Makna Nilai Hasil Pengukuran Katup-Katup Jantung dengan Ekokardiografi (Guidelines)

1.    Mitral stenosis

	Normal	Mild	Moderate	Severe
Pressure half time (ms)	40–70	71–139	140–219	> 219
Mean pressure drop (mmHg)		< 5.0	5–10	> 10
Valve area (cm 2 )	4.0–6.0	1.6–2.0	1.0–1.5	< 1.0

2.    Mitral regurgitation

	Mild	Moderate	Severe
Jet area (cm 2 )	< 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)	< 30	31–59	≥ 60
Regurgitant Fraction (%)	< 30	31–49	≥ 50
Regurgitant orifice area (cm 2 )	< 0.20	0.21–0.39	≥ 0.40

3.    Tricuspid  stenosis

	Normal	Severe
Mean pressure drop (mmHg)	-	≥ 5
Valve area (cm 2 )	> 7.0	< 1.0

4.    Tricuspid regurgitation

	Mild	Moderate	Severe
Jet area (cm 2 )	< 5	5–10	> 10
VC width (cm)	Not defined	< 0.7	> 0.7
PISA radius (cm)	< 0.5	0.6-0.9	> 0.9
CW jet density/contour	Soft/ parabolic	Dense/ variable	Dense / triangular early peaking
RA/RV/IVC size	Normal	Normal/dilated	Usually dilated
Hepatic vein flow	Systolic dominance	Systolic blunting	Systolic reversal

5.    Aortic stenosis

	Normal	Mild	Moderate	Severe
Peak velocity (m/s)	< 1.7	1.7–2.9	3.0–4.0	> 4.0
Peak pressure drop (mmHg)	-	< 36	36–64	> 64
Mean pressure drop (mmHg)	-	< 25	25–40	> 40
Valve area (cm 2 )	> 2.0	1.5–2.0	1.0–1.4	< 1.0

6.    Aortic regurgitation

	Mild	Moderate	Severe
Vena Contracta width (cm)	< 0.3		> 0.6
Jet width/LVOT diam. (%)	< 25		≥ 65
Regurgitant Volume (ml/beat)	< 30	31–59	≥ 60
Regurgitant Fraction (%)	< 30	31– 49	≥ 50
Regurgitant Orifice area  (cm 2 )	< 0.10	0.11–0.29	≥ 0.30
VTI diastolic flow reversal (upper DAo) (cm)	-		15
Pressure Half Time (ms)	> 500		< 250

7.    Aortic dimensions

8.    Pulmonary stenosis

	Mild	Moderate	Severe
Peak pressure drop (mmHg)	< 40	40–75	> 75

9.    Pulmonary regurgitation

	Mild	Moderate	Severe
Jet size (CFM) (cm)	Narrow, < 1.0	Intermediate	Wide, large
Regurgitant Fraction (%)	< 40	40–60	≥ 65
CW jet density/deceleration rate	Soft/slow	Dense/variable	Dense/steep
RVOTVTI / LVOTVTI	↑↑	↑↑	↑↑↑

Dikutip dari: Echocardiography: Guidelines for Valve Quantification

(British Society of Echocardiography)

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