aortic root size indexed to bsa calculatoraortic root size indexed to bsa calculator

The study was approved by theinstitutions Ethics Board, and informed consent was obtained from the participants. According to these criteria, 76 subjects were excluded: 2 for coronary artery disease, 10 for systemic arterial hypertension, 4 for diabetes mellitus, 8 for body mass index >30kg/m 2 , 7 for more than mild valvular insufficiency (3 mitral, 2 aortic, and 2 tricuspid), 2 for aortic stenosis, 4 for bicuspid aortic valve, 1 for hypertrophic cardiomyopathy, 1 for AR dilation, 1 for dilated cardiomyopathy, 8 for the use of pharmacologic treatment (hyperlipidemia, breast cancer, thyroid, gout, and prostate disease), 20 elite athletes, and 8 for inadequate echocardiographic image quality. Charity number:1093808, Our office is open The standard size of the aortic root is between 29 and 45 millimeters. Comparability of different Z-score equations for aortic root dimensions The new guideline will not affect the March 2020 written exam. Indexed aorta diameter was defined as aortic diameter divided by BSA. Conclusions: doi: 10.1161/CIRCIMAGING.116.005121. three aortic sinuses of Valsalva: intraluminal . Don't worry, my wisdom won't change. 1. Aortic Root Z-Score Calculator | ParameterZ.com Aortic Root Z-Score Calculator Data Input Form Z-scores of the aortic root (aortic annulus, sinuses of Valsalva, sinotubular junction, and ascending aorta) are commonly reported for conditions such as Marfan syndrome, bicuspid aortic valve, and Kawasaki disease. ID when contacting us. Step 2: Click the Calculate Button . PMC Step 1: Enter the Height, Weight, and Age of the Patient. The standard size of the aortic root is between 29 and 45 millimeters. Gender differences in aortic root dimensions. cited by this calculator preceded the publication of the 2010 ASE Guidelines. Minners J, Gohlke-Baerwolf C, Kaufmann BA, Bahlmann E, Gerdts E, Boman K, Chambers JB, Nienaber CA, Willenheimer R, Wachtell K, Holme I, Pedersen TR, Neumann FJ, Jander N. Heart. consolidates the reporting of z-scores and reference ranges for the aortic root, based on numerous available publications. However, little is known about the underlying disease mechanisms. Careers. National Library of Medicine The site is secure. Height Alone, Rather Than Body Surface Area, Suffices for Risk Estimation in Ascending Aortic Aneurysm. This group previously published data that used aortic diameter indexed to BSA as a more patient-specific predictor of risk. THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY RECOMMENDATIONS FOR CARDIAC CHAMBER QUANTIFICATION IN ADULTS: A QUICK REFERENCE GUIDE FROM THE ASE WORKFLOW AND LAB MANAGEMENT TASK FORCE Accurate and reproducible assessment of cardiac chamber size and function is essential for clinical care. Changes in the reference intervals for LV ejection fraction: A new borderline low LV ejection fraction group of 50-54%, Patients with an LV ejection fraction of 36-49% are defined as impaired LV ejection fraction. Background: To account for differences in body size in patients with aortic stenosis, aortic valve area (AVA) is divided by body surface area (BSA) to calculate indexed AVA (AVAindex). Currently, different echocardiographic nomograms are used to calculate aortic root Z-scores. Diagnosis and Surveillance of Aortic Root Dilation | IntechOpen MeSH and transmitted securely. Mean Platelet Volume to Platelet Count Ratio Predicts Left Atrial An online calculator for the borderline left ventricle: consolidated reporting of the Rhodes score, Discriminant score, and the CHSS scores. 2012 Oct 15;110(8):1189- 94. Aortic Size Index Calculator - CALCLUT In international guidelines, risk estimation for thoracic ascending aortic aneurysm (TAAA) is based on aortic diameter. Cut-off values for severe stenosis are <1.0 cm 2 for AVA and <0.6 cm 2 /m 2 for AVA index. eCollection 2022 Feb. Korean Circ J. E s xl/_rels/workbook.xml.rels ( j0}}?{Rv !FV?}k%o3!|9C?|M kkKE`-jS ~z4lz@vooHOPFbP0}9* v`hJWNgI'?9mVlG_;tx&3j ?\ZH Epub 2014 Apr 29. The BSA and Maximum SOV Diameter (Aortic Root Diameter) is Calculated. 1. in aortic root dimensions are small and fall within the established limits for the general population. The entire aorta divides into two parts: the thoracic aorta and the abdominal aorta. Web what is the normal size of the ascending aorta? So I just had a "New Year, New Me" moment and my resolution is to become a new and improved version of myself in a couple of weeks. PB00if;'\kap P a!9al'tiBW PK ! No significant gender differences were registered for sinuses of Valsalva, sinotubular junction to annulus diameter ratios, whereas ascending aorta to annulus diameter ratio was higher in women ( Table3 ). Determinants of Echocardiographic Aortic Root Size | Circulation The Bland-Altman analysis gave a 95% confidence interval of5.1 1.1% for the aortic annulus, 4.1 1.2% for the sinuses of Valsalva, 4.3 1.1% for the sinotubular junction, and 5.1 1.5% for the maximum diameter of the proximal ascending aorta. BMI or BSA formulas can be used for body size, BSA was chosen as the adjusting body size variable for all subsequent analyses. Introduction. In 1,207 apparently normal subjects 15 years old (54% women), aortic root diameter was 2.1 to 4.3 cm. Maximal aortic diameters were measured at seven aortic regions: sinuses of Valsalva, sinotubular junction, ascending aorta, mid-descending aorta, abdominal aorta at the diaphragm, abdominal aorta at the coeliac trunk, and infrarenal abdominal aorta. Observational study of regional aortic size referenced to body size The Society no longer advocates division into mild or moderate LV impairment, Measured using the Biplane Simpsons method and indexed to BSA, A new borderline LA volume range of 34-38ml/m. Ligurian Group of SIEC (Italian Society of Echocardiography)]. Indexing aortic valve area by body surface area increases the - PubMed However, weight might not contribute substantially to aortic size and growth. Because the correlation coefficients between aortic diameters, height, and weight raised to the specific allometric exponent were similar to those of aortic diameters versus baseline height and weight, no exponential values were included in the multivariate models. To determine whether we were allowed to calculate common scaling exponents for the whole group of men and women, gender was included as a dummy variable in the analysis. Height vs. BSA for Normalization of Ascending Aorta Diameter Aortic root dilation (AoD) is frequently an incidentally discovered, asymptomatic finding in that is seen on various imaging modalities [].The anatomy of the aortic root includes the annulus, sinuses of Valsalva, sinotubular junction and ascending aorta [], with the size being a function of a patient's biologic variables such as height, age, BSA, and gender [1, 2]. There was a straight correlation between aortic diameters (absolute and indexed values), their ratios, and age in both genders (p= 0.0001). PDF Aortic Size Assessment by Noncontrast Cardiac Computed Tomography 2023 American College of Cardiology Foundation. Reproducibility of aortic measurements was determined in 50 subjects randomly selected. Sinus of Valsalva aneurysms can be either congenital or acquired. Specific views included the parasternal long- and short-axis views; apical 4-, 2-, and 3-chamber views; and subcostal views including respiratory motion of the inferior vena cava. aortic root size indexed to bsa calculator The aortic annulus is a crown-shaped structure that serves as the insertion point for the aortic cusps. Find out what the changes mean for you. 1 It is caused by complete or partial loss of a second sex chromosome, with or without cell line mosaicism. Overall, the predictive accuracy for aortic valve events was virtually identical for AVA and AVAindex in the SEAS population (mean follow-up of 46 months; area under the receiver operating characteristic curve: 0.67 (95% CI 0.64 to 0.70) vs. 0.68 (CI 0.65 to 0.71) (NS). The intraobserver variability analysis revealed Pearson correlations as follows: r= 0.90 (p <0.0001) for the aortic annulus, r= 0.97 (p <0.0001) for the sinuses of Valsalva, r= 0.96 (p <0.0001) for the sinotubular junction, and r= 0.86 (p <0.0001) for the maximum diameter of the proximal ascending aorta. Determining the Normal Aorta Size in Children | Radiology Please quote your membership Raw data was not published; the normality of the sizes within the raw data therefore could not be verified. Risk stratification was performed using regression models. Indexing of aortic root diameters to BSA had a reverse effect and revealed significantly larger aortic root diameters for women (Table 2 ). Measurements, Indexed Separately By Bsa And By Height, Included The Aortic Annulus . 2008;1 (2):200-209. However, especially among obese individuals, weight probably does not play as important a role as does height in indexing various measures to body size. Exponents b and c (respectively for weight and height) were found to be significantly different than unity for all 4 AR diameters and gender exponent ( Table5 ). Conclusions 2021 Mar;34(3):286-300. doi: 10.1016/j.echo.2020.11.004. Maximum aortic diameter in the area of the. All measurements were obtained in a zoomed parasternal long-axis view. Background: . On TTE, they had smaller LV dimensions and mass but similar E/A ratio ( Table1 ). Don't worry, my wisdom won't change. What Is Normal Aortic Root Size - ROOTSG V xl/workbook.xmlTn0?+Z,y,( q/4EYD$R%FPe.o,SK` *S.v Y/!FB From: 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM, A formula to estimate the approximate surface area if height and weight be known, = 0.0235 x height (cm) 0.42246 x weight (kg) 0.51456, =square root (( height (cm) x weight (kg))/ 3600). The aorta begins at the aortic valve, where it branches off from the left ventricle of the heart. Aortic root replacement surgery fixes an aneurysm in the part of your aorta that attaches to your heart. Bookshelf All of the references 18 In patients who have no other conditions, the guidelines recommend surgery when the aortic root, ascending aorta, or aortic arch reaches 5.5 cm and when the descending aorta reaches 6.0 cm ( 5.5 cm with endovascular stenting). All aortic root dimensions were larger in men compared with women. Bethesda, MD 20894, Web Policies 10 considered three age strata: younger than 20 years, 20-40 years, and older than 40 years by published equations. Am J Cardiol. You're still going to find the same useful information here. Background: The key differences in the updated guidance are: Pre-orders are now open for this poster which will also feature our soon to be published diastolic function guideline. FOIA and transmitted securely. Using data from the World Alliance Societies of Echocardiography study, the authors sought to establish normal ranges of aortic dimensions across sexes, races, and a wide range of ages. J Am Coll Cardiol Img. Three models were developed in multiple regression analysis to explain aortic dimensions. limits in relation to age, body size and gender of two-dimensional echocardiographic aortic root dimensions in persons 15 years of age. We previously introduced the aortic size index (ASI), defined as aortic size/body surface area (BSA), as a predictor of aortic dissection, rupture, and death. From June 2007 to December 2013, a total of 1,043 Caucasian healthy volunteers (mean age 44.7 15.9years, range 16 to 92 years, 503 men [48%]) underwent comprehensive TTE. Aortic Root Diameter - E-Echocardiography BP= blood pressure; BSA= body surface area; LV= left ventricle. An enlarged aortic root is similar to that of an aneurysm. J Am Soc Echocardiogr. Join us in the fight for victory over genetic aortic and vascular conditions. An official website of the United States government. 10, 11 Therefore, BSA may be used to predict aortic root diameter in several age intervals. Echocardiographic assessment of aortic stenosis: a practical guideline from the British Society of Echocardiography. How Aortic Size Index Calculator - CALCULATOR VCD calculator - aorticcalculator The aortic size of a person is measured by the size of his or her aorta; a statistical analysis shows that 99.97% of people have an aortic (n = 3,572), with only 8% having a aortic greater than 4.5 cm ( Table 3 depicts . Sex Age [years] 60 Height [cm] 175 Weight [kg] 80 ascending aorta diameter, mean [mm] ascending aorta diameter, +2SD [mm] (threshold diameter) ascending aorta length, mean [mm] Both non-indexed and indexed aortic root diameters increased significantly with increasing age in males and females (Supplement Table 5). Cells | Free Full-Text | Insights into the Role of a Cardiomyopathy Using aortic size index, patients were stratified into three risk groups: less than 2.75 cm/m 2 are at low risk (approximately 4% per year), 2.75 to 4.24 cm/m 2 are at moderate risk (approximately 8% per year), and those above 4.25 cm/m 2 are at high risk (approximately 20% per year). All rights reserved. Copyright 2000-2023 JLS Interactive, LLC. Results: The https:// ensures that you are connecting to the Echocardiographic Imaging Challenges in Obesity: Guideline Recommendations and Limitations of Adjusting to Body Size. to get Maximum SOV Diameter. The absolute aortic diameters were significantly greater in men than in women at all levels, whereas body surface areaindexed aortic diameters were greater in women (p= 0.0001). Annulo-aortic ectasia is a combination of: 1) ascending aortic aneurysm 2) dilatation of the sinuses of Valsalva and 3) dilatation of the aortic annulus. The interobserver and intraobserver variabilities were examined using both Pearson bivariate 2-tailed correlations and Bland-Altman analysis. Please enable it to take advantage of the complete set of features! . p Values indicate the difference between gender. Current echocardiographic guidelines for identification of aortic root dilatation are limited because current normative values were derived predominantly from white individuals in narrow age ranges, and based partially on M-mode measurements. Aorta size is related most strongly to body surface area (BSA) and age. There were no differences between athletes and controls when the aortic diameter was indexed for BSA (15.52.0 mm/m 2 (range 8.5-26.0 mm/m 2) . The flap should have a movement that is not parallel with any other cardio-thoracic structure. Aortic Root Index AVA (Continuity Equation VMax) AVA (Continuity Equation VTI) . 2. Among cardiovascular imaging techniques, 2-dimensional transthoracic color Doppler echocardiography (TTE) is widely available, safe, and cost-effective, and thus, it represents an excellent first-line screening tool toevaluate the aortic root (AR) morphology and dimensions. Indexing AVA by BSA (AVAindex) significantly increases the prevalence of patients with criteria for severe stenosis by including patients with a milder degree of the disease without improving the predictive accuracy for aortic valve related events. Published by Elsevier Inc. All rights reserved. X X-Axis value Y Y-Axis value Calculate Age Range (yr) Unspecified BSA Range (m^2) Unspecified BMI Range (kg/m^2) Unspecified Z-Score (Undefined) 1,2 This is based on a sharp rise in the risk of . However, weight might not contribute substantially to aortic size and growth. Therefore, 2-D measurements have now replaced the MMode. calculator - aorticcalculator calculator Aorticcalculator .predicting the normal values of ascending aorta morphology. Size-adjusted aortic valve area: refining the definition of severe aortic stenosis. 2014 Jul;100(13):1024-30. doi: 10.1136/heartjnl-2013-305225. The annulus, which lacks a planar structure, is compressed to the round-shaped prosthesis after conventional AVR. LA Volume = (8 /3 ) x (A 1 x A 2 . Data are presented as mean SD and median and twenty-fifth and seventy-fifth percentiles. 2022 Dec 19;17:e26. J Am Soc Echocardiogr. Select a calculator from the menu above. In addition, 23 of the initial subjects investigated refused to be included in the echocardiographic protocol. The hearts were formalin-fixed and the valve circumference data were transformed into valve diameters. ( 20 ), in which the diameter of each segment of the aorta and BSA Devereux RB, de Simone G, Arnett DK, Best LG, Boerwinkle E, Howard BV, Kitzman D, Lee ET, Mosley TH Jr, Weder A, Roman MJ. Aortic Root Z-Scores for Children - The Marfan Foundation Aortic Root Z-Scores for Children. Differences in Echocardiographic Measures of Aortic Dimensions by Race. J Am Soc Echocardiogr. LV diastolic measurements included E and A peak velocities (m/s) and their ratio as well as E-wave deceleration time (ms). Both ASI and AHI were shown to be significant predictors of complications (p < 0.05). Congenital Heart Disease and Pediatric Cardiology, Invasive Cardiovascular Angiography and Intervention, Pulmonary Hypertension and Venous Thromboembolism, ACC Anywhere: The Cardiology Video Library, CardioSource Plus for Institutions and Practices, Annual Scientific Session and Related Events, ACC Quality Improvement for Institutions Program, National Cardiovascular Data Registry (NCDR). Standardized TTE and Doppler examinations were performed with market available equipment in all the subjects(Aloka 10; Aloka, Tokyo, Japan and Vivid 7; GE Healthcare, Milwaukee, Wisconsin). Results: #^ NpnL9+>IUKsuIu)7[.p`,%K&LXA9 ++-/964^Td[@? (PDF) Sex-specific Morphometric Analysis of Ascending Aorta and Aortic In spite of that fact, most of the references use the same technique: The reference data from Paris is performed using measurement techniques performed according to their interpretation of the then-current 2005 Guidelines: Thus, the available references cited herein are not entirely comparable based on their dissimilar methodolgies. International guidelines use uncorrected aortic diameter to estimate the risks of aortic dissection, rupture, or death among patients with TAAA. Am J Cardiol. official website and that any information you provide is encrypted The aorta is the main trunk of the arterial system, carrying oxygenated blood from the heart to the body. Accessibility PDF Aortic size index enlargement is associated with central hemodynamics tial proportion of the variability of aortic root size that is not accounted for by age, gender, body size and blood pressure (1). Doppler-derived LV diastolic inflow was recorded in the apical 4-chamber view by placing the sample volume atthe tip level of the mitral valve leaflets. oculus quest 2 floor level too high Click To Call Now (270) 478-5489; battle of the bulge ww2 quizlet . Body Mass Index (BMI) Body Surface Area (BSA) Author: Chi-Ming Chow MD MSc FRCPC Developer: Edward Brawer BSc (Hons) Illustrator: Ellen Ho BFA. Cut-off values for severe stenosis are <1.0 cm2 for AVA and <0.6 cm2/m2 for AVAindex. Example of 2D echocardiographic measurements, Example of 2D echocardiographic measurements of aortic dimensions at the level of the, Nomograms of aortic dimensions at the SoV level according to different calculated BSA,, Nomograms of aortic dimensions at the SoV level according to different heights for, MeSH Normal Values of Right Atrial Size and Function According to Age, Sex, and Ethnicity: Results of the World Alliance Societies of Echocardiography Study. The aortic root is the largest artery in the body, with a diameter of approximately 4 cm, followed by the ascending aorta, . The Aorta: The Main Trunk Of The Arterial System | Steve Gallik Colored area represents upper and lower limits of normal, with the equation for the former (ULN) shown below each plot. Calculation of percentiles utilizes the published averages and standard deviations for the binned age and BSA groups and assumes a normal distribution of size diameters within each interval. Epub 2020 Jan 9. doi: 10.1530/ERP-20-0035. Women were slightly older, lighter, and smaller than men. Methods: Gender differences are then accounted for by indexing the volume to body surface area (BSA) via the Mosteller equation. The major problem of the MMode is that perpendicular orientation to the left atrium may not be possible. The reported ranges of aortic root (AR) diameters are limited by small sample size, different measurement sites, and heterogeneous cohorts. Aortic valve area calculation by the Gorlin formula is an indirect method of determining AVA based on the flow through the valve during ventricular systole divided by the systolic pressure gradient across the valve times a constant (44.3). The studied population included 1,043 healthy subjects: 503 men and 540 women. Figure 1 An example of aortic diameter measurements at five levels. Hypertension has also been frequently reported to increase the diameters of large arteries . A total of 190 untreated and treated essential hypertensive patients (mean age, 5511 years) were considered for this analysis. Unauthorized use of these marks is strictly prohibited. Transthoracic echocardiographic reference values of the aortic root: results from the Hamburg City Health Study. Normal values of aortic dimensions assessed by multidetector computed The aim of this study was to explore the full spectrum of AR diameters by 2-dimensional transthoracic color Doppler echocardiography (TTE) in a large cohort of healthy adults. Ring L, Shah BN, Bhattacharyya S, Harkness A, Belham M, Oxborough D, Pearce K, Rana BS, Augustine DX, Robinson S, Tribouilloy C. Echo Res Pract. To investigate the influence of indexation on the prevalence of severe aortic stenosis and on the predictive accuracy regarding clinical outcome. 8910 Studies that evaluated the determinants of aortic root size, however, have not yielded uniform results. Aortic root diameter was strongly related to BSA and height (r = 0.48 for the 2 comparisons), age (r = 0.36), and male gender (+2.7 mm adjusted for BSA and age, p <0.001 for all comparisons). An official website of the United States government. Last, differences in aortic dimensions were also observed according to race: Asians had the smallest nonindexed aortic dimensions at all levels. Aorta and Pulmonary Artery Normal Diameter Size Range, Calculate The subjects underwent voluntary (or for work abilityassessment) full screening for cardiovascular disease including a questionnaire about medical history, use of medications, cardiovascular risk factors, and lifestyle habits (alcohol intake, smoking, and physical activity). Web at an aortic root size in the small normal range of 2.0 to 2.4 cm, the prevalence of aortic regurgitation was 0% to 15%. In conclusion, we provide the full range of AR diameters by TTE. 2022 Mar;35(3):275-277. doi: 10.1016/j.echo.2021.12.001. Copyright 2015 - 2016 Radiology Universe Institute, a public benefit corporation. Normal limits in relation to age, body size and gender of two-dimensional echocardiographic aortic root dimensions in persons 15 years of age. Adult heterozygous mice carrying the Actn2 p.Met228Thr variant were phenotyped by echocardiography. You may email this form to yourself to include in your patient file. The aorta gradually narrows as it moves down through the chest. The predictive value of AHI and aorta diameter indexed to BSA (aortic size index [ASI]) was compared. The Gorlin equation. Circulation2009;120 (suppl 2):s540. An aneurysm is a weak spot in a blood vessel wall. Stay tuned! Aortic Nomograms are described in the peer reviewed paper: Normal limits in relation to age, body size and gender of two-dimensional echocardiographic aortic root dimensions in persons 15 years of age. Thus, current guideline-recommended normal ranges may need to be adjusted to account for these differences. What is the Normal Size of the Aortic Root? FOIA Tribouilloy C, Bohbot Y, Marchaux S, Debry N, Delpierre Q, Peltier M, Diouf M, Slama M, Messika-Zeitoun D, Rusinaru D. Circ Cardiovasc Imaging. Specific measurements were made by the average of 5 cardiac cycles. Please enable it to take advantage of the complete set of features! London Determinants and normal values of ascending aortic diameter by age 2021 Apr 28;8(1):G19-G59. Accurate measurements of the aortic annulus and root are important for guiding therapeutic decisions regarding the need for aortic surgery. Eur Cardiol. Bookshelf Richard B Devereux, Richard Cooper, Alan Weder, Todd B Seto, Craig Hanis, Thomas H Mosley, Jr, D C Rao, Donna K Arnett. I just wanted to let you know that even though I'm looking quite old, I'm still a millenial. The Bland-Altman analysis gave a 95% confidence interval of 4.1 1.1% for the aortic annulus, 3.9 1.1% for the sinuses of Valsalva, 4.1 1.1% for the sinotubular junction, and 4.8 1.3% for the maximum diameter of the proximal ascending aorta. commonly reported for conditions such as Marfan syndrome, bicuspid aortic valve, and Kawasaki disease. Epub 2021 Jul 29. 3.4.3 Left atrial size | 123 Sonography Cuspidi C, Facchetti R, Bombelli M, Seravalle G, Grassi G, Mancia G. Clin Res Cardiol. Growth rate estimates, yearly . Before Normal Aortic Dimensions: From A-to-Z Score. Multiple Diameters Calculation - E-Echocardiography Home Page The rationale for all suggested changes to practice are discussed in the guideline document. Two-dimensional measurements of the AR were made at end-diastole in parasternal long-axis views at 4 levels: (1) annulus (defined echocardiographically as the hinge points of the aortic cusps), (2) sinuses of Valsalva, (3) sinotubular junction, and (4) proximal ascending aorta. Epub 2021 Dec 14. Left ventricular (LV) mass was calculated by the Penn convention and indexed for BSA. Methods: MDMath - Csecho.ca :! tZf|}68meG.Hio)0*6&x. What are the parts of the ascending aorta? Changes in the echocardiographic assessment of the right heart: Separate reference intervals for males and females, New upper reference limits for RV outflow tract dimensions, RV body, and the right atrium, Introduction of indexed values to allow for body habitus. It is recommended that the changes suggested within the guideline should be discussed with sonographers, cardiologists and general clinicians when integrating the new reference intervals into everyday practice to ensure a smooth transition in the care of patients. Look up reference values adjusted for age, gender, and body size for the aortic root (aortic valve and sinus of valsalva) using data published in the american journal of. 2019 Nov;32(11):1396-1406.e2. Discordant Grading of AorticStenosisSeverity: Echocardiographic Predictors of Survival Benefit AssociatedWith Aortic Valve Replacement.
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