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Eventos adversos serios

7. Discusión acerca de Eficacia y Seguridad

Alternative: Press

Caliper and select Caliper from the

pull-down menu.

1. Press Measure.

2. Select caliper in the Measurement Menu.

3. Move the cursor to the start point of the measurement. 4. Press the Left mouse button to anchor the point. 5. Move the cursor to the measurement end point.

The current distance value is displayed in the

Measurement result table and is instantaneously updated

when moving the cursor.

6. Press the Left mouse button to anchor the end point of the measurement.

The measurements displayed on the M- Mode image and the

The measurement result is displayed in the Measurement

Measurements and Analysis

2. Drag the anchor point to a new position.

3. Press the Left mouse button to anchor the point at the new location.

Ao/LA study

Alternative: Press

Caliper and select Ao/LA from the

pull-down menu.

1. Press Measure.

2. Select Ao/LA in the Measurement Menu.

3. Move the cursor along the time axis to the required point to start measurement of Aorta root diameter.

4. Press the Left mouse button to anchor the starting point for the measurement.

See the Status bar to get the next step to perform.

5. Move to the measurement end point.

6. Press the Left mouse button to anchor the measurement end point.

The Aorta root diameter measurement value is displayed in the Measurement result table.

A new free-moving cursor is displayed on the image, ready for the next measurement.

7. Repeat steps 3, through 6 to measure Left Atrium.

The LA value is displayed in the Measurement result table. The Ao/LA ratio is displayed in the Measurement result

table.

LV study

The LV study consists of measurements in fixed-time mode in both systole and diastole of:

• Interventricular septum thickness (IVS) • Left ventricular internal dimension (LVID) • Left ventricular posterior wall thickness (LVPW) The following parameters are also calculated: • EDV (End diastole volume)

4. Press the Left mouse button to anchor the point.

See the Status bar to get the next step to perform.

5. Move to the end point of the measurement.

6. Press the Left mouse button to anchor the measurement end point.

The IVSd measurement value is displayed in the

Measurement result table.

The end point of the IVSd is also the start point for the LVIDd. 1. Move to the end point of the LVIDd measurement. 2. Press the Left mouse button to anchor the point. The LVIDd measurement value is displayed in the

Measurement result table.

The end point of the LVIDd is also the start point for the LVPWd.

1. Move to the end point of the LVPWd measurement. 2. Press the Left mouse button to anchor the point.

The LVPWd measurement value is displayed in the

Measurement result table.

3. Repeat steps 3, through 2 to measure IVS, LVID and LVPW in systole.

RV study

The RV study consists of measurement in fixed-time mode of Right ventricular internal dimension (RVID) in both diastole and systole.

To perform RV study

Alternative: Press

Caliper and select RV study from the

pull-down menu.

1. Press Measure.

2. Select LV study in the Measurement Menu.

3. Move the cursor along the time axis to the required point to start measurement of RVIDd.

4. Press the Left mouse button to anchor the measurement starting point.

Measurements and Analysis

7. Repeat steps 3, through 6 to measure RVIDs.

The RVIDs value is displayed in the Measurement result

table.

Doppler Measurements

The following measurements may be calculated on Doppler mode spectra:

• Maximum (peak) and mean velocity

• Maximum and mean pressure gradient

• Pressure half-time (PHT) • Velocity time integral (VTI)

• Mitral valve area (MVA), derived from PHT Velocity and Pressure point measurements

Alternative: Press

Caliper and select Point Caliper

from the pull-down menu.

1. Press Measure.

2. Select Point Caliper in the Measurement Menu. 3. Move the cursor to the position to measure.

The current velocity is displayed in the Measurement result

table and is instantaneously updated when moving the

cursor.

4. Press the Left mouse button to anchor the point. The velocity (m/s) and pressure (mmHg) values are displayed in the Measurement result table.

Velocity and Pressure caliper measurements

Alternative: Press

Caliper and select Caliper from the

pull-down menu.

1. Press Measure.

2. Select Point Caliper in the Measurement Menu. 3. Move the cursor to the start point of the measurement. 4. Press the Left mouse button to anchor the start point of

the measurement.

See the Status bar to get the next step

The measurement display on the spec- trum and the corre- sponding result are numbered.

• Velocity and pressure at anchor point positions • Velocity (V3) and pressure (p3) differences between

anchor point position

• Time difference (dT) between anchored points position 7. To assign a label to the measurement, see page 99. 8. Repeat steps 3 through 6 to make additional

measurements.

Manual Doppler trace measurements

Alternative: Press

Caliper and select Manual trace from

the pull-down menu.

1. Press Measure.

2. Select Manual trace in the Measurement Menu. A vertical green cursor is displayed on the spectrum. 3. Move the cursor to the start point on the left side of the

trace.

4. Press the Left mouse button to anchor the start point of the measurement.

5. Trace the Doppler envelope.

The trace can be adjusted, while tracing, by moving the cursor backward to erase portion of the trace (or the entire trace) and then create the trace again.

6. Press the Left mouse button to complete the trace. The following measurement results are displayed in the

Measurement result table:

• Maximum and mean Velocities • Maximum and mean pressures • Env. Ti

• Velocity time integral (VTI)

7. Move the cursor to the start point of the next heart beat. 8. Press the Left mouse button to anchor the next heart beat

starting point.

The heart rate (BPM) is displayed in the Measurement

result table.

Measurements and Analysis

See the Status bar to get the next step to perform.

5. Move to the end trace position.

6. Press the Left mouse button to anchor the end point of the trace.

The trace is automatically generated and the following measurements are displayed in the Measurement result

table:

• Maximum and mean Velocities • Maximum and mean pressures • Env. Ti

• Velocity time integral (VTI)

7. Move the cursor to the next heart beat.

8. Press the Left mouse button to anchor the next heart beat starting point.

The heart rate (BPM) is displayed in the Measurement

result table.

MV E/A ratio

Alternative: Press

Caliper and select MV E/A ratio from

the pull-down menu.

1. Press Measure.

2. Select MV E/A ratio in the Measurement Menu. 3. Move the cursor to the peak of the E wave. 4. Press the Left mouse button to anchor the point. 5. Drag cursor to baseline to mark dT.

See the Status bar to get the next step to perform.

6. Press the Left mouse button to anchor the second point. 7. Move the cursor to the peak of A wave.

8. Press the Left mouse button to anchor the point.

the velocity at peak for E and A waves and the calculated E/A ratio are displayed in the Measurement result table.

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