Makna echo

Makna Nilai Hasil Pengukuran Bilik Atrium dan Ventrikel Kanan

dengan Ekokardiografi (Guidelines)
8:47 a.m. EKOKARDIOGRAFI No comments

1. Right atrial pressure

IVC
size (cm)
Respiratory/sniff variation
Other
RA size
Hepatic vein size

05mmHg

510

10-15

15-20

> 20

< 1.5
collapse

1.52.5
> 50%

1.52.5
< 50%

> 2.5
< 50%

> 2.5
No change

normal

normal

2. Right ventricular size & function

Normal

Mild

Moderate

Severe

RV dimensions (apical 4 chamber)

Basal RV diameter (RVD1) (cm)
Mid RV diameter (RVD2) (cm)
Base to apex length (RVD3) (cm)

2.02.8
2.73.3
7.17.9

2.93.3
3.43.7
8.08.5

3.43.8
3.84.1
8.69.1

3.9
4.2
9.2

RVOT diameters (parasternal SAX)

RVOT at AV level (RVOT1) (cm)
RVOT at PV annulus (RVOT2) (cm)

2.52.9
1.72.3

3.03.2
2.42.7

3.33.5
2.83.1

3.6
3.2

PA diameter (parasternal SAX)

Main PA (PA1) (cm)

1.52.1

2.22.5

2.62.9

3.0

RV area
RV diastolic area (cm 2 )
RV systolic area (cm 2 )

1128
7.516

2932
1719

3337
2022

38
23

RV function
Fractional area change (%)
TAPSE

3260
1620

2531
1115

1824
610

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. EKOKARDIOGRAFI No comments

Echocardiography: Guidelines for Chamber Quantification

1. Left atrial size
Normal

Mild

Moderate

Severe

LV Size Women
LA diameter (cm)
LA volume (ml)
LV Size Men
LA diameter (cm)
LA volume (ml)
LV Size Index
LA diameter (cm/m2)
LA volume (ml/m 2 )

2.73.8
2252

3.94.2
5362

4.34.6
6372

4.7
73

3.04.0
1858

4.14.6
59-68

4.75.2
6978

5.3
79

1.52.3
1628

2.42.6
2933

2.72.9
3439

3.0
40

Normal

Mild

Moderate

Severe

0.61.2

1.31.5

1.61.9

2.0

3.95.3
2.43.2

5.45.7
3.33.4

5.86.1
3.53.7

6.2
3.8

4.25.9
2.23.1

6.06.3
3.23.4

6.46.8
3.53.6

6.9
3.7

56104
1949

105117
5059

118130
6069

131
70

67155
2258

156178
5970

179201
7182

202
83

3575

7686

8796

97

1230

3136

3742

43

2543
55

2024
4554

1519
3644

< 15
35

66150
4488

151171
89100

172182
101112

> 182
> 112

96200
50102

201227
103116

228254
117130

> 254
> 130

2. Left ventricular size, mass and function

LV wall trhickness
IVSd / PWd (cm)
LV dimension Women
LVIDd (cm)
LVIDd / BSA (cm/m2)
LV dimension Men
LVIDd (cm)
LVIDd / BSA (cm/m2)
LV volume Women
LV diastolic volume(ml)
LV systolic volume(ml)
LV volume Men
LV diastolic volume(ml)
LV systolic volume(ml)
LV volume index
LV diastolic volume/BSA (ml/m2 )
LV systolic volume/BSA (ml/m2 )
LV function
Fractional shortening (%)
Ejection fraction (%)
EF by Biplane Simpsons method
LV mass Women
LV mass (g)
LV mass / BSA (g/cm2 )
LV mass Men
LV mass (g)
LV mass / BSA (g/cm2 )

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. EKOKARDIOGRAFI No comments

1. Mitral stenosis
Pressure half time (ms)

Normal

Mild

Moderate

Severe

4070

71139

140219

> 219

< 5.0

510

> 10

1.62.0

1.01.5

< 1.0

Mean pressure drop (mmHg)

2

Valve area (cm )

4.06.0

2. Mitral regurgitation
Mild
2

Moderate

Severe

Jet area (cm )

Jet area / LA (%)

<4
< 20%

> 10
> 40%

Vena contracta (cm)

< 0.3

0.7

PISA radius (Nyquist 40cm/s)

< 0.4

> 1.0

Regurgitant volume (mL)

< 30

3159

60

Regurgitant Fraction (%)

Regurgitant orifice area (cm 2 )

< 30
< 0.20

3149
0.210.39

50
0.40

3. Tricuspid stenosis
Normal

Severe

Mean pressure drop (mmHg)

Valve area (cm 2 )

> 7.0

< 1.0

4. Tricuspid regurgitation
Mild

Moderate

Severe

Jet area (cm )

VC width (cm)
PISA radius (cm)
CW jet density/contour

<5
Not defined
< 0.5
Soft/
parabolic

510
< 0.7
0.6-0.9
Dense/
variable

RA/RV/IVC size
Hepatic vein flow

Normal
Systolic
dominance

Normal/dilated
Systolic
blunting

> 10
> 0.7
> 0.9
Dense /
triangular early
peaking
Usually dilated
Systolic
reversal

5. Aortic stenosis
Peak velocity (m/s)
Peak pressure drop (mmHg)
Mean pressure drop (mmHg)
Valve area (cm 2 )

Normal

Mild

Moderate

Severe

< 1.7
> 2.0

1.72.9
< 36
< 25
1.52.0

3.04.0
3664
2540
1.01.4

> 4.0
> 64
> 40
< 1.0

6. Aortic regurgitation
Mild
Vena Contracta width (cm)
Jet width/LVOT diam. (%)

< 0.3
< 25

Regurgitant Volume (ml/beat)

Regurgitant Fraction (%)
Regurgitant Orifice area (cm 2 )
VTI diastolic flow reversal (upper DAo) (cm)

< 30
< 30
< 0.10
-

Pressure Half Time (ms)

7. Aortic dimensions

> 500

Moderate

Severe
> 0.6
65

3159
31 49
0.110.29

60
50
0.30
15
< 250

8. Pulmonary stenosis
Peak pressure drop (mmHg)

Mild

Moderate

Severe

< 40

4075

> 75

9. Pulmonary regurgitation
Jet size (CFM) (cm)
Regurgitant Fraction (%)
CW jet density/deceleration rate
RVOTVTI / LVOTVTI

Mild

Moderate

Severe

Narrow, < 1.0

Intermediate

Wide, large

4060

65

Dense/variable

Dense/steep

< 40
Soft/slow

Dikutip dari: Echocardiography: Guidelines for Valve Quantification

(British Society of Echocardiography)