Question 56: 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 Was cardiac MRI performed?
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 57 – 58: 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 Was left ventricular ejection fraction (LVEF) or left ventricular shortening fraction reported?
Questions 59 – 61: 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 either 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.
Additionally, 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 63: Was cardiac MRI performed??
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 Was brain natriuretic peptide (BNP) assessed?
Question 64: Is there evidence of abnormal cardiac iron deposition based on MRI of the heart??
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.
Question 65-66: Cardiac iron T2 imaging
Indicate if cardiac iron T2 imaging is known within this reporting period. If Known, specify the value and units of measurement. If the cardiac iron T2 imaging was done multiple times, report the most recent assessment.
Questions 67 – 68: Was brain natriuretic peptide (BNP) assessed?
Brain natriuretic peptide (BNP) is a hormone secreted by cardiac ventricle cells in response to increased ventricular blood volume. BNP is typically measured using various immunoassay techniques. Confirm with the attending physician on where to locate immunoassay results measuring BNP, if available.
Indicate if the BNP was assessed at any time between diagnosis and the start of the preparative regimen. If Yes, report the value as documented on the laboratory report (in pg / mL). If BNP was assessed multiple times, report the results of the most recent test. If BNP was not assessed or if no information is available to determine if BNP was tested, report No or Unknown.
Section Updates:
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