OpiCalc Logo

OpiCalc

--- Clinical Tools

Logo
OpiCalc
ABC-AF Bleeding ScoreABC-AF Stroke ScoreABCD2 ScoreADD-RSAortic Valve Calcium ScoreAPPLE ScoreASCVD (Pooled Cohort)AVA (Continuity Equation)BAG-AHF ScoreBiplane Simpson EFBlood Pressure PercentilesBrugada Criteria (VT vs SVT)Cardiac Output IndexCHA2DS2-VAScCHADS2Cornell Voltage CriteriaCRUSADE Bleeding ScoreDAPT ScoreDASIDuke Treadmill ScoreE/A RatioEDACS ScoreEHMRGEHRA ScoreEmbolic Risk ScoreEROA (PISA Method)EuroSCORE IIFFR (Fractional Flow Reserve)Fick Cardiac OutputFramingham 10-Year RiskFriedewald LDL EquationGorlin EquationGRACE ScoreGupta MICA (NSQIP)GWTG-HF ScoreH2FPEF ScoreHakki FormulaHAS-BLEDHEART PathwayHEART ScoreHEMORR2HAGEShs-Troponin 0h/1h ESC AlgorithmiFRINTERCHEST ScoreKillip ClassificationLee's RCRILV Mass IndexLV Stroke Work IndexMAGGIC Risk ScoreMAP CalculatorMartin/Hopkins LDLModified Duke CriteriaModified Sgarbossa CriteriaMVA (Pressure Half-Time)Non-HDL CholesterolNT-proBNP Age-Adjusted ThresholdsORBIT ScoreOttawa Heart Failure RiskPulse PressurePVR CalculatorPVR IndexQRISK3QTc (Bazett)QTc (Fridericia)REVEAL 2.0 ScoreReynolds Risk ScoreROSIRVSP CalculatorSchwartz Score (LQTS)SCORE2Seattle Heart Failure Model (SHFM)Sgarbossa CriteriaShock IndexSokolow-Lyon VoltageStroke Volume IndexSVR CalculatorSYNTAX ScoreSYNTAX Score IITAPSETeichholz FormulaTIMI (STEMI)TIMI (UA/NSTEMI)Troponin Delta CalculatorValvular GradientsVancouver Chest Pain RuleVereckei AlgorithmWATCHDM ScoreWilkins ScoreWood Units Calculator

Clinical Evidence and Methodology

EVIDENCE SYNTHESIS

Clinical Reference Hub

Curated insights • How it Works • Practical Pearls • Evidence Base

CLINICAL INSIGHT

When to Use

When to Use

  • Quick estimation of Aortic Valve Area (AVA) during cardiac catheterization.
  • As a bed-side or "sanity-check" calculation to verify more complex Gorlin equation results.
  • In patients with standard heart rates (60–100 bpm) where more complex time-averaging constant is unnecessary.
CLINICAL INSIGHT

How it Works

The Formula

AVA = Cardiac Output (L/min) / √Peak-to-Peak Pressure Gradient (mmHg).

A Simplified Gorlin

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.

CLINICAL INSIGHT

Practical Pearls

Limitations

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.

Echo vs. Cath

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.

CLINICAL INSIGHT

Evidence Base

Original Proposal

A simplified formula for establishing aortic valve area.

Hakki AH, Iskandrian AS, Bemis CE, et al.Am J Cardiol.1981

Hakki Formula

Hakki Formula: A simplified calculation for Aortic Valve Area (AVA) used primarily in the cardiac catheterization lab as an alternative to the Gorlin equation.

EVIDENCE SYNTHESIS

Clinical Reference Hub

Curated insights • How it Works • Practical Pearls • Evidence Base

CLINICAL INSIGHT

When to Use

When to Use

  • Quick estimation of Aortic Valve Area (AVA) during cardiac catheterization.
  • As a bed-side or "sanity-check" calculation to verify more complex Gorlin equation results.
  • In patients with standard heart rates (60–100 bpm) where more complex time-averaging constant is unnecessary.
CLINICAL INSIGHT

How it Works

The Formula

AVA = Cardiac Output (L/min) / √Peak-to-Peak Pressure Gradient (mmHg).

A Simplified Gorlin

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.

CLINICAL INSIGHT

Practical Pearls

Limitations

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.

Echo vs. Cath

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.

CLINICAL INSIGHT

Evidence Base

Original Proposal

A simplified formula for establishing aortic valve area.

Hakki AH, Iskandrian AS, Bemis CE, et al.Am J Cardiol.1981