|
Valve / Wall |
Test |
Severity
Scale |
|
| Aortic
Valve |
Cusp
separation |
1.5-2.6
cm |
Left atrium |
1.9
- 4.0 cm |
| Aortic
Root |
2.0-3.7cm |
LVOT |
N/A |
| Mitral
Valve |
E
- F Slope |
70
-150 mm/s |
EPSS |
2
- 7 mm |
| D
- E excursion |
8
- 28 mm |
|
|
| LV
Exam |
RVIDd |
1.9
- 2.7 cm |
LVPW |
.6
- 1.1 cm |
| IVSD |
.6
- 1.1 cm |
IVSs |
.6
- 1.1 cm |
| LVIDd |
3.7
- 5.5 cm |
LVIDs |
2.0-3.6cm |
|
IVC
at subs <or = 2.0 cm = normal |
|
|
| |
MITRAL
Stenosis - Area by PHT Test PW Dop TRACE & SLOPE |
|
|
Normal |
30
- 60 msec |
Normal |
4
- 6 cm2 |
|
Borderline |
60
- 90 msec |
Grade
1 - Mild |
1.5
- 2.5 cm2 |
|
Grade
1 - Mild |
90
- 150 msec |
Grade
2 - Moderate |
1.0
- 1.5 cm2 |
|
Grade
2 - Moderate |
150
- 219 msec |
Grade
4 - Severe |
<
1.0 cm2 |
|
Grade
4 - Severe |
>
220 msec |
|
|
|
Grade 1 - Mild |
Stenosis
-PW |
"E"
Velocity > 1.3 m/s |
|
|
Grade
1 - Mild |
Regurgitation
-PW |
"E"
Velocity > 1.2 m/s |
|
|
PISA |
Effective
Regurgitzation Orfice Area (EROA) |
Regurgitant
Volume Cubic Centermeters (RVCC) |
|
|
Grade
1 Mild |
<
20 |
<
30 |
|
|
Grade
2 Moderate |
20
- 29 |
30
- 44 |
|
|
Grade
3 Moderate Severe |
30
- 39 |
45
- 59 |
|
|
Grade
4 Severe |
>
40 |
>
60 |
|
| |
Aortic
valve |
|
|
Normal |
Stenosis
- Area Calculation |
2
cm2 |
|
|
Mild |
V1
- PW TVI trace the (bottom) flow w/ sample in LVOT |
1.6
- 2.0 cm2 |
|
|
Mild
- Moderate |
V2
- CW - TVI trace (bottom) flow Aortic root |
1.3
- 1.6 cm2 |
|
|
Moderate |
|
1.0
- 1.3 cm2 |
|
|
Moderate
- Severe |
|
.7-
1.0 cm2 |
|
|
Severe |
|
<
.7 cm2 |
|
|
Aortic Valve Regurgitation
Test by PHT PW - through the aorta Root |
|
|
Grade
1 - Mild |
|
>
500 msec |
|
|
Grade
2 - Moderate |
350
- 500 msec |
|
|
Grade
3 -Moderate Severe |
200
- 350 msec |
|
|
Grade
4 - Severe |
<
200 msec |
|
|
"LVOT"
Velocity - Grade 1 - Mild |
Regurgitation
-PW |
>
1.5 m/s |
|
| |
Tricuspid
Valve |
|
|
"E"
Velocity - Grade 1 - Mild |
Stenosis
-PW |
<
1.0 m/s |
|
|
Tricuspid
Valve - Mean Pressure Gradient |
|
|
Grade
1 - mild |
Stenosis
Test CW - TVI - Trace |
<
2mmHg |
|
|
Grade
2 - Moderate |
2
- 6 mmHg |
|
|
Grade
4 - Severe |
>
6 mmHg |
|
|
Tricuspid Valve -
'Regurgitation -PW |
|
|
Grade
4 - Severe |
"E"
Velocity |
>
1.1 m/s |
|
| |
Pulmonary
Valve |
|
|
Mild |
Stenosis
Test Peak Pressure Gradient CW through Valve |
5
- 30 mmHg |
|
|
Moderate
30 - 64 mmHg |
30
- 64 mmHg |
|
|
Severe
> 64 mmHg |
>
64 mmHg |
|
|
Pulmonary Valve -
Regurgitation -PW |
|
|
Grade
1 - Mild |
RVOT Velocity |
>
1.5 m/s |
|
|
|
|
|
|
|
|
|
|
|
|
E:E
PW max e point pressure / (over) TDI e point pressure |
< 8 normal -- > 15 increased
filling |
|
|
