Simplified method for calculating aortic valve resistance: Correlation with valve area and standard formula

Academic Article

Abstract

  • Aortic valve resistance (AVR) is a useful index to assess the severity of aortic stenosis. This study compared the standard method to calculate AVR with a simplified method based on the conventional approach for measuring vascular resistance: AVR = (peak‐to‐peak transaortic pressure gradient/(cardiac output*2.5))*80, where 80 is a conversion factor and 2.5 assumes that the systolic ejection period comprises 40% of the R‐R cycle. We compared the standard AVR, the simplified AVR, and the Gorlin‐derived value area in 118 patients with pure or dominant aortic stenosis. There was a strong linear correlation between the standard and simplified AVR (r = 0.96, p < .0001). There was a curvilinear relation between the aortic valve area and AVR (r = 0.92, p < .001). In 48 patients with aortic valve area ≥0.7 cm2, the AVR was <300 dynes‐sec‐cm−5 in 45 patients (94%) by the standard method and in 42 patients (88%) by the simplified method (p = NS). In conclusion, our method for measuring AVR is accurate and simpler than the standard method.© 1993 Wiiey‐Liss, Inc. Copyright © 1993 John Wiley & Sons, Ltd.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Kegel JG; Schalet BD; Corin WJ; Iskandrian AS
  • Start Page

  • 15
  • End Page

  • 21
  • Volume

  • 30
  • Issue

  • 1