A simplified valve formula for the calculation of stenotic cardiac valve areas

Academic Article

Abstract

  • We have simplified the Gorlin formula and have compared our measurements of the aortic or mitral valve area, using the original Gorlin formula and the simplified valve formula in 100 consecutive patients. The valve area was measured by the simplified formula as cardiac output (l/min) divided by the square root of pressure differences across the valve. In patients with aortic stenosis of varying severity there was excellent correlation between the original Gorlin formula and the simplified formula (r = 0.96, y = 0.99x + 0.01, SEE = ± 0.10, p <0.001). The correlation was unchanged when the peak gradient was used instead of the mean gradient in the simplified formula. Excellent correlation was also seen in patients with mitral stenosis of varying severity (r = 0.94, y = 0.97x - 0.02, SEE = ± 0.19; p <0.001). The simplicity of the formula makes it easy to memorize and use.
  • Authors

    Published In

  • Circulation  Journal
  • Digital Object Identifier (doi)

    Author List

  • Hakki AH; Iskandrian AS; Bemis CE; Kimbiris D; Mintz GS; Segal BL; Brice C
  • Start Page

  • 1050
  • End Page

  • 1055
  • Volume

  • 63
  • Issue

  • 5