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Ivsthicknesssys2dus

Published: August 9, 2026Updated: August 16, 2026

A cardiac ultrasound test that measures the thickness of the wall between the heart's two ventricles during heart contraction.

Quick summary

{"Measures the thickness of the heart wall (septum) between the left and right ventricles during contraction","Helps diagnose conditions like hypertrophic cardiomyopathy and assess heart wall abnormalities","Non-invasive ultrasound test with no radiation exposure","Normal thickness typically ranges from 6-11 mm","Abnormal results may indicate heart disease or damage"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
29432-2
Short code
IVS Sys
Synonyms
IVS Thickness sys 2D US
Category
cardiac
Sample
serum
Container
N/A - Imaging study, not a blood test
Units
N/A
Ref low
0.6
Ref high
1.1
Critical range
— – 2 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
2D Echocardiography / Transthoracic Ultrasound
CPT
93307
SNOMED
39972009
Specimen volume
N/A - Non-invasive ultrasound imaging
Stability
N/A - Imaging study
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
1–24 hours
Order
routine

What is this test?

The Interventricular Septum Thickness During Systole test is a cardiac ultrasound (echocardiogram) measurement that captures the thickness of the wall (septum) between the heart's two lower chambers (ventricles) when the heart contracts (systole). This 2D ultrasound creates detailed images of the heart's structure, allowing doctors to assess the septal wall's size and function.

During each heartbeat, the ventricles squeeze to pump blood out to the body. This test specifically measures how thick the septal wall becomes at the point of maximum contraction. The sonographer will apply gel to your chest and use a transducer to send sound waves through your heart, creating moving images on a monitor.

Reference range

Normal interventricular septum thickness during systole ranges from 0.6 to 1.1 cm. Values may vary based on age, sex, and body surface area. Left ventricular hypertrophy is typically diagnosed when septal thickness exceeds 1.2 cm in adults.N/A

Specimen: serum

No specific preparation required. Patient should avoid caffeine and smoking for 4-6 hours prior to the study as these can affect heart rate. Wear comfortable, loose-fitting clothing that allows easy access to the chest area. Continue taking prescribed medications unless instructed otherwise by the referring physician.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is the test painful?
No, the test is painless. You may feel slight pressure from the transducer on your chest, but it is not uncomfortable. The gel may feel cool initially but warms quickly.
How long does the test take?
The actual ultrasound procedure typically takes 30-60 minutes. You may need to allow additional time for preparation and rest before and after the test.
Do I need to fast before the test?
Usually, no fasting is required for a standard transthoracic echocardiogram. However, follow any specific instructions provided by your healthcare provider.
What do abnormal results mean?
Abnormally thick septal walls (greater than 12-15 mm) may indicate hypertrophic cardiomyopathy, long-standing high blood pressure, or other forms of heart disease. Your cardiologist will interpret your results in context with other findings and discuss any necessary follow-up or treatment.
Are there any risks?
This is a very safe, non-invasive test with no known risks. Unlike CT scans or X-rays, it does not use radiation. The ultrasound uses sound waves, which are harmless.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy