文档介绍：indian heart journal 67 (2015) 81e82
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Echocardiography report (CSI recommended echo format)
NAME...................................................................... AGE............... :... SEX M/F DATE............................
ECHO No ............................ Hospital No........................
HEIGHT ........................ cms WEIGHT................Kg. BSA ................................. m2 Ref. Physician.................
Referring Diagnosis
Quality of Imaging Poor/Adequate/Good Done by Dr......................... Checked by Dr.................
MITRAL VALVE
Morphology AML – Normal/ Thickening/ Calcification/ Flutter/ Vegetation/ Prolapse /SAM/Doming
PML - Normal/ Thickening / Calcification/ Prolapse/Paradoxical motion/Fixed.
Subvalvular deformity Present/Absent Score........ . ................
Doppler Normal/Abnormal
Mitral sten