Specific findings
Mean pressure gradient≥5 mmHg
Inflow time–velocity integral>60 cm
T1/2≥190 ms
Valve area by continuity equation*≤1 cm2
Supportive findings
Enlarged right atrium ≥moderate
Dilated inferior vena cava

*Stroke volume derived from left or right ventricular outflow. In the presence of more than mild TR, the derived valve area will be underestimated. Nevertheless, a value ≤1 cm2 implies a significant haemodynamic burden imposed by the combined lesion.