Makna echo

Makna Nilai Hasil Pengukuran Bilik Atrium dan Ventrikel Kanan dengan Ekokardiografi (Guidelines)8:47 a.m.EKOKARDIOGRAFINo comments

1.Right atrial pressure05mmHg51010-1515-20> 20

IVCsize (cm)Respiratory/sniff variation< 1.5collapse 1.52.5 > 50%1.52.5 < 50%> 2.5 < 50%> 2.5No change

OtherRA sizeHepatic vein sizenormalnormal

2.Right ventricular size & functionNormalMildModerateSevere

RV dimensions (apical 4 chamber)Basal RV diameter (RVD1) (cm)Mid RV diameter (RVD2) (cm)Base to apex length (RVD3) (cm)2.02.8 2.73.37.17.9 2.93.33.43.78.08.53.43.83.84.18.69.1 3.9 4.2 9.2

RVOT diameters (parasternal SAX)RVOT at AV level (RVOT1) (cm)RVOT at PV annulus (RVOT2) (cm)2.52.91.72.33.03.22.42.73.33.52.83.1 3.6 3.2

PA diameter (parasternal SAX)Main PA (PA1) (cm)1.52.12.22.52.62.9 3.0

RV areaRV diastolic area (cm2)RV systolic area (cm2)11287.51629321719 33372022 38 23

RV functionFractional area change (%)TAPSE32601620253111151824610 17 5

Dikutip dari: Echocardiography: Guidelines for Chamber Quantification(British Society of Echocardiography)

Makna Nilai Hasil Pengukuran Bilik Atrium dan Ventrikel Kiri dengan Ekokardiografi (Guidelines)4:16 p.m.EKOKARDIOGRAFINo commentsEchocardiography: Guidelines for Chamber Quantification1.Left atrial sizeNormalMildModerateSevere

LV SizeWomenLA diameter (cm)LA volume (ml)

LV SizeMenLA diameter (cm)LA volume (ml)2.73.8 2252

3.04.018583.94.25362

4.14.6 59-684.34.66372

4.75.2 6978 4.7 73

5.3 79

LV Size IndexLA diameter (cm/m2)LA volume (ml/m2)1.52.316282.42.6 29332.72.9 3439 3.0 40

2.Left ventricular size, mass and functionNormalMildModerateSevere

LV wall trhicknessIVSd / PWd (cm)0.61.21.31.51.61.9 2.0

LV dimensionWomenLVIDd (cm)LVIDd / BSA (cm/m2)

LV dimensionMenLVIDd (cm)LVIDd / BSA (cm/m2)3.95.32.43.2

4.25.92.23.15.45.73.33.4

6.06.33.23.45.86.13.53.7

6.46.83.53.6 6.2 3.8

6.9 3.7

LV volumeWomenLV diastolic volume(ml)LV systolic volume(ml)

LV volumeMenLV diastolic volume(ml)LV systolic volume(ml)561041949

6715522581051175059

15617859701181306069

1792017182 131 70

202 83

LV volume indexLV diastolic volume/BSA (ml/m2)LV systolic volume/BSA (ml/m2)3575

12307686

31368796

3742 97

43

LV functionFractional shortening (%)Ejection fraction (%)EF by Biplane Simpsons method2543 552024455415193644< 15 35

LV massWomenLV mass (g)LV mass / BSA (g/cm2)

LV massMenLV mass (g)LV mass / BSA (g/cm2)661504488

962005010215117189100

201227103116172182101112

228254117130> 182> 112

> 254> 130

3.Left ventricular diastolic function

Dikutip dari: British Society of Echocardiography Guidelines

Makna Nilai Hasil Pengukuran Katup-Katup Jantung dengan Ekokardiografi (Guidelines)7:02 a.m.EKOKARDIOGRAFINo comments1.Mitral stenosisNormalMildModerateSevere

Pressure half time (ms)4070 71139140219> 219

Mean pressure drop (mmHg)< 5.0510> 10

Valve area (cm2)4.06.0 1.62.01.01.5< 1.0

2.Mitral regurgitationMildModerateSevere

Jet area (cm2)< 4> 10

Jet area / LA (%)< 20% > 40%

Vena contracta (cm)< 0.3 0.7

PISA radius (Nyquist 40cm/s)< 0.4 > 1.0

Regurgitant volume (mL)< 303159 60

Regurgitant Fraction (%)< 303149 50

Regurgitant orifice area (cm2)< 0.200.210.39 0.40

3.Tricuspid stenosisNormalSevere

Mean pressure drop (mmHg)- 5

Valve area (cm2)> 7.0< 1.0

4.Tricuspid regurgitationMildModerateSevere

Jet area (cm2)< 5510> 10

VC width (cm) Not defined< 0.7> 0.7

PISA radius (cm)< 0.50.6-0.9> 0.9

CW jet density/contour Soft/parabolic Dense/variableDense /triangular early peaking

RA/RV/IVC sizeNormalNormal/dilatedUsually dilated

Hepatic vein flowSystolicdominanceSystolicbluntingSystolicreversal

5.Aortic stenosisNormalMildModerateSevere

Peak velocity (m/s)< 1.71.72.93.04.0> 4.0

Peak pressure drop (mmHg)-< 363664> 64

Mean pressure drop (mmHg)-< 252540> 40

Valve area (cm 2 )> 2.01.52.0 1.01.4< 1.0

6.Aortic regurgitationMildModerateSevere

Vena Contracta width (cm)< 0.3 > 0.6

Jet width/LVOT diam. (%)< 25 65

Regurgitant Volume (ml/beat)< 303159 60

Regurgitant Fraction (%)< 3031 49 50

Regurgitant Orifice area (cm2)< 0.100.110.29 0.30

VTI diastolic flow reversal (upper DAo) (cm)-15

Pressure Half Time (ms) > 500< 250

7.Aortic dimensions

8.Pulmonary stenosisMildModerateSevere

Peak pressure drop (mmHg)< 40 4075> 75

9.Pulmonary regurgitationMildModerateSevere

Jet size (CFM) (cm)Narrow, < 1.0 IntermediateWide, large

Regurgitant Fraction (%) < 40 4060 65

CW jet density/deceleration rateSoft/slowDense/variableDense/steep

RVOTVTI/ LVOTVTI

Dikutip dari: Echocardiography: Guidelines for Valve Quantification(British Society of Echocardiography)