|
Score |
|
| Leaflet mobility |
1 |
Highly mobile valve with only leaflet tips
restricted |
|
2 |
Leflet mid and base portions have normal mobility |
|
3 |
Valve continues to move forward in diastole, mainly from the base |
|
4 |
No or minimal forward movement of the leaflets in diastole |
|
|
|
| Leaflet thickening |
1 |
Leaflets near normal in thickness (4-5 mm)
|
|
2 |
Mid-leaflets normal, considerable thickening of margins (5-8 mm) |
|
3 |
Thickening extending through the entire leaflet (5-8 mm) |
|
4 |
Considerable thickening of all leaflet tissue (>8-10 mm) |
|
|
|
| Leaflet calcification |
1 |
A single area of increased echo brightness
|
|
2 |
Scattered areas of brightness confined to leaflet margins |
|
3 |
Brightness extending into the mid-portion of the leaflets |
|
4 |
Extensive brightness throughout much of the leaflet tissue |
|
|
|
| Subvalvular thickening |
1 |
Minimal thickening just below the mitral
leaflets
|
|
2 |
Thickening of chordal structures extending uo to one third of the chordal
length |
|
3 |
Thickening extending to the distal third of the chords |
|
4 |
Extensive thickening and shortening of all chordal structures extending
down to the papillary muscles |
