Sonographic Formulas

Published on 06/02/2015 by admin

Filed under Anesthesiology

Last modified 22/04/2025

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Sonographic Formulas

John C. Sciarra

Ok, there is really no other way to put it. Memorize these!!!!!!!!!!!!!!!!!!! Some you probably already know, others are Greek. So just write them out over and over until you have them memorized.

CO = SV × HR

CI = CO/BSA

Gradient = 4 × Velocity squared

Volume = Area × TVI

Flow = area × velocity

Area of a cylinder thing = 0.785 × D squared

Area of a triangle = 0.433 × Side squared

MV area = 220/P 1/2t

Deceleration time mv area = 759/DT (ms)

Pisa area = 2 pi R squared × alpha angle/180 (angle stuff is one if no angle)

Pisa flow = 2 pi R squared × Aliasing Velocity

Pisa MV area = 2 pi R squared × alpha/180 × Aliasing Velocity/Peak Velocity

Continuity equation: what goes in comes out. (Note: you can sub peak vel for TVI.)

c = f × λ c = 1540 m/s

Z = p × c

Here I will go over some that are not quite obvious. The hemodynamic section will explain most of these again.

Volume = area × TVI…This formula describes a tube. The volume is the space inside the tube. The area is the end of the tube. The TVI (or time velocity integral) is the length of the tube. So, for example, what is the stroke volume? Just measure the diameter of the LVOT, and calculate the area of that circle. That is Area. Use Doppler to get a TVI through the LVOT, and that is in cm. Thus the area of the circle times the TVI gives you a tube of blood passing out the LVOT at one beat—the stroke volume.

Area of a triangle = 0.433 × side squared…use this if you need to calculate the area of the aortic valve, given one side.

MV area = 220/P 1/2t…This is the quick and easy way to get a mitral valve area. 220 divided by the pressure half-time. If you want to know how to get the pressure half-time—ask your attending or tech.

Pisa area, Pisa flow…These are just parts of the big Pisa MV area equation. Understanding them as separate components is helpful.