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Echocardiography. Doppler Echocardiography. PLAX View. Normal LV Inflow. Aortic Regurgitation. Normal Outflow. Mitral Regurgitation. RVIT View. Tricuspid Valve – Normal Flow. Tricuspid Stenosis. Tricuspid Regurgitation. Tricuspid Valve - PWD. Tricuspid Inflow. E velocity. cm/s.
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Echocardiography Doppler Echocardiography
Tricuspid Inflow E velocity cm/s
Tricuspid Inflow cm/s A velocity
Tricuspid Inflow cm/s A dur
Tricuspid Inflow cm/s Deceleration time
Doppler Stroke Volume Calculation • Assumption used for measuring SV using Doppler are: • Accurate cross-sectional flow area measurement. • Laminar Flow. • Spatial ‘flat’ flow velocity profile. • Parallel intercept angle between Doppler beam and • direction of blood flow. • 5. Velocity and diameter measurements are made at the • same anatomic site.
Stroke Volume Calculation VTI cm/s
Stroke Volume at Tricuspid Valve SV = CSA x VTI SV = π (D)² x VTI 4 SV = 0.7855 D² x VTI
Tricuspid Regurgitation cm/s TR Peak Velocity
Tricuspid Regurgitation RVSP = SPAP = 4 (TRjet)² + RAP
Tricuspid Stenosis cm/s
Tricuspid Stenosis Deceleration Slope cm/s Deceleration Time
Pulmonic - PWD VTI
Stroke Volume at Pulmonic Valve SV = CSA x VTI SV = π (D)² x VTI 4 SV = 0.7855 D² x VTI
Pulmonic - PWD Acceleration time
Pulmonic Valve - PWD MPAP = 80 – 0.5 x Acceleration Time Normal MPAP = 9 to 18 mmHg