Doppler and Color Flow Flashcards
Flow Rate formula
Flow rate = area x velocity
Volume formula
Volume = area x velocity time integral (VTI)
Pressure gradient formula
PG = 4V^2
Pressure Half Time formula
PHT = 0.29 x DT
MVA formula
MVA = 220 / PHT
PVR formula
PVR = TR velocity / RVOT VTI
AVA continuity equation
AVA = LVOT area * LVOT VTI / AV VTI
PISA ERO MR formula
ERO = 6.28 * radius^2 * aliasing velocity / MR velocity
Doppler velocity formula
c (speed of US in blood) / 2 * change in frequency / transmitted frequency
Pressure half time
Time required for initial pressure gradient to be reduced by half
PHT in MS
Longer = worse
Mild = 100 ms Mod = 200 ms Severe = 300 ms
PHT for MR in prosthetic valve with Peak velocity > 2
Severe MR or High output with PHT < 130 ms
PHT in AR
Severe < 200 ms
Nyquist limit
Limit of velocity that can be measured with PW
= PRF / 2
Increase Nyquist limit
Shorten depth
Stroke volume equation
SV = LVOT area x LVOT VTI
Normal LVOT diameter
2.1-2.4 cm
Normal LVOT area
3.46-4.5 cm2
Normal LVOT velocity
0.9-1.1 m/s
Normal LVOT VTI
18-24 cm
Qp/Qs
(RVOT area x RVOT VTI) / (LVOT area x LVOT VTI)
MR PISA
Flow at PISA = Flow at ERO
A x V of PISA = ERO x V of MR
Systemic Flow in PDA
Across RVOT
Pulmonary flow in PDA
Across LVOT
Cross sectional area for flow
CSA = (1/2 x D)^2 * Pi
PADP
(4 x end-diastolic velocity^2) + RAP