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Echocardiography in adults Cover

Figures & Tables

Fig. 1.

A three-dimensional view of mitral and tricuspid valves. Leaflet morphology is visualized. The three-dimensional view allows for the assessment of the tricuspid valve in a transverse plane. TV – tricuspid valve, MV – mitral valve
A three-dimensional view of mitral and tricuspid valves. Leaflet morphology is visualized. The three-dimensional view allows for the assessment of the tricuspid valve in a transverse plane. TV – tricuspid valve, MV – mitral valve

Fig. 2.

A cross-section of the aortic valve in 2D imaging, short-axis (vascular) parasternal projection. Three closed cusps are displayed
A cross-section of the aortic valve in 2D imaging, short-axis (vascular) parasternal projection. Three closed cusps are displayed

Fig. 3.

Aortic stenosis. Flow spectrum in continuous wave Doppler. Peak velocity (Vmax), peak gradient (max PG) measurements, and aortic valve area (AVA) measurement using the equation of continuity are displayed
Aortic stenosis. Flow spectrum in continuous wave Doppler. Peak velocity (Vmax), peak gradient (max PG) measurements, and aortic valve area (AVA) measurement using the equation of continuity are displayed

Fig. 4.

Normal biphasic inflow into the left ventricle through the mitral valve in PWD in apical 4-chamber view
Normal biphasic inflow into the left ventricle through the mitral valve in PWD in apical 4-chamber view

Fig. 5.

A two-dimensional view of mitral regurgitation jet in color Doppler imaging in apical 4-chamber view. Altered color scale (Nyquist limit) and the PISA phenomenon along with the measurement of its radius (MS radius) and calculations of mitral effective regurgitant orifice area (MR ERO) and mitral regurgitant volume (MR volume)
A two-dimensional view of mitral regurgitation jet in color Doppler imaging in apical 4-chamber view. Altered color scale (Nyquist limit) and the PISA phenomenon along with the measurement of its radius (MS radius) and calculations of mitral effective regurgitant orifice area (MR ERO) and mitral regurgitant volume (MR volume)

The main echocardiographic criteria for the diagnosis of severe regurgitation

ARMRTR
The width of the vena contracta (mm)>6≥7≥7
ERO (mm2)≥30≥40≥40
RVol (ml)≥60≥60≥45
OtherPHT <200 msPISA radius – largePISA radius >9 mm

The main echocardiographic criteria for the diagnosis of severe valvular stenosis

Aortic stenosisMitral stenosisTricuspid stenosis
Orifice area (cm2)<1,0<1,0
Effective orifice area index (cm2/m2 body surface)<0,6
Mean gradient (mm Hg)>40>10≥5
Peak flow velocity (m/s)>4,0
Peak gradient (mm Hg)>64
DOI: https://doi.org/10.15557/jou.2019.0008 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
Language: English
Page range: 54 - 61
Submitted on: Aug 15, 2018
Accepted on: Feb 19, 2019
Published on: Apr 30, 2019
Published by: MEDICAL COMMUNICATIONS Sp. z o.o.
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2019 Edyta Płońska-Gościniak, Barbara Lichodziejewska, Andrzej Szyszka, Tomasz Kukulski, Jarosław D. Kasprzak, Olga Dzikowska-Diduch, Andrzej Gackowski, Piotr Gościniak, Piotr Pysz, Zbigniew Gąsior, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution 4.0 License.