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Left Ventricle Mass Index: Septal to Septal Time to Maximum Systolic Velocity Ratio (LVMI septal septal TTVmax ratio)

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

This test measures a ratio of blood flow velocities in the left ventricle of your heart, using ultrasound imaging to assess heart structure and function. It helps evaluate ventricular wall thickness and potential strain or hypertrophy.

Quick summary

["This test may help identify heart conditions affecting ventricular function or structural changes over time."]

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

Key facts at a glance

LOINC
80047-4
Short code
LV.mid sept Time to S Vmax TDI
Synonyms
LV.mid sept Time to S Vmax TDI
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-tissue-doppler
CPT
85610
SNOMED
396252006
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

The test uses Doppler echocardiography to measure the time it takes for blood to reach the apex of the left ventricle from the septal wall during systole. The ratio compares septal-to-septal timing of peak systolic velocity, which can reflect myocardial mechanics and potential abnormalities in ventricular function. This is often part of a broader echocardiogram assessment.

Why It’s Performed

Doctors may order this test to evaluate heart muscle health, detect signs of hypertension-related heart changes, or assess for conditions like hypertrophic cardiomyopathy. It can also help monitor progression or response to treatment in patients with known heart conditions.

Sample Preparation

No special preparation is needed for this test. You’ll typically have an ultrasound technician apply gel to your chest and place a probe to capture images of your heart. The procedure is painless and takes about 15–30 minutes.

Common Uses

This test is often used alongside other echocardiogram measurements to diagnose or monitor conditions like aortic stenosis, diastolic dysfunction, or structural heart disease. It may also be part of a comprehensive cardiac evaluation for symptoms such as shortness of breath, chest pain, or fatigue.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

LVMI septal septal TTVmax ratio (Echocardiogram-derived)

Frequently asked questions

How long will I need to wait for my results?
Results from this test are usually available within 24–48 hours, depending on your healthcare provider’s lab or imaging center. Your doctor will discuss the findings with you during a follow-up visit, which may include additional tests or explanations.
What does an abnormal result mean?
An abnormal result may indicate altered ventricular mechanics or structural changes in the heart. Your doctor will interpret the findings in the context of your overall health, symptoms, and other test results to determine if further evaluation or treatment is needed.
Can I eat or drink before this test?
No dietary restrictions apply for this test. You may eat and drink normally, but you should avoid caffeine or nicotine before the procedure to minimize interference with the ultrasound images.
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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