4.14 Common Principles in Valve Regurgitation Quantification

In this special episode, we sit down and examine the flowcharts for guideline-based quantification of aortic regurgitation (AR) severity, mitral regurgitation (MR) severity, and tricuspid regurgitation (TR) severity, and compare and contrast the differences in the cutoffs used, and the physiologic reasons for these differences. How are EROA and regurgitant volume thresholds the same or different across AR, MR, and TR, and why? Why is pressure half time only used in the algorithm for AR severity, but not MR and TR? Why is the proximal isovelocity surface area (PISA) radius omitted from the algorithm for AR severity, but included in that of MR and TR severity? What vena contracta width cutoff for mild, moderate, and severe regurgitation holds true across AR, MR and TR? Which vessel is interrogated in examining flow reversal in AR, MR, and TR? Which cardiac chamber's dimensions are measured in examining severity of AR, MR, and TR? Tune in for answers to these questions.

Difficulty Level: Advanced

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