Insufficienza Aortica

 

Grading the severity of AR

 

 Parameters Mild Moderate Severe
QUALITATIVE      
  Aortic valve morphology Normal/Abnormal Normal/Abnormal Abnormal/flail/large coaptation defect
   Colour flow AR jet width  Small in central jets Intermediate Large in central jet, variable in eccentric jets
   CW signal of AR jet Incomplete/faint Dense Dense
   Diastolic flow reversal in descending aorta Brief, protodiastolic flow reversal Intermediate

Holodiastolic flow reversal (end-diastolic velocity >20 cms)

SEMI-QUANTITATIVE      
   VC width (ms) <3 Intermediate >6
   Pressure half-time (ms) >500 Intermediate <200
QUANTITATIVE      
   EROA (mm²) <10 10-19; 20-29 ≥30
   R vol (mL) <30 30-44; 45-59 ≥60 
   +LV size      

 

 

 

 

 

 

 

 

 

 

 

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