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Date of study
Indications
• • •
Quality of Study
• • •
New Short Text Field
(LEFT HEART) LA Size
• • •
End Diastolic Dimension
• • •
End Systolic Dimensions
• • •
Posterior Wall Thickness (Diasto
• • •
Posterior Wall Thickness (Systol
• • •
Septum Thickness (Diastolic)
• • •
Septum Thickness (Systolic)
• • •
Aortic Root
• • •
(WALL MOTION) Normal
Ant Basal
• • •
Ant Mid
• • •
Ant Distal
• • •
Sept Basal
• • •
Sept Mid
• • •
Sept Distal
• • •
New Switch
Lat Basal
• • •
Lat Mid
• • •
Lat Distal
• • •
Inf Basal
• • •
Inf Mid
• • •
Inf Distal
• • •
Post Basal
• • •
Post Mid
• • •
Post Distal
• • •
Apex
• • •
LVEF
• • •
(RIGHT HEART) RA Size
• • •
RV Size
• • •
(PERICARDIUM) Effusion Size
• • •
Effusion Location
• • •
(MITRAL VALUE) Regurgitation
• • •
Peak Gradient
• • •
Mean Gradient
• • •
Area
• • •
(AORTIC VALUE) Regurgitation
• • •
Peak Gradient
• • •
Peak Velocity:
• • •
Area (cont eq)
• • •
(PULMONIC VALUE) Regurgitation
• • •
Peak Gradient
• • •
Mean Gradient
• • •
(TRICUSPID VALUE) Regurgitation
• • •
Peak Gradient
• • •
Mean Gradient
• • •
Max PASP
• • •
(CONC. 2D/M-MODE) Left Atrium
• • •
Right Atrium
• • •
Mitral Value
• • •
Tricuspid Value
• • •
Aortic Valve
• • •
Left Ventricular Size
• • •
Left Ventricular Hypertrophy
• • •
Left Ventricular Diastolic Comp
• • •
Left Ventricular Wall Motion
• • •
Left Ventricular Ejection Fracti
• • •
Right Ventricle
• • •
Pericardial Effusion
• • •
Aortic Root
• • •
Additional Comments
(CONC. DOPPLER) Mitral Regurgita
• • •
Tricuspid Regurgitation
• • •
Aortic Regurgitation
• • •
Pulmonic Regurgitation
• • •
Estimated PASP
• • •
Aortic Valve Area
• • •

Cardiology: Echocardiogram Doppler Report Medical Form

Cardiologist

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Published: July 30, 2019, 8:27 p.m.
Doctor: Dr. History Physical
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