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Left Ventricular End-Diastolic Internal Area by Planimetry, Apical 2-Chamber View

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

An ultrasound measurement of the left ventricle’s internal area when it is fully relaxed, taken from the heart’s apical 2-chamber view.

Quick summary

["This echocardiography measurement helps assess the size and function of the heart’s main pumping chamber."]

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

Key facts at a glance

LOINC
18099-2
Short code
LV Plane.dia Area A2C
Synonyms
LV Plane.dia Area A2C
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-d-a-c
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 is this test?

This is a measurement obtained during an echocardiogram, or heart ultrasound. Planimetry is used to estimate the internal area of the left ventricle in the apical 2-chamber view while the ventricle is fully relaxed, which is the end-diastolic phase of the heartbeat.

Why might I need this test?

Your clinician may order this measurement to evaluate heart structure, chamber size, and pumping function. It can support the assessment of conditions such as heart failure, high blood pressure in the heart, or heart valve disease.

How is the test performed?

A technician or sonographer places an ultrasound probe on your chest or abdomen and records moving images of your heart. The clinician or trained reader then traces the border of the relaxed left ventricle in the apical 2-chamber view to estimate its internal area.

How do I prepare for the test?

A routine echocardiogram generally requires no fasting or special preparation. Wear comfortable clothing and follow any instructions provided for the specific echo test, especially if it includes walking on a treadmill or another stress component.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A larger-than-expected left ventricular area may indicate chamber enlargement or strain, while a smaller area may reflect reduced chamber filling. The result is interpreted with other echo measurements, your symptoms, medical history, and body size; this value alone does not diagnose a specific condition.

Short name

LV end-diastolic area (A2C)

Frequently asked questions

What does the apical 2-chamber view show?
It is a heart ultrasound view that shows the left side of the heart from a position near the apex. It allows the left ventricle to be measured while it is relaxed.
Is this the same as the ejection fraction?
No. Ejection fraction estimates how much blood the left ventricle pumps out with each beat, while this test estimates the ventricle’s internal area when relaxed. Both may be reported as part of the same echocardiogram.
Does an abnormal result mean I have heart failure?
Not by itself. An abnormal area may contribute to a diagnosis, but your clinician will interpret it alongside the rest of the echocardiogram and your clinical information.
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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