Burat-Buret Echo Romi Revised PDF

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BURAT – BURET ECHO ROMI (REVISED)

RVOT-LV-LA (PLAX)
(cm) Bulwer BE, 2009 (cm) ASE (cm) ASE (cm/m2)
Diameter Ao 2.0 – 3.7
Diameter LA 2.0 – 4.0
LA/Ao ( RATIO ) < 1.3
Lebar katup Ao 1.5 – 2.6
Annulus Ao 2.0 – 3.1 1.7 – 2.1 1.7 – 2.5 1.1 – 1.5
Sinus Valsalva 2.9 – 4.5 2.5 – 3.1 2.2 – 3.6 1.4 – 2.1
Sino-Tubular Junction 2.2 – 3.6 2.0 – 2.8 1.8 – 2.6 1.0 – 1.6
Ao Ascendens 2.2 – 3.6 2.3 – 2.9 2.1 – 3.4
Ao Arch – 1.4 – 2.9 0.8 – 1.9
Ao Descendens 1.7 – 2.5 1.1 – 2.3 0.8 – 1.2
Ao Abdominal 1.7 – 2.5 1.0 – 2.2 0.6 – 1.3
Lihat karakteristik katup aorta

MV (PLAX)
DE Excursion 1.8 – 2.8 cm kemiringan pembukaan
EF Slope 70 – 150 mm/s kemiringan penutupan
EPSS 0.2 – 0.6 cm biasanya < 0.6 cm
Lihat karakteristik katup mitral

LV Study (PLAX)
LVIDd 3.7 – 5.2 cm; M < 5.5 cm, F < 5.0 cm
IVSd 0.6 –1.1 cm N bedanya > 0.4
IVSs 0.9 –1.8 cm
LVPWd 0.6 –1.1 cm N bedanya > 0.4
LVPWs 0.9 –1.8 cm
FS 28 – 41 %
EF > 55 %* (55 – 45) (45 – 30) (<30)
LVdMI N*: M 49 – 115, F 43 – 95; M > 131, F > 100 g/m2
RWT Eccentric < 0.45, Concentric > 0.45
CO, CI 4 – 8 L/min, 2.8 – 4.2 L/min/m2
SV 30 – 75 ml
CO, CI, PE? Lihat gerakan dinding, IVS paradoksal?

RVOT-PA (PSAX-Ao) IVC


RVOT 1 2.5 – 2.9 cm tegak lurus Ao Diam. Collapse Est. RAP
RVOT 2 1.7 – 2.3 cm annulus pulmonal > 50% 5 mmHg
< 2 cm
PA 1 1.5 – 2.1 cm horizontal batas bawah Ao < 50% 10 mmHg
> 50% 15 mmHg
> 2 cm
< 50%, no collapse 20 mmHg

Diastolic Function (A4C)


Normal Abn. Relax Pseudo-normal Restrictive Filling
ASE E/A 0.8 – 2.1 < 0.8 0.8 – 2.1 > 2.1
DT > 120 ms > 120 ms > 120 ms < 120 ms
Yang E/A 1–2 <1 1–2 >2
umum DT 150 – 240 ms > 240 ms 150 – 240 ms < 150 ms
E' berlawanan
TDI E' > 8 cm/s < 8 cm/s < 8 cm/s < 5 cm/s
E/E' 9 –12 <8 9 –12 > 13
* [ASE]
Dimension
LA Mayor 3.3 – 6.1 cm
LA Minor 2.5 – 4.5 cm
RA Mayor 3.5 – 5.3 cm
RA Minor 2.5 – 4.4 cm
RVDB (RV Diam. Basal) 2.0 – 2.8 cm* (2.9 – 3.3) (3.4 – 3.8) (>3.9)
TAPSE > 2.0 cm; > 1.6 cm*
PE?

Myocardial Performance Index


(MPI, Tei Index)*

MPI Normal: PW < 0.40


TDI < 0.55

Valvular
MS Mean PG ( Trace)* < 5 – 10 > mmHg
MVA Planimetry* < 1 – 1.5 > cm ( severe - mild)
Mean PHT < 130 – 220 > ms (Sinus 3x, AF 5x) 60 – 130 Normal
PASP* < 30 – 50 > mmHg
Wilkins Score Mobilitas, Penebalan katub, Penebalan korda, Kalsifikasi (1-2-3-4)
MR ERO (PISA)* < 0.2 – 0.4 > cm2
Vena Contracta* < 0.3 – 0.7 > cm
RJA/LAA* < 20 – 40 > %
Annular Dilatation AML/Ann > 1.3; or Ann > 3.5 cm
RV* < 30 – 60 > ml
AS Vmax* (2.5 – 3) (3 – 4) ( >4) m/s Evaluasi Pulm. HT
AVA Planimetry* < 1 – 1.5 > cm2 ( severe - mild) (severe – mild)
Velocity Ratio* < 0.25 – 0.5 > ( severe - mild) Est. PASP ( Est. RAP + TR Max PG )
Mean PG ( Trace)* < 20 – 40 > mmHg (30 – 60) (60 – 80) (>80) mmHg
AR Sdec < 2 – 4.5 > m/s2 PV AccT
ERO (PISA)* < 0.1 – 0.3 > cm2 (90 – 120) (60 – 90) (30 – 60) ms
Vena Contracta* < 0.3 – 0.6 > cm
RJA / LVOT* < 25 – 65 > %
PHT* < 200 – 500 > ms ( severe - mild)
RV* < 30 – 60 > ml
TS Mean PG ( Trace)* < 2 – 6 > mmHg, >5 mmHg*
VTI* > 60 cm
Dilatasi IVC* Dilatasi IVC
PHT* > 190 ms
TVA* < 2 cm2 (severe) N: 7 – 9 cm2
TR Max PG ( Trace) (30 – 60) (60 – 80) (>80) mmHg
Radius (PISA)* < 0.5 – 0.9 > cm
Vena Contracta* (unseen) (< 0.7) ( >0.7) cm
RJA* < 5– 10 > cm2
RJA/RAA* < 20 – 34 > %
PS Vmax* < 3 – 4 > m/s
Mean PG ( Trace) (5 – 30) (30 – 60) (>60) mmHg
PR Sdec < 2 – 4.5 > m/s2
* [ASE]

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