Table 2.

Clinically important findings

Moderate or greater valvulopathy (stenosis or regurgitation) Aortic, mitral, tricuspid, and pulmonary regurgitation rated as trace, mild, mild-moderate, moderate, moderate-severe, or severe by expert reader visual interpretation of color and spectral Doppler Aortic stenosis categorized according to valve area calculated from the continuity equation as mild (1.5–2 cm2), moderate (1.0–1.4 cm2), severe (0.8–0.9 cm2), or critical (≤0.7 cm2) Mitral stenosis categorized according to valve area calculated from pressure half-time as mild (1.5–2 cm2), moderate (1–1.4 cm2), or severe (<1 cm2) Tricuspid and pulmonary stenosis categorized as mild, mild-moderate, moderate, moderate-severe, or severe by expert reader visual assessment

Mild or greater right ventricular dysfunction as rated by expert reader visual assessment, aided by tricuspid annular planar excursion measurement (abnormal considered <2 cm)

Mild or greater left ventricular dysfunction as rated by expert reader visual estimation of ejection fraction and/or method of discs calculation of ejection fraction

Hyperdynamic left ventricular dysfunction as rated by expert reader visual estimation of ejection fraction and/or method of discs calculation of ejection fraction ≥80%

Wall motion abnormality (excluding septal motion following sternotomy or due to pacemaker stimulation, RV pressure or volume overload, or pericardial constriction) by expert reader visual assessment

Intracardiac shunt (ventricular septal defect, atrial septal defect, patent ductus arteriosus, patent foramen ovale)

Pulmonary systolic pressure >40 mm Hg calculated from RV to RA pressure gradient plus RA pressure estimate from inferior vena caval collapse

Greater than mild aortopathy, including aortic dilation, aortic coarctation, and aortic dissection, as assessed by expert reader visual assessment and measurement

Intracardiac mass as assessed by expert reader visual assessment

Moderate or greater sized pericardial effusion or pericardial thickness, or presence of constrictive pericardial disease, as rated by expert reader

RA, Right atrial; RV, right ventricular.

Clinically important findings further defined as new, which had not been noted on prior echocardiography, and unexpected, which had not been noted on prior echocardiography, patient interview, or provider indications for the study.