Thread by @BirkhoelzerS

#BSEcho2020 Dr. Bushra Rana @ImperialNHS on 3D Assessment of MR
✅Mechanism
....Type 1: Annular dilatation
....Type 2: Leaflet Proplapse
....Type 3: :leaflet restriction
✅Severity Assessment
✅Haemodynamic consequences

#BSEcho2020 ✅Severity Assessment
↔️Elliptical orifice (average Vena contract in orthogonal views)
↔️Multiple jets (3D Vena contract area)
↔️Late systolic jets (Volumetric methods)
Integrative approach to grading MR severity
VC area x MR VTI = Regurg Vol

#BSEcho2020 ✅Importance of haemodynamic consequences on outcome
➡️Class I: SYMPTOMS
or LVEF <60% but >30%, LVEDd >45 mm
➡️Class IIa: ASYMPTOMATIC
- AF, systolic PAP > 50 mmHg, LA > 60mls/m2, flail segment
➡️Class IIb:HIGH SURGICAL RISK GROUPS

#BSEcho2020 ✅Summary
@BJCA_Women_LTFT @TheBJCA @BJCAstarter @WessexSpRs @em_echo @dr_benoy_n_shah @BSCImaging @CardiacimagingB @CardiacImaging1 @ShaemalaA @AmyBurchell @theharveys @sarahhudsonuk #echocardiography #echofirst

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