to 85 percent, consistent with CDC and American Heart Association guidelines. These thresholds guide safe and effective cardiovascular conditioning.

History

The history behind the LV Calculator traces back through the following developments. The history of health measurement stretches back to ancient Greece, where Hippocrates around 400 BCE laid the foundation for observational medicine by systematically recording patient symptoms, diet, and environment. His humoral theory, though scientifically superseded, established the principle that the body operates as an interconnected system subject to measurable imbalance. The transformation toward modern medicine accelerated in the 19th century. Louis Pasteur and Robert Koch developed germ theory in the 1860s and 1870s, identifying microorganisms as disease agents and enabling targeted interventions. Florence Nightingale, working during the Crimean War in the 1850s, introduced statistical analysis to nursing practice, demonstrating through data visualization that sanitation reduced mortality. Her work is foundational to evidence-based health measurement. The discovery of vitamins in the early 20th century, beginning with Casimir Funk's coinage of the term in 1912 and culminating in the isolation of vitamins A through K, created the field of nutritional science and gave rise to dietary reference intake frameworks. The World Health Organization, founded in 1948, subsequently established global standards for health metrics, disease classification through the International Classification of Diseases, and recommended daily allowances. The BMI as a clinical screening tool gained traction in the 1970s through Ancel Keys' large-scale epidemiological work, which validated Quetelet's index as a population-level obesity indicator. Through the 1980s and 1990s, the Framingham Heart Study produced landmark data linking cholesterol, blood pressure, and lifestyle factors to cardiovascular disease risk, directly shaping the numeric thresholds still used in health calculators. The evidence-based medicine movement, formalized by Gordon Guyatt and colleagues at McMaster University in the early 1990s, demanded that all health recommendations derive from systematically graded clinical evidence. The digital health era beginning in the 2000s brought these formulas to consumer devices, wearable sensors, and smartphone applications, expanding access to health self-monitoring on a global scale and enabling population-level data collection that continues to refine clinical reference ranges.

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Frequently Asked Questions

Left ventricular function refers to the ability of the left ventricle to fill with blood during diastole and eject blood into the systemic circulation during systole. It is the primary determinant of cardiac output and is essential for maintaining adequate tissue perfusion throughout the body. Assessment of LV function is central to the diagnosis and management of heart failure, valvular heart disease, cardiomyopathies, and ischemic heart disease. The ejection fraction is the most commonly used metric, representing the percentage of blood ejected from the ventricle with each heartbeat. Normal ejection fraction ranges from 55-70%, and values below 40% indicate significant systolic dysfunction that typically requires pharmacological intervention.
The Teichholz formula estimates left ventricular volumes from linear M-mode echocardiographic measurements by assuming the ventricle has an ellipsoidal shape. The formula calculates volume as V = 7D cubed divided by (2.4 + D), where D is the internal ventricular diameter in centimeters. End-diastolic volume (EDV) uses the LV end-diastolic diameter, while end-systolic volume (ESV) uses the end-systolic diameter. Stroke volume is then calculated as the difference between EDV and ESV. While this method is simple and rapid, it has limitations because it assumes uniform ventricular contraction and symmetric geometry. Modern echocardiographic practice often favors biplane Simpson method using two-dimensional measurements for more accurate volume estimation.
Fractional shortening (FS) is a one-dimensional measure of left ventricular systolic function calculated as the percentage change in LV internal diameter between diastole and systole. The formula is FS = (LVEDD - LVESD) / LVEDD multiplied by 100. Normal fractional shortening ranges from 25-45%. It provides a quick assessment of systolic function from M-mode echocardiography and is particularly useful when image quality limits two-dimensional volume measurements. There is a mathematical relationship between FS and ejection fraction, though it is not perfectly linear. Generally, an FS of 28-44% corresponds to a normal EF of 55-70%. Fractional shortening can be misleading in the presence of regional wall motion abnormalities or asymmetric septal motion.
Relative wall thickness (RWT) is calculated as twice the posterior wall thickness divided by the LV end-diastolic diameter, with a normal value being 0.42 or less. RWT is used in combination with LV mass to classify left ventricular geometry into four patterns: normal geometry (normal mass, normal RWT), concentric remodeling (normal mass, increased RWT), eccentric hypertrophy (increased mass, normal RWT), and concentric hypertrophy (increased mass, increased RWT). Each geometric pattern has different clinical implications and prognosis. Concentric hypertrophy, commonly seen in chronic hypertension and aortic stenosis, carries the worst cardiovascular prognosis among these patterns. Understanding LV geometry helps guide treatment decisions and risk stratification in patients with hypertension and other cardiovascular conditions.
LV mass is most commonly calculated using the Devereux formula (ASE-corrected), which incorporates the interventricular septal thickness, posterior wall thickness, and LV internal diameter measured at end-diastole. The formula estimates the volume of myocardial tissue and multiplies by the density of cardiac muscle (1.04 g per mL). LV mass is typically indexed to body surface area to account for body size differences. Left ventricular hypertrophy is defined as an LV mass index exceeding 115 g per square meter in men or 95 g per square meter in women. LVH is an independent risk factor for cardiovascular morbidity and mortality, associated with increased risk of heart failure, arrhythmias, and sudden cardiac death. It is commonly caused by hypertension, aortic valve disease, and hypertrophic cardiomyopathy.
Cardiac output is the total volume of blood pumped by the left ventricle per minute, calculated as stroke volume multiplied by heart rate. Normal resting cardiac output ranges from 4 to 8 liters per minute. Cardiac index adjusts cardiac output for body size by dividing by body surface area, with normal values ranging from 2.5 to 4.0 liters per minute per square meter. This normalization allows comparison between patients of different body sizes and is particularly important in critical care settings. Low cardiac index below 2.2 indicates clinically significant cardiac dysfunction and is a criterion for cardiogenic shock when accompanied by evidence of tissue hypoperfusion. Cardiac output can be measured noninvasively by echocardiography or invasively using thermodilution catheters in the intensive care unit.
Educational Note: This calculator is provided for educational and informational purposes. Results are based on the formulas and inputs provided. Always verify important calculations independently. NovaCalculator processes calculator inputs client-side; optional analytics follow visitor consent settings.Reviewed by: NovaCalculator Medical Editorial TeamReviewed against WHO, NIH, and peer-reviewed clinical sources. Last reviewed: January 2026. © 2024–2026 NovaCalculator.

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Formula

EF = (EDV - ESV) / EDV x 100; Teichholz: V = 7D^3 / (2.4 + D)

Where EF = Ejection Fraction, EDV = End-Diastolic Volume, ESV = End-Systolic Volume. The Teichholz formula estimates ventricular volume from the internal diameter D (in cm). Fractional Shortening = (LVEDD - LVESD) / LVEDD x 100. LV Mass uses the Devereux ASE-corrected formula incorporating septal thickness, posterior wall thickness, and LV diameter.

Worked Examples

Example 1: Normal LV Function Assessment

Problem: A 45-year-old patient has echocardiographic measurements: LVEDD = 48 mm, LVESD = 30 mm, IVSd = 10 mm, PWd = 10 mm, HR = 70 bpm. Calculate LV function parameters.

Solution: Teichholz EDV = 7 x (4.8)^3 / (2.4 + 4.8) = 7 x 110.59 / 7.2 = 107.5 mL\nTeichholz ESV = 7 x (3.0)^3 / (2.4 + 3.0) = 7 x 27 / 5.4 = 35.0 mL\nStroke Volume = 107.5 - 35.0 = 72.5 mL\nEjection Fraction = 72.5 / 107.5 x 100 = 67.4%\nFractional Shortening = (48 - 30) / 48 x 100 = 37.5%\nCardiac Output = 72.5 x 70 / 1000 = 5.08 L/min

Result: EF: 67.4% (Normal) | SV: 72.5 mL | CO: 5.08 L/min | FS: 37.5%

Example 2: Dilated Cardiomyopathy Assessment

Problem: A 62-year-old patient with heart failure: LVEDD = 68 mm, LVESD = 58 mm, IVSd = 8 mm, PWd = 8 mm, HR = 95 bpm.

Solution: Teichholz EDV = 7 x (6.8)^3 / (2.4 + 6.8) = 7 x 314.43 / 9.2 = 239.2 mL\nTeichholz ESV = 7 x (5.8)^3 / (2.4 + 5.8) = 7 x 195.11 / 8.2 = 166.5 mL\nStroke Volume = 239.2 - 166.5 = 72.7 mL\nEjection Fraction = 72.7 / 239.2 x 100 = 30.4%\nFractional Shortening = (68 - 58) / 68 x 100 = 14.7%\nRWT = (2 x 8) / 68 = 0.24

Result: EF: 30.4% (Reduced - HFrEF) | SV: 72.7 mL | FS: 14.7% | Eccentric Hypertrophy

Frequently Asked Questions

Does LV Calculator work offline?

Once the page is loaded, the calculation logic runs entirely in your browser. If you have already opened the page, most calculators will continue to work even if your internet connection is lost, since no server requests are needed for computation.

What inputs do I need to use LV Calculator accurately?

Each field is labelled with the required unit (metric or imperial). Gather your source values before starting — for example, a weight measurement in kilograms, a distance in metres, or a dollar amount — and enter them exactly as measured. The formula section on this page lists every variable and explains what each represents.

How do I verify LV Calculator's result independently?

The Formula section on this page shows the equation used. You can reproduce the calculation manually or in a spreadsheet using those steps. Compare your answer against the worked examples in the Examples section, which use known reference values so you can confirm the calculator is behaving as expected.

Can I use LV Calculator on a mobile device?

Yes. All calculators on NovaCalculator are fully responsive and work on smartphones, tablets, and desktops. The layout adapts automatically to your screen size.

How do I get the most accurate result?

Enter values as precisely as possible using the correct units for each field. Check that you have selected the right unit (e.g. kilograms vs pounds, meters vs feet) before calculating. Rounding inputs early can reduce output precision.

How accurate are the results from LV Calculator?

All calculations use established mathematical formulas and are performed with high-precision arithmetic. Results are accurate to the precision shown. For critical decisions in finance, medicine, or engineering, always verify results with a qualified professional.

References

Reviewed by Rahul Singh, Health & Wellness Specialist · Editorial policy