Domain 2 · ~25–30% of ASCeXAM

Valvular Heart Disease

The largest content bucket on the ASCeXAM. Stenosis and regurgitation severity grading for all four native valves plus prosthetic valves — using 2D, M-mode, colour Doppler, and spectral Doppler quantification.

Subtopics Placeholder structure — content lead to expand

Aortic Valve →AS severity (peak/mean gradient, AVA), AR severity (PHT, vena contracta). Stub Mitral Valve →MS (planimetry, PHT, MVA), MR (vena contracta, ERO/PISA, regurgitant volume). Stub Tricuspid Valve →TR severity, RV pressure estimation, secondary causes. Stub Pulmonic Valve →PS gradients, PR PHT, congenital associations. Stub Prosthetic Valves →Mechanical vs bioprosthetic, normal vs pathologic gradients, paravalvular leak. Stub

Study this domain Pick a loop

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MCQ Bank

NBE-style multiple choice with rationale and reference for every answer.

Flashcards

High-yield facts: gradients, normal ranges, equation forms, threshold values.

Echo Cases

Cine loops with clinical stem. Identify the finding, then reveal diagnosis & teaching.

Domain Mock

Valvular-only timed mock — calibrate your pace within this content area.

Why this matters From the project brief

Placeholder — the content lead will replace this with a domain-specific framing that explains why this section rewards (or punishes) the typical ASCeXAM candidate.