TEE CHART - MITRAL REGURGITATION

TEE chart -  MITRAL REGURGITATION

Parameters                      Mild                   Moderate               Severe

LA                                    normal               normal/dilated        dilated

LV                                    normal               normal/dilated       dilated/enlarged

MV apparatus                normal/abN        normal/abN           flial leaflet/ruptured PM

Jet area sq cm                < 4                      4-8                          > 8

Jet area of LA area         20%                    20 – 40%                40%

PFC                                 minimal                   variable               large

PW Doppler                  dominant A wave          variable          dominant E wave >1.2 m/s

Pulmonary veins           syst dominance      syst blunting/ diast dominance     syst flow reversal

CWD spectral density     faint envelope        dense            ‘V’wave cut off sign

CWD contour                   parabolic                 variable                early peaking triangular

Vena contracta cms            <0.3                   0.3-0.69                   >0.7

Mitral to aortic VTI ratio      <1                                                       >1.4

PISA radius  mm                   < 6.3                6.3-8.9                       > 9

Quantitative -

Regurg vol ml/beat            < 30                      30-59                     >60

Regurg fraction%              < 30                       30- 49                     >50

EROA sqcm                       < 0.2                     0.2-0.39                   >0.4

- by Dr Amarja