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edits
Secretariat (talk | contribs) |
Secretariat (talk | contribs) |
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Line 592: | Line 592: | ||
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| - 2D parasternal short-axis view | | style="vertical-align:top" | - 2D parasternal short-axis view | ||
| - contour of the inner mitral orifice | | style="vertical-align:top" | - contour of the inner mitral orifice | ||
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| - determine the smallest orifice by scanning from apex to base | | style="vertical-align:top" | - determine the smallest orifice by scanning from apex to base | ||
| - include commissures when opened | | style="vertical-align:top" | - include commissures when opened | ||
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| - positioning of measurement plan can be oriented by 3D echo | | style="vertical-align:top" | - positioning of measurement plan can be oriented by 3D echo | ||
| - in mid-diastole (use cine-loop) | | style="vertical-align:top" | - in mid-diastole (use cine-loop) | ||
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| - lowest gain setting to visualize the whole mitral orifice | | style="vertical-align:top" | - lowest gain setting to visualize the whole mitral orifice | ||
| - average measurements if atrial fibrillation | | style="vertical-align:top" | - average measurements if atrial fibrillation | ||
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Line 611: | Line 611: | ||
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| - continuous-wave Doppler | | style="vertical-align:top" | - continuous-wave Doppler | ||
| - mean gradient from the traced contour of the diastolic mitral flow | | style="vertical-align:top" | - mean gradient from the traced contour of the diastolic mitral flow | ||
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| - apical windows often suitable (optimize intercept angle) | | style="vertical-align:top" | - apical windows often suitable (optimize intercept angle) | ||
| - pressure half-time from the descending sLope of the E-wave (mid-diastole slope if not linear) | | style="vertical-align:top" | - pressure half-time from the descending sLope of the E-wave (mid-diastole slope if not linear) | ||
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| - adjust gain setting to obtain well-defined flow contour | | style="vertical-align:top" | - adjust gain setting to obtain well-defined flow contour | ||
| - average measurements if atrial fibrillation | | style="vertical-align:top" | - average measurements if atrial fibrillation | ||
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Line 626: | Line 626: | ||
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| - continuous-wave Doppler | | style="vertical-align:top" | - continuous-wave Doppler | ||
| - maximum velocity of tricuspid regurgitant flow | | style="vertical-align:top" | - maximum velocity of tricuspid regurgitant flow | ||
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| - multiple acoustic windows to optimize intercept angle | | style="vertical-align:top" | - multiple acoustic windows to optimize intercept angle | ||
| - estimation of right atrial pressure according to inferior vena cava diameter | | style="vertical-align:top" | - estimation of right atrial pressure according to inferior vena cava diameter | ||
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Line 637: | Line 637: | ||
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| rowspan="4" | - parasternal short-axis view | | rowspan="4" style="vertical-align:top" | - parasternal short-axis view | ||
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| - valve thickness (maximum and heterogeneity) | | style="vertical-align:top" | - valve thickness (maximum and heterogeneity) | ||
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| - commissural fusion | | - commissural fusion | ||
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| - extension and location of localized bright zones (fibrous nodutes or calcification) | | style="vertical-align:top" | - extension and location of localized bright zones (fibrous nodutes or calcification) | ||
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| rowspan="5" | - parasternal long-axis view | | rowspan="5" style="vertical-align:top" | - parasternal long-axis view | ||
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| - valve thickness | | style="vertical-align:top" | - valve thickness | ||
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| - extension of calcification | | style="vertical-align:top" | - extension of calcification | ||
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| - valve pliability | | style="vertical-align:top" | - valve pliability | ||
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| - subvalvular apparatus (chordal thickening, fusion, or shortening) | | style="vertical-align:top" | - subvalvular apparatus (chordal thickening, fusion, or shortening) | ||
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| rowspan="3" | - apical two-chamber view | | rowspan="3" style="vertical-align:top" | - apical two-chamber view | ||
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| - subvalvular apparatus (chordal thickening, fusion, or shortening) | | style="vertical-align:top" | - subvalvular apparatus (chordal thickening, fusion, or shortening) | ||
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| Detail each component and summarize in a score | | style="vertical-align:top" | Detail each component and summarize in a score | ||
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