Curated insights • How it Works • Practical Pearls • Evidence Base
AVA = Cardiac Output (L/min) / √Peak-to-Peak Pressure Gradient (mmHg).
The Gorlin equation is $AVA = rac{CO}{HR imes SEP imes 44.3 imes sqrt{Delta P}}$. Hakki noted that for many patients, the product of $HR imes SEP imes 44.3$ (Heart Rate × Systolic Ejection Period × 44.3) is approximately 1.0, allowing for the drastic simplification of the math.
The Hakki formula under-performs in patients with significantly high or low heart rates (bradycardia or tachycardia), as the assumption that $HR imes SEP approx 1$ no longer holds true. In these cases, the full Gorlin equation must be used.
The Hakki/Gorlin formulas measure the hemodynamic (effective) valve area, which may be smaller than the anatomic area measured by planimetry on Echo or CT.
A simplified formula for establishing aortic valve area.
Hakki Formula: A simplified calculation for Aortic Valve Area (AVA) used primarily in the cardiac catheterization lab as an alternative to the Gorlin equation.
Curated insights • How it Works • Practical Pearls • Evidence Base
AVA = Cardiac Output (L/min) / √Peak-to-Peak Pressure Gradient (mmHg).
The Gorlin equation is $AVA = rac{CO}{HR imes SEP imes 44.3 imes sqrt{Delta P}}$. Hakki noted that for many patients, the product of $HR imes SEP imes 44.3$ (Heart Rate × Systolic Ejection Period × 44.3) is approximately 1.0, allowing for the drastic simplification of the math.
The Hakki formula under-performs in patients with significantly high or low heart rates (bradycardia or tachycardia), as the assumption that $HR imes SEP approx 1$ no longer holds true. In these cases, the full Gorlin equation must be used.
The Hakki/Gorlin formulas measure the hemodynamic (effective) valve area, which may be smaller than the anatomic area measured by planimetry on Echo or CT.
A simplified formula for establishing aortic valve area.