In which scenarios would the modified Bernoulli equation be inaccurate?
When the LVOT velocity is not considered negligible. Eg. Anemia, thyrotoxicosis, AV fistula, severe AS because the velocity will be increased across the LVOT.
What is the change to the modified Bernoulli equation to correct for when LVOT velocities are not negligible?
P=4(AVv2 -LVOTv2)
What is the dimensionless index?
It is the LVOT VTI/AV VTI. Peak or mean velocity may also be substituted in the same ratio. Severe AS is considered when this ratio is