AS velocity >4 m/s and AVA > 1.0 cm2 |
1. Check LVOT diameter measurement and compare with previous studiesa |
2. Check LVOT velocity signal for flow acceleration |
3. Calculate indexed AVA when |
a. Height is < 165 cm (5′5″) |
b. BSA < 1.5 m2 |
c. BMI <22 (equivalent to 55 kg or 120 lb at this height). |
4. Evaluate AR seventy |
5. Evaluate for high cardiac output |