| 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 |