CENTRUL CLINIC DE URGENŢA DE BOLI CARDIOVASCULARE AL ARMATEI Cardiologie-Aritmologie BULETIN DE ECOCARDIOGRAFIE (M+2D+DOPPLER)

Nume, prenume:…………………………………………………………… ………………….. Vârsta: ……..Diagnostic: ………………………………………………………………………………………………………..

Index de cinetică parietală: Valva mitrală : …………………………………………………………………………….......... …………………………………………………………………………….......... ………………………………………………………………………………….. …………………………………………………………………………………..Valva aortică : ……………………………………………………………………………..........

Dimensiuni Valori normale(mm)

VS.(s) 21-40

VS.(d) 35-60

AS. 25-45

VD. 22-45

AD. 9-45

Ao inel 14-26

Ao asc 21-34

Ao desc 17-24

Art pulm inel 10-22

VCI. 15-25

SIV. 6-12

…………………………………………………………………………….......... ………………………………………………………………………………….. …………………………………………………………………………………..Valva tricuspidă: ………………………………………………………………………….............Valva pulmonară: ……………………………………………………………................... ……….SIA/SIV: .............................................................................................................................Funcţie sist VS.: ……………………………………………………………………..................... …......................................................................................................................... ........................................................................................................FEVS:..........Funcţie diast VS.: ………………………………............................................................................. .............................................................................................................................Pericard : ……………………………………………….....................................................OBSERVAŢII: ............................................................................................................................. ............................................................................................................................. ............................................................................................................................. .............................................................................................................................

Data .................. Medic..............................

Echo Doppler carotidian

Dreapta Stânga

Dreapta Stînga

Grad stenoza

Grad stenoza

ACC-proximal ACC-distal Bifurcatie

ACE

ACI-proximal ACI-distal

A. vertebrală

OBSERVAŢII:……………………………………………………………………………………….………………………………………………………………………………………………………………………………………………………………………………………………….…………………………………………………………………………………………………………….

Echo Doppler periferic

………………………………………………………………………………..………………………………………………………………………………..………………………………………………………………………………..……………………………………………………………………………….………………………………………………………………………………...…...……………………………………………………………………...……………………...……..…………………............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Data:……….. Medic:……………