Aortic Valve Area by Gorlin Equation · Dr. Kenneth Gross ·
 Calcs>Aortic Stenosis>AVA by Gorlin>1

 LVOT Diameter; cm AV VTI cm Vmean m/sec HR bpm SEP msec CO mls/min AVA cm2
How to calculate a AVA by Gorlin Formula.
CO = 0.785 x LVOTd2 x VTIAV  x HR AVG = 4(Vmean)2 AVA = (CO / SEP x HR) / (44.3 x sq root(AVG))

Step 1: Obtain the LVOT Diameter. The ME AVLAX view under zoomed mode is an excellent method to measure the LVOT diameter.  Measure the LVOT diameter in mid systole.

Step 2:  Obtain a CWD of the AV.  The optimal view is either the DTG AVLAX or TG AVLAX.  Once a flow profile is obtained, trace the envelope to calculate the mean velocity (Vmean) and the VTI.  From the flow profile the SEP or systolic ejection period can be measured.

Step 3:  Enter the Heart Rate.

Optional:  Modified Gorlin Formula:

AVA = CO / Square Root of Mean AVG.

The cardiac output is in liter per minute.

For example a CO of 5.4 l/min and a mean AVG of 64 yields 5.4 / sq root(64) = 0.68 cm squared.

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 Previous Page © Copyright 2000-2017  JLS Interactive, LLC. Content from this web site may not be used or reproduced for non-personal or commercial purposes without express written permission by JLS Interactive, LLC.This page was updated by Dr. Kenneth Gross and edited by Dr. Kenneth Gross on 2015-09-26 19:59:16. This page was created on 2008-10-06 08:09:47. This page is sponsored by JLS Interactive, LLC. Next Page