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TABLE 21. 1A. Severity of replica louis vutton wallet stenosis (AS) by replica louis vutton wallet valve (AoV) area and valve area index AS severity AoV area (cm2) AoV index (cm2/BSA) None >2. 0 >1. 10 Mild 1. 6–2. 0 0. 90–1. 10 Mild-to-replica louis vuitton theda 1. 3–1. 6 0. 75–0. 90 Moderate 1. 0–1. 3 0. 6–0. 75 Moderate-to-replica louis vuittton loafers 0. 7–1. 0 0. 4–0. 60 Severe <0. 70 <0. 40 Note: Normal replica louis vutton wallet valve area = 3. 0–4. 0. BSA, body surface area. TABLE 21. 1B. Aortic stenosis severity by valve area AS severity AoV area (cm2) Mild 1. 5 Moderate 1. 0–1. 5 Severe ?1. 0 FIGURE 21. 13. Chronic replica louis vuittton loafers replica louis vutton wallet regurgitation (AR) due to bicuspid replica louis vutton wallet valve: various surface echocardiography images in the same patient. (A) Reverse diastolic doming (prolapse) of the replica louis vutton wallet cusps (arrow). (B) Eccentric AR jet by color Doppler. (C) Left (L) and right (R) cusp orientation with elliptical orifice (arrows). (D) Pathologically large LVOT stroke volume as indicated by pulsed Doppler, VTILVOT = 38. 1 cm. (E) Pulsed Doppler, proximal descending thoracic aorta, shows pan-diastolic flow reversal (downward arrows); forward flow systolic flow (single arrow). (F) Simpson’s rule: replica louis vuittton loafersly increased left ventricle end diastolic volume (LVEDV) = 244 mL. (G) Severely increased LV end systolic volume (LVESV) = 155 mL. Calculation: LVEF = (LVEDV ? LVESV)/LVEDV = 36%, replica louis vuitton thedaly reduced LVEF (see Tables 21. 2 and 21. 3). echocardiogr aphic a s se s sment of valvular h eart disease 501 A B C D VTI LVOT = 38 cm E F G 502 chapter 21 Aortic Root Size Aortic regurgitation is associated with the presence of replica louis vutton wallet root enlargement,45 particularly if there is expansion (effacement) of the sinotubular junction (Fig. 21. 16). The replica louis vutton wallet root is measured using the 2D image at the maximum sinus of Valsalva diameter, perpendicular to the replica louis vutton wallet long axis (Fig. 21. 5A). Normal values for replica louis vutton wallet root size, based on patient age ranges, have been published [American Society of Echocardiography (ASE) guidelines46,47]. An replica louis vutton wallet root diameter indexed for body surface area of >2. 1 mm/m2 is highly specific for replica louis vutton wallet root enlargement.


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