בדיקת אקו לב O2 טל 02-5810810
machonhalev2@gmail.com
ID number
Patient
First name
Family name
Telephone number
בבקשה הכנס מספר טלפון תקין.
Format: (000) 000-0000.
date
-
חודש
-
יום
שנה
תאריך
E-mail
example@example.com
Referring physician
Reason for referral
Please Select
Chest pain
Cardiac measures, valves, and function
Cardiovascular risk factors
IHD
CONSTRICTIVE PERICARDITIS
POST PERICARDITIS
PERICARDITIS TO RULE OUT
Post pulmonary embolism
F/U AS
F/U MR
F/U AR
F/U MS
General fatigue
S/P CVA
Cardiac general examination
patient under observation
pre surgery
Oncologic patient
HYPERTENSION
FEVER
POST SYNCOPE
WEAKNESS
TIREDNESS
Palpitations
HTN
Dyspnea
CHF patient
Pot AVR
Post AVR and AAA repair
AAA repair
Post MVR
Post Valvular replacement
Post MV Repair
Aortic stenosis
Dilated aorta
post CABG
IHD post-MI
Post PCI
Myocardial hypertrophy
Valvular condition
Not mentioned
S/P Covid
Other
Referral letter
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Rows
Age
Weight
Height
Gender
General
Male
Female
Other
Measurements
Rows
Value
Comments
Aortic Root
(< 39)
Ascending Aorta (< 38)
Left Atrium (28-40)
Left Atrium area (18-20²)
Right Ventricle (27-38)
End Diastolic (35-54)
End Systolic (27-38)
LV Septum (8-11)
Posterior Wall (8-11)
EF (%)
E/A
E/e'
wall motion
Abnormal IV septum post-surgery.
Abnormal IV septum motion.
Abnormal IV septum motion due to pacemaker.
Compressed IV septum towards LV.
Dissynchronous LV contraction.
Apical aneurysem.
Apical aneurysem without thrombus.
Apical aneurysem with mural thrombus within.
Apical aneurysem with suspected thrombus within.
Apical aneurysem with well organized thrombus within.
Antero-Septal -basal & mid akinesia + scare.
Antero-Septal - mid akinesia
Septal basal &mid dyskinesia.
Septal-apex akinesia
Anterior basal &mid akinesia
Akinetic apex without clear evidence of thrombus.
Inferior base &mid hypokinesia .
Inferior-apical hypokinesis
Antero-Septal -basal hypokinesia.
Antero-Septal -mid hypokinesia.
Antero-Septal -base &mid akinesia.
Posterior-basal hypokinesia
Posterior-mid hypokinesia
Septal-basal hypokinesia
Septal-mid hypokinesia
Septal-apex hypokinesia
Septal -base & mid akinesia.
Lateral-basal hypokinesia
Lateral-mid hypokinesia
Lateral-apex hypokinesia
Inferior-basal hypokinesia
Inferior-mid hypokinesia
Inferior-apex hypokinesia
Anterior-basal hypokinesia
Anterior-mid hypokinesia
Anterior-apex hypokinesia
Antero-Septal -basal akinesia
Antero-Septal -mid akinesia
Posterior-basal akinesia
Posterior-mid akinesia
Septal-basal akinesia
Septal-mid akinesia
Septal-apex akinesia
Lateral-basal akinesia
Lateral-mid akinesia
Lateral-apex akinesia
Inferior-basal akinesia
Inferior-mid akinesia
Inferior-apex akinesia
Anterior-basal akinesia
Anterior-mid akinesia
Anterior-apex akinesia
Anterior- base & mid akinesia
Apical akinesia
Apical hypokinesia
Diffused wall motion abnormalities
Segmental wall motion abnormalities
1. Main findings and conclusions
Rows
Size
Function
Hypertrophy
Comments
Left Ventricle
Normal LV size and global systolic function ( EF =60%),
LV Normal size,
LV size -upper limit of normal,
LV High normal size,
LV Small size,
LV Mildly Dilated,
LV Mild to moderate Dilated,
LV Moderately Dilated,
LV Moderate to sever Dilated,
LV Severely Dilated,
Normal systolic function EF 55-60%.
Normal global and segmental LV systolic function (EF~60%).
Normal global LV systolic function(LVEF~55-60%).
Low normal global systolic LV function(EF50-55%).
Mild global systolic LV dysfunction(EF45-50%).
Mild global systolic LV dysfunction(EF45~%).
Mild segmental systolic LV dysfunction (EF45-50%).
Preserved global LV systolic function(EF~55%).
Preserved global LV systolic function
Normal global LV function with minimal segmental wall motion abnormalities (EF~55-60%).
Mild segmental systolic LV dysfunction(EF~50%).
Mild to moderate segmental LV systolic dysfunction(EF~45%).
Moderate segmental LV systolic dysfunction(EF~40%).
Moderate to severe segmental LV systolic dysfunction (EF~35%).
Severe segmental systolic LV dysfunction(EF~25-30%).
Severe segmental LV systolic dysfunction.
Mild global systolic LV dysfunction(EF~50%).
Mild to moderate global LV systolic dysfunction(EF~45%).
Moderate global systolic LV dysfunction(EF~40%).
Moderate global systolic LV dysfunction(EF40-45%).
Moderate to severe global LV systolic dysfunction(EF-35%).
Severe global systolic LV dysfunction(~25-30%).
Severe global LV systolic dysfunction.
Preserved global systolic function with compressed IV septum toward LV m/p due to pressure or volume overload of RV.
Supranormal IV systolic function(FF~65-70%).
LV systolic dysfunction (Cannot be estimated due to AF)
LV function can't be evaluated due to frequent premature beats
Normal LV walls thickness.
Mild concentric LV hypertrophy.
Mild to moderate LV hypertrophy.
Moderate concentric LV hypertrophy.
Severe concentric LV hypertrophy.
Mild septal hypertrophy.
Moderate septal hypertrophy.
Asymmetrical septal LV hypertrophy.
Hypertrophy of basal septum - "sigmoid septum".
Asymmetrical basal-septal LV hypertrophy. Eccentric LV hypertrophy.
Hypertrophied LV walls especially at apical area. Hypertrabeculated LV apex at posterior wall area.
Hypertrabeculated LV apex.
Borderline left ventricular hypertrophy.
Apical LV hypertrophy.
Thickened LV walls.
LVH with Moderate "sigmoid septum".
Right ventricle
Rows
Size
Function
Pacemaker
Comments
Right Ventricle
Normal RV size and global systolic function,
RV Normal size,
RV Dilated,
RV Small size,
RV High normal size,
RV Mildly dilated,
RV Moderately dilated,
RV Severely dilated,
RV atresia,
RVH,
RV Small size, preserved contraction,
RV Mildly dilated with apical akinesia,
Normal RV function.
Low normal global systolic RV function,
Globally reduced systolic function.
Mild RV systolic dysfunction.
Moderate RV systolic dysfunction.
Normal global RV systolic function with small apical aneurysm.
RV systolic dysfunction with apical akinesia.
Preserved global RV systolic function.
Reciprocal respiratory changes in RV and LV size. suggestive of constrictive physiology.
Severe RV systolic dysfunction.
Pacemaker electrodes is observed,
Diastolic function
Rows
Normal
Findings
Comments
Diastolic Function
LV diastolic function Normal,
LV diastolic dysfunction Grade 1,
LV diastolic dysfunction Grade 2,
LV diastolic dysfunction Grade 3,
Elevated left sided filling pressure,
Border line elevated left sided filling pressure,
LV Diastolic dysfunction was not assessed due to MVR,
LV Diastolic dysfunction was not assessed due to mitral valve replacement,
LV Diastolic function could no be assessed due to AF.
LV Diastolic function was not studied due to sinus tachycardia and E and A wave fusion.
LV diastolic function could no be assessed due to functional mitral stenosis.
LV diastolic function was not assessed due to mitral stenosis.
LV diastolic function was not assessed due to significant mitral regurgitation.
LV diastolic function was not assessed due to E anf A wave fusion.
Flevated F/F' ratio indicating elevated left sided filling pressure, but in presence of severe mitral annulus calcification.
Diastolic function was not assessed, patient not in sinus.
Atrium
Rows
Normal
Left
Right
Comments
Atrium
LA Normal size,
LA High normal size,
LA Mildly Dilated,
LA Mild to moderate Dilated,
LA Moderately Dilated,
LA Moderate to sever Dilated,
LA Severely Dilated,
RA Normal size.
RA High normal size.
RA Mildly Dilated.
RA Mild to moderate Dilated.
RA Moderately Dilated.
RA Moderate to sever Dilated.
RA Severely Dilated.
RA Dilated with dominant Eustachian Valve.
אבי העורקים
Rows
Normal
Aorta
שורש אבי העורקים
Ascending Aorta
Comments
Aorta
Normal aortic root, ascending aorta and aortic arch size.
High normal aortic root and ascending aorta size.
Normal aortic root and ascending aorta size.
Mildly dilated aortic root and ascending aorta.
Normal aortic root and mildy dilated ascending aorta.
Normal Aortic root size,
Dilated Aortic root,
High normal Aortic root size,
Mildly dilated Aortic root,
Moderately dilated Aortic root,
Severely dilated Aortic root,
Mild to Moderate dilated Aortic root,
Moderate to Sever dilated Aortic root,
Normal Ascending aorta size.
Dilated Ascending aorta.
High normal Ascending aorta size,
Mildly dilated Ascending aorta.
Moderately dilated Ascending aorta.
Severely dilated Ascending aorta.
Mild to Moderate dilated Ascending aorta.
Moderate to Sever dilated Ascending aorta.
Valves
Rows
Normal
Structure
Regurgitation
Stenosis
Anulus
Comments
Mitral valve
MV Normal leaflets,
MV Thickened leaflets,
MV Mildly Thickened leaflets,
MV Calcified (annulus and leaflets tips),
Mitral valve dysjunction,
MV Calcified AML,
MV Calcified AML tip,
MV Calcified PML,
MV Calcified PML tip,
MV Moderately calcified,
MV Severe calcified,
MV Suspected Flail,
MV Myxomatous,
MV Flail AML,
MV Flail PML,
MV Parachute MV,
MV Tethering leaflets,
MV Rheumatic,
MV Restricted,
MV Doming of AML,
MV Billowing leaflets,
MV Prolapse of both leaflets,
MV Prolapse of AML,
MV Prolapse of PML,
SAM of the MV without significant pressure, gradient across the LVOT,
SAM of the MV with significant pressure gradient, across the LVOT,
SAM of the MV with significant pressure gradient, across the LVOT, Rest (138 mmHg) No change (during valsalva).
MV S/P MVR,
MV S/P MVR with ring implantation,
MV S/P MitralClip,
MV repaired,
MV S/P valvuloplasty,
MV bioprosthesis
MV bioprosthesis -normal pressure gradient across the valve ,No leak.
MV bioprosthesis - With high pressure gradient across the valve,
MV prosthesis,
MV Prosthetic – Mechanical with High pressure gradient across the valve,
MV Prosthetic – Mechanical with High pressure gradient across the valve,
MV Prosthetic – Mechanical with mildly elevated pressure gradient across the valve,
S/P TIARA implantation,
MV Bileaflet mechanical prosthesis,
MV No definite evidence for Prolapse,
Suspected vegetation on MV at the atrial side,
Minimal MR,
Mild MR,
Mild+ MR,
Mild+ MR -Eccentric get.
Mild-Mod MR,
Moderate MR,
Mod-Sever MR,
Severe MR,
Small leak.
No leak.
No MS,
Minimal MS,
Mild MS,
Mild+ MS,
Mild-Mod MS,
Moderate MS,
Mod-Sever MS,
Severe MS,
Sclerotic MV,
MAC,
Sever MAC,
MAC, Anterior - Mild, Posterior Sever,
Posterior MAC,
Anterior MAC,
F-MS due to severely MAC,
Caseous degeneration Mitral anulus,
Posterior MAC shelf,
MAC with posterior shelf,
Rows
MR JET Area (cm2)
MR Vena Contracta (cm)
ERO (cm2)
RVol (ml)
Etiology
MR
Eccentric MR jet
Posteriorly oriented jet of MR
Anteriorly oriented jet of MR
Central MR jet
More then one MR jet
Several MR jets
F MR
D MR
Systolic flow reversal of pulmonary vein flow
No evidence of leak
Small MR leak
Small paravalvular MR leak
Small Mitral valvular leak
Rows
Peack Gradient (mmHg)
Mean gradient (mmHg)
MVA (cm2)
Etiology
MS
Rheumatic MV
Restricted MV
Parachute MV
Doming of AML
Doming of PML
MS due to MAC
MS due to rapid heart rate
Rows
Normal
Structure
Regurgitation
Stenosis
Comments
Aortic valve
AV Normal cusps,
AV Thickened Cusps,
AV Mildly thickened Cusps,
AV Calcified,
AV Limited opening
AV Sclerotic,
AV Focal calcified cusps,
AV Restricted opening,
AV Rheumatic,
AV Bicuspid,
AV Local calcified of NCC,
AV Local calcified of RCC,
AV Local calcified of LCC,
AV S/P TAVI -normal pressure gradient across the valve without leak,
AV S/P TAVI -normal pressure gradient across the valve with paravalvular leak,
AV S/P TAVI -High pressure gradient across the valve with paravalvular leak,
AV Prosthetic – Biological TAVI,
AV Prosthetic – Biological,
AV Prosthetic – Biological with normal pressure, gradient across the valve,
AV Prosthetic – Biological with severely elevated pressure, gradient across the valve,
AV Prosthetic – Biological with High pressure, gradient across the valve,
AV Prosthetic – Mechanical,
AV Prosthetic – Mechanical with normal pressure, gradient across the valve,
AV Prosthetic – Mechanical with High pressure, gradient across the valve,
AV Prosthetic – Mechanical with mildly elevated pressure gradient across the valve,
AV Tricuspid,
AV Bicuspid,
AV Asymmetric cusps, Suspected bicuspid,
AV Bicospid with AV Raphe
AV Quadricuspid,
AV Unicuspid,
AV S/P repair,
AV S/P repair- normal function,
Patient-prosthesis mismatch,
AV Uncoaptated,
Suspected vegetation on AV at the aorta side,
Minimal AI,
Mild AI,
Mild+ AI,
Mild-Mod AI,
Moderate AI,
Mod-Sever AI,
Severe AI,
Severe leak,
Moderate -Severe leak,
Mild AI paravalvular leak,
Mild + AI paravalvular leak,
Mild-Mod AI paravalvular leak,
Moderate AI paravalvular leak,
No AS,
Minimal AS,
Mild AS,
Mild+ AS,
Mild-Mod AS,
Moderate AS,
Mod-Sever AS,
Mod-Sever AS with normal flow and low gradient ,
Severe AS,
Rows
Peack Gradient (mmHg)
Mean gradient (mmHg)
AV VTI (cm)
AVA (cm2)
LVOT VTI (cm)
LVOT D
(mm)
AS
Rows
Normal
Structure
Regurgitation
Stenosis
Gradient
(mmHg)
Comments
Tricuspid valve
TV Normal cusps,
TV Thickened cusps,
TV calcification,
TV Prolapsed cusps,
Redundant structure on the TV,
TV S/P repair,
TV S/P repair with ring implantation,
TV S/P replacement,
TV Bioprosthetic,
TV Bioprosthetic -normal pressure gradient across the valve,
s/p TriClip,
s/p TriClip with normal pressure gradient,
TV Uncoaptated leaflets,
TV anulus calcified,
Suspected vegetation on TV at the atrial side,
Minimal TR,
Mild TR,
Mild+ TR,
Mild-Mod TR,
Moderate TR,
Mod-Sever TR,
Severe TR,
Minimal TS,
Mild TS,
Mild+ TS,
Mild-Mod TS,
Moderate TS,
Mod-Sever TS,
Severe TS,
Rows
Normal
Structure
Regurgitation
Stenosis
Gradient
(mmHg)
Comments
Pulmonary valve
Normal PV,
Thickened PV,
S/P PV repair,
S/P PV repair with ring implantation,
S/P PV replacement,
Bioprosthetic PV,
Bioprosthetic PV -normal pressure gradient across the valve,
Suspected vegetation on PV,
Minimal PI,
Mild PI,
Mild+ PI,
Mild-Mod PI,
Mod PI,
Mod-Sever PI,
Severe PI,
Minimal PS,
Mild PS,
Mild+ PS,
Mild-Mod PS,
Mod PS,
Mod-Sever PS,
Severe PS,
Rows
Normal
TIG
(mmHg)
PAP
IVC
PHT
(mmHg)
Comments
Pulmonary Hypertension
Normal IVC size with normal inspiratory collapse.
Normal IVC size with reduced inspiratory collapse.
Dilated IVC size with normal inspiratory collapse.
Dilated IVC size with less than50 % collapse.
Dilated IVC size without inspiratory collapse.
Dilated IVC size reduced inspiratory collapse.
IVC was not visualized.
Normal PAP,
PAP cannot be estimated without TR signal,
Slightly elevated pulmonary artery pressure,
Mild PHT,
Mild -Moderate PHT,
Moderate PHT,
Moderate-severe PHT,
Severe PHT,
The PAP is underestimated due to uncoaptated leaflets,
Inadequate TR signal for assessment of PAP,
PAP cannot be obtained in absence of TR or PR,
Rows
No
Findings
Comments
Pericardial Efusion
No pericardial effusion,
Minimal pericardial effusion,
Minimal physiologic pericardial effusion,
Small pericardial effusion,
Mild Pericardial effusion,
Mild to moderate pericardial effusion,
Moderate pericardial effusion,
Moderate anterior pericardial effusion,
Moderate pericardial effusion without sings of tamponade,
Moderate pericardial effusion with sings of tamponade,
Large pericardial effusion
Large pericardial effusion without echocardiographic sings of tamponade,
Large pericardial effusion without echocardiographic sings of tamponade,
Dense thickened pericardium.
Large pericardial effusion with sings of tamponade,
Layer of fat pericardial effusion,
Small pericardial effusion with fibrin / fat.
Pericardial effusion around the Heart,
Mild Pericardial effusion around the Heart,
Mild to Mod Pericardial effusion around the Heart,
Pericardial thickened
Right Pericardial thickened
Pericardial thickened, M/P fibrin/fat
Pericardial thickened with Pericardial effusion around the Heart, with echocardiographic sings of tamponade,
Rows
Other findings
Comments
Normal Echo-Doppler .
Atrial Fibrillation.
Sinus Bradycardia.
Aneurysm of interatrrial septum.
Aneurysm of interatrrial septum with suspected interatrium septal shunt.
No cardiac source of emboli.
Ecogenic Content inside the pericardial space (Fat ,Fibrin).
No evidence of vegetations.
Evidence of secundum ASD with left to right shunt.
Evidenced of PFO/ ASD with left to right shunt.
Evidence of small secundum ASD of 0.3 cm with left to right shunt.
Evidenced of PFO/ ASD with bidirectional get.
S/P REPAIR OF ASD PRIMUM.
Technically difficult Doppler study.
No vegetation seen.
Device on interatrial septum.
Device in Left Atrial Appendage.
Congenital A.S.D.
Incomplete Study - noncooperative patient!
No significant change compared with previous echo.
Suspected Patent Ductus Arteriosus.
Suspected interatrium septal shunt.
Suspected ASD.
Suspected VSD.
Post procedural residual interatrium septal shunt.
Pleural Effusion.
Right Pleural Effusion.
Huge Pleural Effusion + Fibrin.
No evidence of Pleural Effusion.
Suspected thrombus in left atrial appendage.
High systolic pressure gradient in LV, at rest . __mmHg in valsalva __ mmHg.
Rows
Other findings
Comments
Normal Echo-Doppler .
Interatrial septum aneurysm.
Interatrial septum aneurysm no shunt.
Atrial Fibrillation.
Atrial Flutter.
No cardiac source of emboli.
No evidence of vegetations.
S/P REPAIR OF ASD PRIMUM.
Technically difficult Doppler study.
No vegetation seen.
Device on interatrial septum.
Device in Left Atrial Appendage.
Congenital A.S.D.
Incomplete Study - noncooperative patient!
No significant change compared with previous echo.
Suspected Patent Ductus Arteriosus.
Dominant interatrial septal shunt. (suspected bidirectional get) .
Suspected ASD.
Suspected VSD.
Evidence of PFO
No evidence of PFO
Pleural Effusion.
Right Pleural Effusion.
Pleural Effusion.
Huge Pleural Effusion + Fibrin.
Suspected thrombus in left atrial appendage.
High systolic pressure gradient in LV, at rest . __mmHg in valsalva __ mmHg.
Rows
הערות לקרדיולוג מהטכנאי
Conclusion
Technician name
Please Select
Dvora Glazer
Gabriel Loutaty
Laya Weichbrod
Dassi Moshkovitz
Ruchama yalin
Hila Cohen
Shira Rasowsky
Chaya Jacobs
Mohammad dawood
STUDY QUALITY
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Cardiologist
Please Select
Dr. Zahi Khuri MD LN 18019
Dr.Davarashvili Ilia ln 118281
Save
Submit
Should be Empty: