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 Measured Ref (mm)
RA Normal/Dilated ............................................... ................. LA 15 – 60
AO 20 – 37
LA Normal/Dilated/Thrombus ........................................... .... LA/AO <1,2
RV Normal/Dilated/RVH ..................................... ................. LVEDD 35 – 32
LV Dilation .......................................................................... LVESD 26 – 36
Hypertrophy Absent/Concentric/Eccentric IVSS 7 – 11
Aneurysm ....................................................................... IVSD 7 – 11
Contractility Normal/Hypokinesis ...................................... EF 53 – 77 %
Akinesis ......................................................... LVPWD 7 – 11
Dyskinesis ......................................................
LVPWS 7 – 11
IAS Normal/ASD ..................................................................
EPSS <10
IVS Normal/ASD ..................................................................
FS
AO Normal/Dilated
MVA 4 – 6 cm2
PA Normal/Dilated
Pericardium Normal/Thickened/Calcified/Effusion/Tamponade
2D & dopller of cardiac valves
Mitral 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