Values Flashcards
LV Wall Thickness
6-10mm
LVEDV
100ml
LVESV
30ml
RV Wall Thickness
3-5 mm
Blood Pressure
120/80mmHg
High BP
> 140/90mmHg
Borderline BP
130/85mmHg
RVSP and RVDP?
25 / 2-8 mmHg
Mean RAP
2-8mmHg
LVSP and LVDP?
120 / 3-12mmHg
SV
50-100ml/beat at rest
IVSd Male
<11mm
IVSd Female
<10mm
LVPWd Male
<11mm
LVPWd Female
<10mm
LIVDd Male
<59mm
LVIDd Female
<53mm
LVOT
Average 20mm (18-22mm)
Aortic Annulus
<2.9cm
Aortic Sinus of Valsalva
<3.7cm
Ascending Aorta
<3.3cm
Severe Sinus/Ascending Aorta Dilation
> 5cm
LVIDs
20-38mm
Normal RAP
<21mm, >50% collapse, add 3
1st Intermediate RAP
<21mm, <50% collapse, add 8
2nd Intermediate RAP
> 21mm, >50% collapse, add 8
High RAP
> 21mm, <50% collapse, add 15
LA and AO ratio
1:01
LVMI Men
<115g/m2
LVMI Women
<95g/m2
TV Peak Velocity
<2.6m/s
IVC Collapsibility
> 50%
IVC Diameter
<21mm
mPAP
9-18mmHg
FS
25-47%
EF Tiecholz PLAX
> 55%
EF Simpson’s Biplane Male
52-72%
EF Simpson’s Biplane Female
54-74%
LA volume Index in men and women?
< 34ml/m2
PLAX LAs dimension Men
30 - 40 mm
PLAX LAs dimension Women
27 - 38 mm
What are the normal RV dimensions?
Base: < 41mm
Mid: < 35 mm
RV length < 86 mm
RVIDd Mid
<35mm
E Wave (early filling) MV
0.6-1.3m/s
DT PW MV
> 160-200ms
E/A Ratio MV <60 yrs
> 1.0
E/A Ratio MV >60 yrs
> 0.8 (0.8-2.0)
IVRT
<94ms
Medial TDI (E’)
> 7cm/s
Lateral TDI (E’)
> 10cm/s
E/e’ ratio MV
<8 (<6)
Pulmonary Veins
S>D
LVOT Velocity
0.7-1.5m/s
AV Velocity
1.0-1.7m/s
AV VTI
18-25cm
AV peak gradient
<10mmHg
AV mean gradient
<5mmHg
E wave TV
0.7m/s
CW of AV Peak Velocity
1.1-1.7m/s
SA Node
60-100 bpm (60-90 bpm)
Atrial Muscle Cells
60-80 bpm
AV Node
40-60 bpm
Bundle of His
40-60 bpm
Purkinje Fibers
30-40 bpm (20-40 bpm)
LV/RV Muscle Cells
20-30 bpm
SA Node impulse formation to repolarization time
200ms
PR Interval
<200ms
QRS Complex
<100ms
NSR
60-90 bpm
Sinus brachycardia
50-60 bpm
Sinus tachycardia
90-100 bpm
Atrial Flutter
250-300 bpm
Ventricular fibrillation
HR of 300-600 bpm
PW MV <60 yrs
E>A
PW MV >60 yrs
E
E/e’ normal grading value
<8
E/e’ intermediate grading value
12-Aug
E/e’ abnormal grading value
> 12
E/e’ abnormal with elevated filling pressures value
> 15
TV DT
180-240ms
PAT
> 120ms
Pulmonary EDP
<12mmHg
What is normal and severe linear method FS % in women and men?
Women Normal = 27-45
Women Severe = ≤ 16
Men normal = 25-43
Men severe = ≤ 14
What is severe EF % in women and men? (Teicholz and Simpsons)
≤ 30 %
Same values for men and women in any method
What is normal and severe LV size in women and men?
Women Normal = ≤ 5.3 cm
Women Severe = ≥ 6.2 cm
Men normal = ≤ 5.9 cm
Men severe = ≥ 6.9 cm
What is a normal Dp to generate 32 mmHg and what is severe?
Normal: Dp(4Vsq): <27ms
Severe: Dp (4Vsq) >40ms
What is normal and severe Dp/Dt?
Normal: >1200 mmHg/s
Severe: < 800 mmHg/s
What is a normal s’ prime for LV?
> 9.0 cm/s
What is a normal MPI?
< 0.43
What is the normal s prime for TDI of RV?
≥ 9.5 cm/s
What is the normal RIMP or MPI for the RV?
< 0.43
What is a normal TAPSE?
≥ 17 mm
What is normal FAC for RV?
> 35%
What EF does systolic forward failure have?
EF < 40%
What LAP is normal?
6-12
What LAP does pulmonary hypertension have?
> 18 mmHg
What is normal IVRT?
50-94 ms
What is an abnormal E/e prime ratio?
> 14
What is a CW Doppler velocity of AV stenosis?
> 2.5 m/s
What does the atrial reversal wave increase to with grade 2 DD?
> 35 cm/s
What is normal PVa - MVa?
< 20ms
What is severe DD PVa-MVa?
≥ 30ms
What is mild and severe LA volume index?
Mild: 35 - 41 ml/m(sq)
Severe: > 48 ml/m(sq)
What is the E/A wave for impaired relaxation of the RV?
< 0.8
What is the E/e prime for pseudonormal TV inflow?
> 6
What is the E/A ratio and DT for restrictive filling of RV?
E/A > 2.1DT
< 120ms
What is the mild and severe LA dimension in PLAX for women and men?
Mild:
Men 41 - 46 mm
Women 39 - 42 mm
Severe:
Men > 52 mm
Women ≥ 47 mm
What should the difference between A4C and A2C lengths differ less than?
< 5mm
What are the normal RA dimensions?
RA area: < 18 cm sq
RA length/major: < 5.3 cm
RA width/minor: < 4.4 cm
What is the normal RA volume index for women and men?
Women ≤ 27 ml/m sq
Men ≤ 32 ml/m sq
NV of Relative Wall Thickness (RWT)?
<0.42
NV of LV mass index for men and women?
Women = <95 g/m^2
Men = <115 g/m^2
What are the normal valve areas? (MVA, AVA, TVA, PVA)?
AVA: 2.5 - 4.5 cm sq
PVA: 3.5 - 4.5 cm sq
MVA: 4 - 6 cm sq
TVA: 5 - 7 cm sq
Severe stenotic valve (all valves)?
< 1 cm sq
What is considered mild and severe PS/AS using peak velocity?
Peak vel mild stenosis: < 3 m/s
Peak vel severe stenosis: > 4 m/s
What is considered mild and severe PS/AS using max gradient?
Max gradient mild stenosis: < 36 mmHg
Max gradient severe stenosis > 64 mmHg
Mean LAP
10 mmHg
PASP and PADP?
25 / 10 - 5 mmHg
AO SP and DP?
120 / 70 - 80
Severe FAC?
< 14 %
QT Interval
< 440
IVCT
30-50 ms
Early diastole time
150-250 ms
Ventricular systole time
300 ms
Describe dilation of the RV
Normal: RV is < 2/3 LV
Mild: RV is > 2/3 LV but still smaller
Mod: RV = LV
Severe: RV > LV and occupies apex
RVOT prox and distal diameters?
Prox RVOT: ≤ 3.3 cm
Distal RVOT: ≥2.7 cm
Normal amount of serous fluid?
20 - 50 ml
with
2-5 mm space in systole
Mild and severe pericardial effusion?
Mild:
50 - 100 ml
< 50 - 100 mm space in sys and dys
Severe:
> 500 ml with
>200 mm space in sys and dys
What % change of MV E velocity indicates tamponade?
> 25-30%
What % change of TV E velocity indicates tamponade?
> 50%
How do you dose dobutamine for a stress test?
Start with 5 3 mins = 10 6 mins = 20 9 mins = 30 12 mins = 40 Stress may go longer but dose stays at 40
(Double every 3 mins until 40)
Non-obstructive HCM lvot PG?
And
obstructive HCM lvot PG?
non: <30 mmHg at rest
Obstructive: > 30 mmHg
High risk HCMO wall thickness?
> 30 mm
