Question 55: Was an echocardiogram performed?
Indicate if an echocardiogram was performed during the current reporting period.
If an echocardiogram was not performed or it is not known if performed, report No or Unknown, respectively and continue with question 62.
The Unknown option be selected sparingly and only when no information is available to determine if an echocardiogram was performed during the current reporting period.
Questions 56 – 57: Was tricuspid regurgitant jet velocity (TRJV) measured?
Tricuspid regurgitant jet velocity (TRJV) measurements are used in determining the pulmonary artery pressure. An elevated TRJV is an indication of pulmonary hypertension, a condition common in adults with hemolytic diseases. TRJV is typically documented in the echocardiogram report.
Report Yes if TRJV was measured in the current reporting period and provide the TRJV value as documented on the echo report. If the TRJV was measured multiple times in the reporting period, report the most recent value. Report No if TRJV was not assessed or is not documented on the echo report and continue with question 58.
Questions 58 – 60: Was left ventricular ejection fractions (LVEF) or left ventricular shortening fraction reported?
The left ventricular ejection fraction (LVEF) is a percentage that represents the volume of blood pumped from the left ventricle into the aorta (also known as stroke volume) compared to the volume of blood in the ventricle just prior to the heart contraction (also known as end diastolic volume). The left ventricular shortening fraction is the percentage change in cavity dimensions of the left ventricle with systolic contraction.
Report Yes if the LVEF or left ventricular shortening fraction were assessed in the current reporting period and provide the percentage(s). If the LVEF or left ventricular shortening fraction were assessed multiple times in the reporting period, report the most recent value(s).
Report No if both the LVEF and left ventricular shortening fraction were not assessed in the current reporting period.
Question 61: Is documentation being attached? (CIBMTR recommends attaching the echocardiogram report)
Indicate if the echocardiogram report is attached to this form. For instructions on how to attach documents in FormsNet3SM, refer to the Training Guide .
Question 62: Was cardiac MRI performed since the last reporting period?
A cardiac MRI is an imaging test that uses magnets, a computer, and radio waves to generate a comprehensive picture of the heart, used to assess the function and structure.
Indicate if a cardiac MRI was performed in the current reporting period. If a cardiac MRI was not performed, report No and continue with question 64.
Question 63: Is there evidence of abnormal cardiac iron deposition based on MRI of the heart since the last reporting period?
Cardiac iron deposition is an increased deposition of iron in the heart. Cardiac iron deposition can cause iron overload cardiomyopathy which is an important factor of congestive heart failure which is seen in recipients with thalassemia. A cardiac MRI may be performed to assess cardiac deposition; this information is typically listed within the MRI interpretation of the report.
Indicate if there is evidence of abnormal cardiac iron deposition based on the most recent cardiac MRI performed in the current reporting period. If abnormal cardiac iron deposition is not detected or it is not known if detected, report No.
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