prepared by : dr.hatem bakarman supervised by: dr.hanan al-baker
TRANSCRIPT
- Slide 1
- Prepared by : Dr.Hatem Bakarman supervised by: Dr.Hanan Al-Baker
- Slide 2
- Introduction. Echo indications. Scores of MS. Assessment severity of MS.
- Slide 3
- 23years woman referred for possible BMV for Rheumatic MS. Calculate a)mitral valve score. b)Mean PHT. C)MVA. DT=583mesc
- Slide 4
- Normal mitral valve Two leaflets. MVA = 4-6 cm 2.
- Slide 5
- RHD. Mitral annular calcification. Congenital. RA SLE.
- Slide 6
- increase LAP MVA MGP Pulmonary edema+ PHT Pulmonary venous pressure RHF Pressure on right heart.
- Slide 7
- DX of MS & assessment of severity Re-evaluation in patient known of Ms TTE Assessment of LA thrombus Evaluate severity of MS befor PMBV Evaluation of MS when TTE is suboptimal TEE Class I Revaluate in patient who known MS & stable clinical finding. ClassIIa TEE is not indication routine evaluation of MS when TTE is satisfactory. ClassIII ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease Circulation 2006 Mild MS :every 3-5 year moderateMS:every 1-3 year Severe MS:every 1 year
- Slide 8
- Assessment diminish mobility & doming of Ant leaflet. Assessment morphology of MV (scoring). MVA (planimetry). LA enlargement. & thrombus. RV enlargement. (HOCKEY STICK ).
- Slide 9
- 1.PAP. 2.MVA. 3.Pressure gradient.
- Slide 10
- SEVEREMODERATEMILDSEVERITY >50mmhg30-50mmhg105-10