Table 8

Prosthetic aortic valve stenosis criteriaa

ParameterNormalPossible stenosis Significant stenosis
Peak velocity (m/s)b<33–4>4
Mean gradient (mmHg)b<2020–35>35
Doppler velocity index≥0.300.29–0.25<0.25
Effective orifice area (cm2)>1.21.2–0.8<0.80
Contour of the jet velocity through the prosthetic valveTriangular, early peakingTriangular to intermediateRounded, symmetrical contour
Acceleration time (ms)<8080–100>100
ParameterNormalPossible stenosis Significant stenosis
Peak velocity (m/s)b<33–4>4
Mean gradient (mmHg)b<2020–35>35
Doppler velocity index≥0.300.29–0.25<0.25
Effective orifice area (cm2)>1.21.2–0.8<0.80
Contour of the jet velocity through the prosthetic valveTriangular, early peakingTriangular to intermediateRounded, symmetrical contour
Acceleration time (ms)<8080–100>100

aIn conditions of normal or near normal stroke volume (50–70 mL).

bThese parameters are more affected by flow, including concomitant aortic regurgitation.

Table 8

Prosthetic aortic valve stenosis criteriaa

ParameterNormalPossible stenosis Significant stenosis
Peak velocity (m/s)b<33–4>4
Mean gradient (mmHg)b<2020–35>35
Doppler velocity index≥0.300.29–0.25<0.25
Effective orifice area (cm2)>1.21.2–0.8<0.80
Contour of the jet velocity through the prosthetic valveTriangular, early peakingTriangular to intermediateRounded, symmetrical contour
Acceleration time (ms)<8080–100>100
ParameterNormalPossible stenosis Significant stenosis
Peak velocity (m/s)b<33–4>4
Mean gradient (mmHg)b<2020–35>35
Doppler velocity index≥0.300.29–0.25<0.25
Effective orifice area (cm2)>1.21.2–0.8<0.80
Contour of the jet velocity through the prosthetic valveTriangular, early peakingTriangular to intermediateRounded, symmetrical contour
Acceleration time (ms)<8080–100>100

aIn conditions of normal or near normal stroke volume (50–70 mL).

bThese parameters are more affected by flow, including concomitant aortic regurgitation.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close