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Define Severe Aortic Stenosis
- Vmax > 4 m/s
- AVA < 1.0 cm2
*AVA= aortic valve area
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Frequency of serial eval for severe aortic stenosis
- Clinical eval yearly
- Echo yearly
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Define Moderate Artic Stenosis
- Vmax 3-4 m/s
- AVA 1.0-1.5 cm2
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Frequency of serial eval for moderate Aortic stenosis
- Clinical eval yearly
- Echo every 1-2 y
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Define Mild Aortic stenosis
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Frequency of serial eval for Mild Aortic Stenosis
- Clinical eval yearly
- Echo every 3-5 y
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Frequency of serial eval for Severe Mitral Stenosis
- Clinical eval yearly
- Echo yearly
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Define Severe Mitral Stenosis
- MVA <1.0 cm2
- MPG >10 mm Hg
- PASP >50 mm Hg
*MPG = mean pressure gradient, MVA = mitral valve area, ASP = pulmonary artery systolic pressure
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Define Moderate Mitral Stenosis:
- MVA 1.0-1.5 cm2
- MPG 5-10 mm Hg
- PASP 30-50 mm Hg
*MPG = mean pressure gradient, MVA = mitral valve area, ASP = pulmonary artery systolic
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Define Mild Mitral Stenosis
- MVA >1.5 cm2
- MPG <5 mm Hg
- PASP <30 mm Hg
*MPG = mean pressure gradient, MVA = mitral valve area, ASP = pulmonary artery systolic
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Define Severe Aortic Regurgitation:
- VC >0.6 cm
- ROA ≥0.3 cm2
- RV ≥60 mL/beat
- RF >50%
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Serial Evaluation for Severe Aortic Regurgitation
EF >50%; LV size normal -- Clinical eval every 6-12 months, Echo yearly
EF >50%; LV size increased -- Clinical eval every 6 month, Echo every 6 to 12
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Define Mild Aortic Regurgitation
- VC <0.3 cm
- ROA <0.10 cm2
- RV <30 mL/beat
- normal EF
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Serial evaluation and follow-up for Mild Aortic Regurgitation
- Clinical eval yearly
- Echo every 2-3 y
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Define Severe Mitral Regurgitation
- VC ≥0.7 cm
- ROA ≥0.4 cm2
- RV ≥60 mL/beat
- RF >50%
*VC = vena contracta width, ROA = regurgitant orifice area; RV = regurgitant volume
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Recommended follow-up for Severe Mitral Regurgitation:
- Clinical eval every 6-12 mo
- Echo every 6-12 mo
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Define Mild Mitral Regurgitation:
- VC <0.3 cm
- ROA <0.10 cm2
- RV <30 mL/beat)
normal EF mL/beat); EF normal; LV size normal
*VC = vena contracta width, ROA = regurgitant
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