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45 Cards in this Set

  • Front
  • Back

Continuity equation for AV

.785 (LVOT)2 V1 VTI / V2 VTI

Aortic Stenosis ranges according to aortic valve area

Normal = 2.5 - 4.5 cm2


Mild AS = 1.5 - 2.4 cm2


Moderate AS = .75 - 1.4 cm2


Severe AS = less than .75 cm2

How to find AS using mean gradient

CW tracing of AV VTI

AS severity ranges by mean gradient

Mild AS = less than 20 mmHg


Moderate AS = 20 - 50 mmHg


Severe AS = more than 50 mmHg

How to find AS using peak/max gradient

Simplified Bernoulli equation


4(V)2

AS severity ranges by peak/max gradient

Mild AS = 16-36 mmHg


Moderate AS = 36-80 mmHg


Severe AS = more than 80 mmHg

AI jet height formula

Jet height / LVOT height X 100

AI severity using jet height formula

Mild AI = less than 30%


Moderate AI = 30-50%


Severe AI = more than 50%

AI deceleration rate formula

AI jet / decel time

AI severity according to deceleration rate formula

Mild AI = less than 2.0 m/sec2


Moderate AI = 2.0 - 3.5 m/sec2


Severe AI = more than 3.5 m/sec2

How to determine AI flow reversal

PW trace of flow reversal in SSN

Severity of AI based on flow reversal trace

Greater than 15 cm = moderate to severe AI

AI pressure half time formula

Decel time (0.29)

AI severity using pressure half time

Mild AI = more than 550 msec


Moderate AI = 300-550 msec


Severe AI = less than 300 msec

AI severity based on color flow jet length

Mild AI = just below valve


Moderate AI = at MV leaflet tips


Severe AI = at papillary muscle

LVEDP formula

DBP - 4(EDV)2

LVEDP ranges

Normal = 5-12 mmHg


CHF = more than 20 mmHg

How to find peak gradient for PS

Simplified Bernoulli equation


4(V)2

PS severity by peak gradient

Mild PS = less than 50 mmHg


Moderate PS = 50-75 mmHg


Severe PS = more than 75 mmHg

Pressure half time formula for MS

220 / pressure half time

Decel time formula for MS

759 / decel time

mitral valve area ranges


(P1/2time and decel time)

Normal = 4.0 - 6.0 cm2


Mild MS = 1.5 - 3.9 cm2


Moderate MS = 1.0 - 1.4 cm2


Severe MS = less than 1.0 cm2

How to find MS using mean gradient

CW trace of MV VTI

MS severity using mean gradient

Mild MS = less than 5 mmHg


Moderate MS = 5-12 mmHg


Severe MS = more than 12 mmHg

MR by color Doppler is measured how?

Jet width is measured at the Vena Contracta

MR by jet width measurements

Mild MR = 3 mm


Severe MR = 6.5 mm

MR PISA formula

1. VFR = 6.28 (r2) V1


2. EROA = VFR / Vmax


3. RV = EROA (MR VTI)

MR severity by PISA formula


ERO

Mild MR = less than 20 mm2


Mild-mod MR = 20-29 mm2


Mod-severe MR = 30-39 mm2


Severe MR = 40 mm2 or greater

MR severity by PISA formula


RVol

Mild MR = less than 30 mL


Mild-mod MR = 30-44 mL


Mod-severe MR = 44-59 mL


Severe MR = 60 mL or greater

TS pressure half time formula

170 / pressure half time

Tricuspid valve area ranges using pressure half time

Normal = more than 7 cm2


RV impairment = less than 1.5 cm2

TS mean gradient formula

Simplified Bernoulli


4(V)2

TS ranges by mean gradient

Pedal edema = more than 10 mmHg


Commissurotomy = more than 4 mmHg

TR severity by color jet length

Mild (1+) = just above TV leaflets


Mod (2+) = proximal 1/3 of RA


Mod/severe (3+) = 1/2 of RA


Severe (4+) = bottom of RA filled

RVSP formula for PHTN using TR velocity

4(TR velocity)2 + IVC = RVSP



Complete collapse +5 mmHg


Dilated/collapse +10 mmHg


Dilated/partial collapse +15 mmHg


Dilated/no collapse +20 mmHg

PHTN ranges using RVSP

Normal = 18-30 mmHg


Mild PHTN = 31-40 mmHg


Mod PHTN = 41-70 mmHg


Severe PHTN = more than 70 mmHg

RVSP formula for PHTN using end diastolic PI pressure

4(EDP)2 + IVC = RVSP


Complete collapse +5 mmHg


Dilated/collapse +10 mmHg


Dilated/partial collapse +15 mmHg


Dilated/no collapse +20 mmHg

Mean PA pressure using RVOT acceleration time formula

79 - (0.45 x ACT) = mean PA

PHTN ranges using RVOT acceleration time formula

Normal = more than 120 msec


Mild PHTN = 80-120 msec


Moderate PHTN = 60-80 msec


Severe PHTN = less than 60 msec

PHTN using mean PA pressure formula

4(peak PI)2

PHTN ranges using mean PA pressure

Normal = 25 mmHg


Mild PHTN = 25-34 mmHg


Mod. PHTN = 34-44 mmHg


Severe PHTN = more than 44 mmHg

CW Doppler assessment of PA pressure formula

4(V)2

PHTN ranges by CW Doppler assessment

Normal = less than 30 mmHg


Mild PHTN = 30-40 mmHg


Mod. PHTN = 40-70 mmHg


Severe PHTN = more than 70 mmHg

Dimensionless index formula for mechanical AV

LVOT VTI / AV VTI

Ranges for mechanical AV using dimensionless index

Normal = 0.35-0.5


Stenotic = less than .3