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Calcimator

Valve Area Calculator

Calculate aortic or mitral valve area using the Gorlin equation from cardiac catheterization data.

Inputs

L/min
bpm
ms
mmHg

Results

Valve Area

0.79 cm²

Stenosis Grade

3

Transvalvular Flow222 mL/s
Peak Velocity (Bernoulli)12.65 m/s
Dimensionless Index (approx)0.23
How to Use This Calculator
  1. Enter cardiac output (L/min), heart rate (bpm), and systolic ejection period or diastolic filling period (ms).
  2. Set mean transvalvular pressure gradient (mmHg) and select valve type (aortic or mitral).
  3. Review Valve Area (cm²), Stenosis Grade, Transvalvular Flow (mL/s), and Peak Velocity (m/s).
  4. Aortic valve area < 1.0 cm² = severe stenosis; mitral valve area < 1.5 cm² = severe stenosis.

How the result changes with Cardiac output

Cardiac outputValve AreaStenosis Grade
1.950.31 cm²3
5.570.88 cm²3
9.931.58 cm²1
142.22 cm²0

What each input means

Cardiac output
Cardiac output measured by Fick or thermodilution.
Heart rate
Heart rate during catheterization.
Systolic ejection period (or DFP)
Systolic ejection period for aortic valve; diastolic filling period for mitral valve.
Mean pressure gradient
Mean transvalvular pressure gradient from catheterization or echo.
Valve (0=Aortic, 1=Mitral)
0 for aortic valve, 1 for mitral valve. Adjusts Gorlin constant.

What each result means

Valve Area
Calculated valve orifice area. Aortic normal >2.0, mitral normal 4-6 cm².
Stenosis Grade
0 = Normal, 1 = Mild, 2 = Moderate, 3 = Severe.
Transvalvular Flow
Volume flow rate across the valve per ejection/filling period.
Peak Velocity (Bernoulli)
Estimated peak velocity from simplified Bernoulli: v = √(4×ΔP).
Dimensionless Index (approx)
Rough DVI estimate. Normal >0.50, severe <0.25 for aortic.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Cardiac output = 5, Heart rate = 75, Systolic ejection period (or DFP) = 300, Mean pressure gradient = 40 = 5 input(s) provided
  2. Calculate Valve Area
    Valve Area = flowPerPeriod / (gorlinConstant * sqrt(meanGradient))
    0.79 = 0.79
  3. Calculate Stenosis Grade
    3 = 3
  4. Calculate Transvalvular Flow
    Transvalvular Flow = (cardiacOutput * 1000) / (heartRate * sepSec)
    222 = 222
  5. Calculate Peak Velocity
    Peak Velocity = sqrt(4 * meanGradient)
    12.65 = 12.65

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