Echokardiografické vyšetrenie

EN / SK

TECHmED.sk

Nové vyšetrenie
Ľavá komora
Diastolická funkcia ĽK
Pravá komora
Tlaky v PK
Kinetika a výpotok
Predsiene a VCI
Aorta
AoCh
MiCh
TrCh
PuCh
Záver vyšetrenia
Hodnoty
Projekcie

Echokardiografické vyšetrenie

TECHmED.sk

Nové
ĽK
Diastola ĽK
PK
Tlaky v PK
Kinetika
Predsiene
Aorta
AoCh
MiCh
TrCh
PuCh
Záver
Hodnoty
Projekcie

Pravá komora

RVD1 basal (Right ventricular basal diameter at end-diastole) A4C (apical 4 chamber view) RV focused

RVD1basal

Right ventricular basal diameter at end-diastole

RVD2 mid (Right ventricular mid diameter at end-diastole) A4C (apical 4 chamber view) RV focused

RVD2mid

Right ventricular mid diameter at end-diastole

RVD3 long (Right ventricular longitudinal diameter at end-diastole) A4C (apical 4 chamber view) RV focused

RVD3long

Right ventricular longitudinal diameter at end-diastole

RVOT prox PLAX (Right ventricular outflow tract dimension at proximal Parasternal long axis (PLAX), diastole

RVOTprox(PLAX)

Right ventricular outflow tract dimension at proximal (PLAX)

RVOT prox PSAX (Right ventricular outflow tract dimension at proximal PSAX (level great vessels) focus on AV

RVOTprox(PSAX)

Right ventricular outflow tract dimension at proximal (PSAX)

RVOT distal PSAX (Right ventricular outflow tract dimension at distal) PSAX (level great vessels) focus on PV

RVOTdistal(PSAX)

Right ventricular outflow tract dimension at distal

PA diameter (Main pulmonary artery diameter) PSAX (level great vessels) focus on PV

PAdiameter

Main pulmonary artery diameter

RVWT (Right ventricular wall thickness) RV subcostal 4 chamber

RVWT

Right ventricular wall thickness

RV EDA (Right ventricular end-diastolic area) Apical 4 Chamber View (A4C), diastole

RV EDA

Right ventricular end-diastolic area

RV ESA (Right ventricular end-systolic area) Apical 4 Chamber View (A4C), systole

RV ESA

Right ventricular end-systolic area

RV EDA (Right ventricular end-diastolic area) RV ESA (Right ventricular end-systolic area)

FAC

Fractional Area Change

RV EDV (Right ventricular end-diastolic volume) Apical 4 Chamber View (A4C), diastole

RV EDV

Right ventricular end-diastolic volume

RV ESV (Right ventricular end-systolic volume) Apical 4 Chamber View (A4C), systole

RV ESV

Right ventricular end-systolic volume

RV EDV (Right ventricular end-diastolic volume) RV ESV (Right ventricular end-systolic volume)

RV EF

Right ventricular ejection fraction

TAPSE (Tricuspid annular plane systolic excursion) A4C (Apical 4 chamber) RV focused. M mode TAPSE

TAPSE

Tricuspid annular plane systolic excursion

S´ wave pulsed TDI (Peak systolic velocity of the tricuspid annulus A4C (Apical 4 chamber), PW doppler, lateral tricuspid annulus

S´wavepulsedTDI

Peak systolic velocity of the tricuspid annulus (Pulsed TDI)

S´ wave color TDI (Peak systolic velocity of the tricuspid annulus) A4C (Apical 4 chamber) RV focused, color tissue doppler

S´wavecolorTDI

Peak systolic velocity of the tricuspid annulus (Color TDI)

TCO TV (TDI), ET RVOT (TDI), RIMP TDI (Right Ventricular Index of Myocardial Performance), Tei index A4C (Apical 4 chamber), PW doppler, lateral tricuspid annulus

ETRVOT(TDI)

Ejection time of RVOT (Pulsed TDI)

TCO TV (TDI), ET RVOT (TDI), RIMP TDI (Right Ventricular Index of Myocardial Performance), Tei index A4C (Apical 4 chamber), PW doppler, lateral tricuspid annulus

TCOTrV(TDI)

Tricuspid valve closure to open time (Pulsed TDI)

TCO TV (TDI), ET RVOT (TDI), RIMP TDI (Right Ventricular Index of Myocardial Performance), Tei index A4C (Apical 4 chamber), PW doppler, lateral tricuspid annulus

RIMPTDI

Right Ventricular Index of Myocardial Performance (TDI)

IVV RV (Peak myocardial velocity during isovolumic contraction) A4C (Apical 4 chamber) RV focused, color tissue doppler

IVVRV

Peak myocardial velocity during isovolumic contraction

IVA RV (Myocardial acceleration during isovolumic contraction) A4C (Apical 4 chamber) RV focused, color tissue doppler

ATRV

Acceleration time during isovolumic contraction

IVA RV (Myocardial acceleration during isovolumic contraction) A4C (Apical 4 chamber) RV focused, color tissue doppler

IVARV

Myocardial acceleration during isovolumic contraction

Vmax TR (Peak tricuspid regurgitation systolic jet velocity) VTI RVOT (Velocity time integral of right ventricular outflow tract)

PVR

Pulmonary vascular ressistance

VTI RVOT (Velocity time integral of right ventricular outflow tract) PSAX (level great vessels) focus on PV, RVOT PW doppler

VTIRVOT

Velocity time integral of right ventricular outflow tract

Vmax TR (Peak tricuspid regurgitation systolic jet velocity) Apical 4 chamber (A4C). Tricuspid valve CW doppler

Vmax TR

Peak tricuspidal regurgitation velocity

1 to 2m/s TR time (Time interval between 1 and 2 m/sec on tricuspid regurgitation velocity) Apical 4 chamber (A4C). Tricuspid valve CW doppler

1 to 2m/s TRtime

Time interval between 1 and 2 m/sec on tricuspid regurgitation velocity

1 to 2m/s TR time (Time interval between 1 and 2 m/sec on tricuspid regurgitation velocity) Apical 4 chamber (A4C). Tricuspid valve CW doppler

RV dP/dt

Rate of rise of right ventricle pressure

E/A ratio TV (Tricuspid valve E wava and A wave ratio) A4C RV focused, PW doppler of tricuspid valve inflow

E/ATrV

Tricuspid valve E / A ratio

E-wave TV (Peak velocity in early diastole - Tricuspid valve) A4C RV focused, PW doppler of tricuspid valve inflow

E-waveTrV

Peak velocity in early diastole (Tricuspid valve)

A-wave TV (Peak velocity in late diastole - Tricuspid valve) A4C RV focused, PW doppler of tricuspid valve inflow

A-waveTrV

Peak velocity in late diastole (Tricuspid valve)

DT TV (Tricuspid valve deceleration time) A4C RV focused, PW doppler of tricuspid valve inflow

DT TrV

Tricuspid valve deceleration time

e´ prime wave TV (Peak velocity in early diastole of the tricuspid annulus - TDI) A4C RV (right ventricle) focused, PW doppler of lateral tricuspid annulus, diastole

e´ waveTrV

Peak velocity in early diastole of the tricuspid annulus (TDI)

E-wave TV (Peak velocity in early diastole - Tricuspid valve) e´ prime wave TV (Peak velocity in early diastole of the tricuspid annulus - TDI)

E/e´TrV

Tricuspid valve E / e´ ratio

a´ prime wave TV (Peak velocity in late diastole of the tricuspid annulus - TDI) A4C RV (right ventricle) focused, PW doppler of lateral tricuspid annulus, diastole

a´ waveTrV

Peak velocity in late diastole of the tricuspid annulus (TDI)

e´ / a´ prime wave ratio TV (Tricuspid valve) A4C RV (right ventricle) focused, PW doppler of lateral tricuspid annulus, diastole

e´/a´TrV

Tricuspid valve e´ / a´ ratio (TDI)

Zdroje:

Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the ASE and EACVI (2015)

Recommendations for the Evaluation of LV Diastolic Function by Echocardiography: An Update from the ASE and EACVI (2016)

Recommendations on the use of echocardiography in adult hypertension: a report from the EACVI and the ASE (2015)

Recommendations on the Echocardiographic Assessment of Aortic Valve Stenosis: A Focused Update from the EACVI and the ASE (2017)

ASE Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation (2017)

Guidelines for performing a comprehensive TTE examination in adults: Recommendations from the ASE (2018)

Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: ASE, EACVI, ESC, CSE (2010)

Guidelines for the diagnosis and management of acute pulmonary embolism ESC, ERS (2019)

Echocardiography in aortic diseases: EAE recommendations for clinical practice (2010)

Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice (2009)

ESSENTIAL ECHOCARDIOGRAPHY A Companion to Braunwald’s Heart Disease

Coronary Artery Territories (Echocardiography Illustrated Book 4)

Rozmery

RVD1basal
cm

Right ventricular basal diameter at end-diastole

RVD2mid
cm

Right ventricular mid diameter at end-diastole

RVD3long
cm

Right ventricular longitudinal diameter at end-diastole

RVOTprox(PLAX)
cm

Right ventricular outflow tract at proximal (PLAX)

RVOTprox(PSAX)
cm

Right ventricular outflow tract at proximal (PSAX)

RVOTdistal(PSAX)
cm

Right ventricular outflow tract at distal (PSAX)

PAdiameter
cm

Main pulmonary artery diameter

RVWT
cm

Right ventricular wall thickness

Plocha a objemy

RV EDA
cm2
cm2/m2

Right ventricular end-diastolic area

RV ESA
cm2
cm2/m2

Right ventricular end-systolic area

FAC
%

Fractional Area Change
FAC = (RV EDA - RV ESA) / RV EDA x 100

RV EDV
ml
ml/m2

Right ventricular end-diastolic volume

RV ESV
ml
ml/m2

Right ventricular end-systolic volume

RV EF
%

Right ventricular ejection fraction
RV EF = (RV EDV - RV ESV) / RV EDV x 100

Funkčné parametre

TAPSE
mm

Tricuspid annular plane systolic excursion

S’ WavepulsedTDI
cm/s

Peak systolic velocity tricuspid annulus (Pulsed TDI)

S’ WavecolorTDI
cm/s

Peak systolic velocity tricuspid annulus (Color TDI)

TCOTrV(TDI)
ms

Tricuspid valve closure to open time (Pulsed TDI)

ETRVOT(TDI)
ms

Ejection time of RVOT (Pulsed TDI)

RIMPTDI

Right Ventricular Index of Myocardial Performance (TDI)
RIMPTDI = (TCOTrV(TDI) – ETRVOT(TDI)) / ETRVOT(TDI)

IVVRV
cm/s

Peak myocardial velocity during isovolumic contraction

ATRV
ms

Acceleration time during isovolumic contraction

IVARV
m/s2

Myocardial acceleration during isovolumic contraction
IVARV = IVVRV / ATRV

VTIRVOT
cm

Velocity time integral of right ventricular outflow tract

Vmax TR
m/s

Peak tricuspidal regurgitation velocity

PVR
WU

Pulmonary vascular ressistance
PVR = (Vmax TR / VTIRVOT) x 10 + 0,16

1 to 2m/s TRtime
ms

Time interval between 1 and 2 m/s on tricuspid regurgitation velocity

RV dP/dt
mmHg/s

Rate of rise of right ventricle pressure
RV dP/dt = 12 / (1 to 2m/s TRtime)

E-waveTrV
cm/s

Peak velocity in early diastole (Tricuspid valve)

A-waveTrV
cm/s

Peak velocity in late diastole (Tricuspid valve)

E/ATrV

E/ATrV = E-waveTrV / A-waveTrV

DT TrV
ms

Tricuspid valve deceleration time

e´ waveTrV
cm/s

Peak velocity in early diastole of tricuspid annulus (TDI)

E/e´TrV

E/e´TrV = E-waveTrV / e´ waveTrV

a´ waveTrV
cm/s

Peak velocity in late diastole of tricuspid annulus (TDI)

e´/a´TrV

e´/a´TrV = e´ waveTrV / a´ waveTrV

RVD1 basal (Right ventricular basal diameter at end-diastole) A4C (apical 4 chamber view) RV focused

RVD1basal

Right ventricular basal diameter at end-diastole

Right ventricle (Size)
RVD1basal

Right ventricular basal diameter at end-diastole

25 - 41mm
RVD2mid

Right ventricular mid diameter at end-diastole

19 - 35mm
RVD3long

Right ventricular longitudinal diameter at end-diastole

59 - 83mm
RVOTprox(PLAX)

Right ventricular outflow tract at proximal (PLAX)

20 - 30mm
RVOTprox(PSAX)

Right ventricular outflow tract at proximal (PSAX)

21 - 35mm
RVOTdistal(PSAX)

Right ventricular outflow tract at distal (PSAX)

17 - 27mm
PAdiameter

Main pulmonary artery diameter

15 - 25mm
RVWT

Right ventricular wall thickness

1 - 5mm