Valve Area & Hemodynamics Suite

Projected Aortic Valve Area Calculator

Utilizing dobutamine stress echo in low-flow, low-gradient aortic stenosis
cm

Resting Inputs

cm
cm
ms

Peak Dobutamine Inputs

cm
cm
ms

Resting Results

AVA at rest: - cm²

AVAi at rest: - cm²/m²

Stroke Volume (SV): - mL

Stroke Volume Index (SVi): - mL/m²

Flow Rate: - mL/s

Dimensionless Index: -

Peak Results

AVA at peak: - cm²

AVAi at peak: - cm²/m²

Stroke Volume (SV): - mL

Stroke Volume Index (SVi): - mL/m²

Flow Rate: - mL/s

Dimensionless Index: -

Change in SV: - %

PROJECTED AVA: _ cm²

Amer Kadri, MD, FACC, FSCAI, RPVI
amer.kadri@chs-mi.com

Equations Used:
1. AVA = (0.785 × LVOT Diameter² × LVOT VTI) / AV VTI
2. SV = LVOT Area × LVOT VTI
3. Flow Rate = SV / Ejection Time (in seconds)
4. ΔAVA = AVApeak - AVArest | 5. ΔQ = Flow Ratepeak - Flow Raterest
6. Change in SV (%) = (SVpeak - SVrest) / SVrest × 100
7. AVAproj = AVArest + (ΔAVA / ΔQ) × (250 - Qrest)
8. AVAi = AVA / BSA | 9. SVi = SV / BSA | 10. DI = LVOT VTI / AV VTI

Standard Aortic Valve Area Calculator

cm
cm
cm
ms

Results

AVA: - cm²

AVAi: - cm²/m²

Stroke Volume: - mL

SVi: - mL/m²

Flow Rate: - mL/s

DI: -

Amer Kadri, MD, FACC, FSCAI, RPVI
amer.kadri@chs-mi.com

Equations Used:
• AVA = (0.785 × LVOT Diameter² × LVOT VTI) / AV VTI
• SV = LVOT Area × LVOT VTI | Flow Rate = SV / Ejection Time (s)
• AVAi = AVA / BSA | SVi = SV / BSA | DI = LVOT VTI / AV VTI

EROA Calculator (PISA method)

cm/sec
cm
cm/sec
cm

Results

EROA: - cm²

Regurgitant volume: - ml/beat

Amer Kadri, MD, FACC, FSCAI, RPVI
amer.kadri@chs-mi.com

Equations Used:
• EROA = (2 × π × r² × Va) / Vmax
• Regurgitant Volume = EROA × VTI

Invasive Hemodynamics

Pressure Inputs

mmHg
mmHg
mmHg
mmHg
mmHg
bpm

Method: Fick

L/min

CI: -

SV: -

SVi: -

Thermodilution

L/min

CI: -

SV: -

SVi: -

Results (Fick)

PVR: - WU

SVR: - D/S

TPG: - mmHg

CPO: - W

PAPi: -

Results (TD)

PVR: - WU

SVR: - D/S

TPG: - mmHg

CPO: - W

PAPi: -

Amer Kadri, MD, FACC, FSCAI, RPVI
amer.kadri@chs-mi.com

Equations Used:
• TPG = mPAP - PCWP
• PVR = TPG / CO | SVR = [(MAP - RA) / CO] × 80
• SV = (CO * 1000) / HR | SVi = SV / BSA
• CPO = (MAP × CO) / 451 | PAPi = (PA Systolic - PA Diastolic) / RA Mean