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Patient Information

Exam Date
Location
Department
Patient ID
Name
Sex
Height
Weight
BSA
BP1
BP2
HR
ECG
test
cm
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Staff

Sonographer
Physician
Staff

Echocardiographic Findings

Conclusion

Recommendations

M-mode Measurement

IVSd
mm
LV mass
g
Aortic diameter
mm
IVSs
mm
LV mass index
g/m²
LAd(A-P)
mm
PWd
mm
RWT
mm
lvot
mm
PWs
mm
RVOT
cm
LVEdD
mm
LVEdD2
mm/m²
LVEF M-mode
%
RVOT prox
mm
LVEsD
mm
Fractional shortening
%
PA trunk
mm
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2D Measurement

LVEdV (biplane)
mL
Aortic annulus
mm
TR Vmax
m/sec
LVEsV (biplane)
mL
Sinus of Valsalva
mm
RVSP
mmHg
LVEF (biplane)
%
ST junction
mm
RV base
mm
RV mid
mm
RV length
mm
3D EF
%
Ascending aorta
mm
TV annulus
mm
GLS
%
Aortic arch
mm
TAPSE
mm
LA vol. (biplane)
mL
RA vol
mL
RA Area
cm²
RV S'
cm/sec
LA vol. index
ml/m²
RA vol. index
ml/m²
RV FAC
%

Doppler Measurement

LVOT Vmax
m/sec
Septal S'
cm/sec
IVRT
msec
LVOT VTI
cm
Septal E'
cm/sec
MV annulus
mm
RVOT VTI
cm
Septal A'
cm/sec
Ma VTI
cm
E vel.
cm/sec
Lateral E'
cm/sec
A Vel.
cm/sec
Average E/E'
Dec. Time
m/sec
S/D ratip
E/A ratio
Ar-A duration
msec
IVC
IVC diameter
mm

Severity of Valvular disease(AV)

Severity of Valvular disease(MV)

Severity of Valvular disease(PV)

Severity of Valvular disease(TV)

Segmental Wall Motion Abnormality

selColor H A An D 0 n
echoTool N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N