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Mitral Insufficiency: Difference between revisions
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|<4cm<sup>2</sup> | |<4cm<sup>2</sup> | ||
|4cm-10cm<sup>2</sup> | |4cm-10cm<sup>2</sup> | ||
|10cm<sup>2</sup | |10cm<sup>2</sup> | ||
|- | |- | ||
!ERO | !ERO | ||
|<20 mm<sup>2</sup> | |<20 mm<sup>2</sup> | ||
|20-40mm<sup>2</sup> | |20-40mm<sup>2</sup> | ||
|40mm<sup>2</sup | |40mm<sup>2</sup> | ||
|- | |- | ||
!Vena contracta | !Vena contracta | ||
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==Assess the severity of mitral insufficiency== | ==Assess the severity of mitral insufficiency== | ||
An independent measure seem to be that the regurgitant area trying to access parameters. With the help of the Proximal Isovelocity Surface Area (PISA) method, the effective | An independent measure seem to be that the regurgitant area trying to access parameters. With the help of the Proximal Isovelocity Surface Area (PISA) method, the effective regurgitant orifice (ERO) can be calculated. The vena contracta (narrowest part of regurgitant jet) has a strong relationship with the regurgitant orificium. | ||
Of course, it should not be forgotten. "Old" values in the estimation of the seriousness of the MI In a severe MI will, after all, often the left atrium will be enlarged and the PW measured with E / A ratio of the | Of course, it should not be forgotten. "Old" values in the estimation of the seriousness of the MI In a severe MI will, after all, often the left atrium will be enlarged and the PW measured with E / A ratio of the mitraal inflow >>1 should be, and the velocity E> 1.5 to 1.8 m/s. | ||
{| class="wikitable" cellpadding="0" cellspacing="0" border="0" | {| class="wikitable" cellpadding="0" cellspacing="0" border="0" | ||
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!colspan="3"|[[Image:PISA. | !colspan="3"|[[Image:PISA.svg|500px]] | ||
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!colspan="3" align="center"|Criteria For MR severity<nowiki>*</nowiki> | !colspan="3" align="center"|Criteria For MR severity<nowiki>*</nowiki> | ||
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{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="750px" | {| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="750px" | ||
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|bgcolor="#FFFFFF" align="center" colspan="3"|[[Image:Carpentier1. | |bgcolor="#FFFFFF" align="center" colspan="3"|[[Image:Carpentier1.svg|600px]] | ||
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|width="250px" valign="top"|'''Type I:''' Normal mobility of the leaflets, cleft mitral valve hole in mitral valve endocarditis by functional with annulus dilatation | |width="250px" valign="top"|'''Type I:''' Normal mobility of the leaflets, cleft mitral valve hole in mitral valve endocarditis by functional with annulus dilatation | ||
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{| class="wikitable" cellpadding="0" cellspacing="0" border="0" | {| class="wikitable" cellpadding="0" cellspacing="0" border="0" | ||
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|bgcolor="#FFFFFF" align="center"|[[Image:Carpentier2. | |bgcolor="#FFFFFF" align="center"|[[Image:Carpentier2.svg|400px]] | ||
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