ECHO 2013 / Hemodynamics III Echo-Based Clinical Decision-Making Cases
.pdf
LV intra-cavitary dynamic obstruction
©2012 MFMER | 3225607-41
Doppler Hemodynamics Review
•Doppler principles
•All formulae
•Bernoulli’s equation
•Hydraulic orifice formula
•Continuity equation
•PISA
•Qp/Qs
•dP/dt
•PHT and DT
©2011 MFMER |
slide-42 ©2012 MFMER | 3225607-42
Thank you ! Oh.jae@mayo.edu
CM875969-43 |
©2012 MFMER | 3225607-43 |
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63 year old woman with HCM
Recurrent Pulmonary Edema
E = 60 cm/s e’ = 5 cm/s
©2012 MFMER | 3225607-44
©2012 MFMER | 3225607-45
Catheterization
What is responsible for recurrent pulmonary edema?
1= Mitral regurgitation 2= Diastolic Dysfunction 3= 1+2 4= More evaluation
©2012 MFMER | 3225607-46
Stage 2 |
Stage 4 |
©2012 MFMER | 3225607-47
63 year old woman with HCM
Recurrent Pulmonary Edema
Rest |
Stage 2 |
Stage 4 |
©2012 MFMER | 3225607-48
After SL Nitroglycerin
©2012 MFMER | 3225607-49
63 yo woman with recurrent pulmonary edema
Baseline |
Exercise |
Baseline |
Stage 4 |
©2012 MFMER | 3225607-50