Echocardiografie Normaalwaarden 2012 Ventrikelfunctie LVF WMSI EF MPI (Tei) dP/dt (mmHg/s) RVF TAPSE S' MPI (Tei) Goed 1.0 >60% <0.40 >1100 >16mm >11.5cm/s < 0.30 Kleplijden AI Jet/LVOT PHT Vena contracta AS PGmean AVA Flow ratio (DVI) Vmax AVA BSAindex MI Jetoppervlak/LA Jetoppervlak ERO VTI MV/ VTI AoV Vena contracta MS MVA PGmean PHT TI RV/RA/VCI Leverveneflow Vena contracta PISA Densiteit+contour TS TVA PHT PGmean VTI PI RV Densiteit+contour Pulm. Syst. Flow Color Gering <25% >500m/s <3mm <20mmHg >1.5cm² > 0.50 <3m/s >0.85cm²/m² <20% <4cm² <20mm² PS PGmax Vmax Pulmonale hypertensie SPAP TR Vmax AccT Matig 1.5-2.0 30-45% Slecht >2.0 <30% 13-15mm 10-12mm <500 <10mm Matig Ernstig 25-65% >65% 500-200m/s <200m/s 3-6mm >6mm 20-40mmHg >40mmHg 1.5-1cm² <1cm² 0.25-0.50 <0.25 3-4m/s >4m/s 0.85-0.60cm²/m² <0.60cm²/m² 20-40% >40% 4-10cm² >10cm² 20-40mm² >40mm² >1.4 <3mm 3-7mm >7mm >1.5cm² 1.5-1cm² <1cm² <5mmHg 5-10mmHg >10mmHg <90m/s 90-150m/s >150m/s normaal norm./gedil. gedilateerd Syst. dominant Syst. afname Syst. omkering <7mm >7mm <0.6cm² 0.6-0.9cm² >0.9cm² licht+parabool dens+varabel dens+triangulair <1cm² >190ms >5mmHg >60cm normaal norm./gedil. gedilateerd licht+stomp dens+variabel dens+steil licht afgenomen licht afgenomen afgenomen smalle jet brede jet ver retrograde flow onder klep in RV in PA <36mmHg 36-64mmHg >64mmHg <3m/s 3-4m/s >4m/s Onwaarschijnlijk <36mmHg <2.8m/s >120ms Rechteratrium druk (mmHg) 0-5 VCI <15mm Collaps 100% Jochem Landzaat Redelijk 1.0-1.5 45-60% Mogelijk 36-50mmHg 2.9-3.4m/s 120-60ms Waarschijnlijk >50mmHg >3.4m/s <60ms 5-10 15-20mm >50% 10-15 15-20mm <50% OLVG 15-20 >20mm <50% Broninformatie: - Hamer, Pieper et al, Praktische echocardiografie, 2009. - Armstrong, WF, Ryan T. Feigenbaum’s Echocardiography,.2010. - Richtlijnen links en rechtszijdig kleplijden ASE, EAE, NVVC. - Richtlijnen kenniscentrum pulmonale hypertensie UMC Radboud, Nijmegen Dimensies IVSd LVEDD LVESD LVPWd LA Ao annulus Ao wortel Sinotub.junc. Tubus Ao Asc Ao boog Ao desc Ao abd VCI LA lengte LA dwars RA lengte RA dwars RVEDD RVESD RV wanddikte RVOT psax RVOT plax RA area 7-11mm 36-57mm 23-40mm 7-11mm <40mm <26mm <40mm <35mm <34mm <35mm <30mm <30mm <30mm <21mm <65mm <45mm <60mm <45mm 26-45mm 22-36mm <5mm <27mm <33mm <18cm² LA volume index Normaal Gering Matig Ernstig 14-28cc/m² 29-33cc/m² 34-39cc/m² >40cc/m² J. Landzaat OLVG 2014 15-1-2014
© Copyright 2024 ExpyDoc