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-RUMAH SAKIT UMUM METHODIST SUSANNA WESLEY

Jl. Harmonika Baru Pasar 1 Padang Bulan Selayang II


Telp. (061) 8222264, Fax (061) 8222263 Medan 20132, Sumatera Utara – Indonesia

2D Echo Doppler Report


Date of study : ............................................................................
Name : ............................................................................
Diagnosis : ............................................................................
Medical Record : ............................................................................
M Mode
2D Echo
RA Normal/Dilated ............................................... ................. Measured Ref (mm)

LA 15 – 60
LA Normal/Dilated/Thrombus ........................................... ....
RV Normal/Dilated/RVH ..................................... ................. AO 20 – 37

LV Dilatation ......................................................................... LA/AO <1,2


Hypertrophy Absent/Concentric/Eccentric
LVEDD 35 – 52
Aneurysm .......................................................................
Contractility Normal/Hypokinesis ...................................... LVESD 26 – 56
Akinesis ......................................................... IVSS 7 – 11
Dyskinesis ......................................................
IVSD 7 – 11
IAS Normal/ASD ..................................................................
IVS Normal/VSD .................................................................. EF 53 – 77 %
AO Normal/Dilated
LVPWD 7 – 11
PA Normal/Dilated
Pericardium Normal/Thickened/Calcified/Effusion/Tamponade LVPWS 7 – 11

2D & dopller of cardiac valves EPSS <10


Mitral
FS

MVA 4 – 6 cm2

Normal/Thickened/Calcified/Prolapsed/Vegetation ....................................................
Tricuspid Normal/Thickened/Calcified/Prolapsed/Vegetation ....................................................
Aortic Normal/Thickened/Calcified/Prolapsed/Vegetation ....................................................
Pulmonary Normal/Thickened/Calcified/Prolapsed/Vegetation ....................................................
PeakFlow (m/s) Reference Range Regurgitation Stenosis
Tricuspid 0.3 – 0.7 m/s
Mitral 0.6 – 1.3 m/s
Pulmonary 0.6 – 0.9 m/s
Aortic 1.0 – 1.7 m/s
LVOT 0.7 – 1.1 m/s
2D Echo Doppler Report
Conelusion, Diagnosis and Comments

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