Table 3: TTE parameter comparisons.

 

Measurement

 

Admission (22/06/2020)

<4 months prior admission (09/03/2020)

TR became severe

(2017)

Moderate TR

(2016)

 

 

 

Systemic RV

Size

Dilated

Dilated

Dilated

Dilated

Basal (mm)

56

58

4.3

53

Mid (mm)

50

54

3.5

46

Function

Impaired

Impaired

Impaired

Impaired

TAPSE (mm)

9

7

13

7

RV S’ (cm/s)

6

6

5

4

FAC (%)

30

21

26

23

RA

Size

Dilated

Dilated

Dilated

Dilated

Volume (ml/m2)

63.9

56

26.8 cm2

27.5 cm2

TV annulus

Size

Dilated

Dilated

Dilated

Dilated

Diameter (cm)

4.3

4.8

4.5

4.5

 

TR severity

Semi-quantitative

Severe

Severe

Severe

Moderate

 

 

Pulmonic LV

 

 

Size

Dilated

Normal size

Normal size

Normal size

LVEDd (cm)

5.8

4.3

4.5

4.4

Function

Impaired

Normal function

Normal function

Normal function

Biplane EF (%)

24

visually

Visually

visually

FAC (%)

8

46

33

44

 

MR

Qualitative Degree

Trivial

No MR

No MR

No MR

Hemodynamics

 

 

 

Velocity (m/s)

3.5

--

--

--

PG (mmHg)

50

--

--

--

LVSP (mmHg)

65

--

--

--

PR

Qualitative Degree

Trivial

Trivial

Trivial

Trivial

Hemodynamics

 

 

 

PAP (mmHg)

49

--

--

--

TAPSE: Tricuspid Annular Plane Systolic Excursion; FAC: Fractional Area Change; RA: Right Atrium; LVEDd: Left Ventricular End-Diastolic diameter; PG: Peak Gradient, EF: Ejection Fraction; LVSP: Left Ventricular Systolic Pressure; PAP: Pulmonary Artery Pressure.