{
  "VR_ANELAORTICO": {
    "F": {
      "normal": { "min": 17.4, "max": 21.6 },
      "leve": { "min": 21.7, "max": 23.0 },
      "moderado": { "min": 23.1, "max": 25.0 },
      "grave": { "min": 25.1, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 19.0, "max": 23.4 },
      "leve": { "min": 23.5, "max": 25.0 },
      "moderado": { "min": 25.1, "max": 27.0 },
      "grave": { "min": 27.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 35
    }
  },
  "VR_ANELAORTICO_INDEX": {
    "F": {
      "normal": { "min": 10.5, "max": 13.3 },
      "leve": { "min": 13.4, "max": 15.0 },
      "moderado": { "min": 15.1, "max": 17.0 },
      "grave": { "min": 17.1, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 10.0, "max": 12.6 },
      "leve": { "min": 12.7, "max": 14.0 },
      "moderado": { "min": 14.1, "max": 16.0 },
      "grave": { "min": 16.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 35
    }
  },
  "VR_AO_SEIOS_VALSALVA": {
    "F": {
      "normal": { "min": 25.7, "max": 32.9 },
      "leve": { "min": 33.0, "max": 36.0 },
      "moderado": { "min": 36.1, "max": 39.0 },
      "grave": { "min": 39.1, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 28.5, "max": 35.9 },
      "leve": { "min": 36.0, "max": 39.0 },
      "moderado": { "min": 39.1, "max": 42.0 },
      "grave": { "min": 42.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 35
    }
  },
  "VR_AO_ASCENDENTE": {
    "F": {
      "normal": { "min": 22.0, "max": 30.0 },
      "leve": { "min": 31.0, "max": 34.0 },
      "moderado": { "min": 35.0, "max": 38.0 },
      "grave": { "min": 39.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 25.0, "max": 35.0 },
      "leve": { "min": 36.0, "max": 39.0 },
      "moderado": { "min": 40.0, "max": 43.0 },
      "grave": { "min": 44.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 35
    }
  },
  "VR_AO_SEIO_VALSALVA_INDEX": {
    "F": {
      "normal": { "min": 15.4, "max": 20.6 },
      "leve": { "min": 20.7, "max": 23.0 },
      "moderado": { "min": 23.1, "max": 25.0 },
      "grave": { "min": 25.1, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 14.7, "max": 19.7 },
      "leve": { "min": 19.8, "max": 22.0 },
      "moderado": { "min": 22.1, "max": 24.0 },
      "grave": { "min": 24.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 35
    }
  },
  "VR_AO_JUNCAO": {
    "F": {
      "normal": { "min": 22.2, "max": 28.8 },
      "leve": { "min": 28.9, "max": 31.0 },
      "moderado": { "min": 31.1, "max": 34.0 },
      "grave": { "min": 34.1, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 24.0, "max": 31.4 },
      "leve": { "min": 31.5, "max": 34.0 },
      "moderado": { "min": 34.1, "max": 37.0 },
      "grave": { "min": 37.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 35
    }
  },
  "VR_AO_JUNCAO_INDEX": {
    "F": {
      "normal": { "min": 13.2, "max": 18.0 },
      "leve": { "min": 18.1, "max": 20.0 },
      "moderado": { "min": 20.1, "max": 22.0 },
      "grave": { "min": 22.1, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 12.5, "max": 17.1 },
      "leve": { "min": 17.2, "max": 19.0 },
      "moderado": { "min": 19.1, "max": 21.0 },
      "grave": { "min": 21.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 35
    }
  },
  "VR_AE": {
    "F": {
      "normal": { "min": 27.0, "max": 38.0 },
      "leve": { "min": 39.0, "max": 42.0 },
      "moderado": { "min": 43.0, "max": 46.0 },
      "grave": { "min": 47.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 30.0, "max": 40.0 },
      "leve": { "min": 41.0, "max": 44.0 },
      "moderado": { "min": 45.0, "max": 48.0 },
      "grave": { "min": 49.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_DDFVE": {
    "F": {
      "normal": { "min": 38.0, "max": 52.0 },
      "leve": { "min": 53.0, "max": 56.0 },
      "moderado": { "min": 57.0, "max": 60.0 },
      "grave": { "min": 61.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 42.0, "max": 58.0 },
      "leve": { "min": 59.0, "max": 62.0 },
      "moderado": { "min": 63.0, "max": 66.0 },
      "grave": { "min": 67.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_DSFVE": {
    "F": {
      "normal": { "min": 22.0, "max": 35.0 },
      "leve": { "min": 36.0, "max": 39.0 },
      "moderado": { "min": 40.0, "max": 43.0 },
      "grave": { "min": 44.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 25.0, "max": 40.0 },
      "leve": { "min": 41.0, "max": 44.0 },
      "moderado": { "min": 45.0, "max": 48.0 },
      "grave": { "min": 49.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_DVD": {
    "U": {
      "normal": { "min": 25.0, "max": 41.0 },
      "leve": { "min": 41.1, "max": 44.0 },
      "moderado": { "min": 44.1, "max": 49.0 },
      "grave": { "min": 49.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_ESPESSURA_PAREDE_LIVRE_VD": {
    "U": {
      "normal": { "min": 0.0, "max": 5.0 },
      "leve": { "min": 5.1, "max": 7.0 },
      "moderado": { "min": 7.1, "max": 9.0 },
      "grave": { "min": 9.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_FACVD": {
    "U": {
      "normal": { "min": 35.0, "max": 999.0 },
      "leve": { "min": 29.1, "max": 34.9 },
      "moderado": { "min": 22.1, "max": 29.0 },
      "grave": { "min": 0.0, "max": 22.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 24
    }
  },
  "VR_FESIMPSON": {
    "F": {
      "normal": { "min": 54.0, "max": 74.0 },
      "leve": { "min": 41.0, "max": 53.9 },
      "moderado": { "min": 30.0, "max": 40.9 },
      "grave": { "min": 0.0, "max": 29.9 }
    },
    "M": {
      "normal": { "min": 52.0, "max": 72.0 },
      "leve": { "min": 41.0, "max": 51.9 },
      "moderado": { "min": 30.0, "max": 40.9 },
      "grave": { "min": 0.0, "max": 29.9 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_FETEICHOLZ": {
    "F": {
      "normal": { "min": 54.0, "max": 74.0 },
      "leve": { "min": 41.0, "max": 53.9 },
      "moderado": { "min": 30.0, "max": 40.9 },
      "grave": { "min": 0.0, "max": 29.9 }
    },
    "M": {
      "normal": { "min": 52.0, "max": 72.0 },
      "leve": { "min": 41.0, "max": 51.9 },
      "moderado": { "min": 30.0, "max": 40.9 },
      "grave": { "min": 0.0, "max": 29.9 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_IPM": {
    "U": {
      "normal": { "min": 0.0, "max": 0.43 },
      "leve": { "min": 0.44, "max": 0.54 },
      "moderado": { "min": 0.55, "max": 0.65 },
      "grave": { "min": 0.66, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 24
    }
  },
  "VR_MVE": {
    "F": {
      "normal": { "min": 67.0, "max": 162.0 },
      "leve": { "min": 163.0, "max": 185.0 },
      "moderado": { "min": 186.0, "max": 210.0 },
      "grave": { "min": 211.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 88.0, "max": 224.0 },
      "leve": { "min": 225.0, "max": 250.0 },
      "moderado": { "min": 251.0, "max": 280.0 },
      "grave": { "min": 281.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_MVE_INDEX": {
    "F": {
      "normal": { "min": 43.0, "max": 95.0 },
      "leve": { "min": 96.0, "max": 108.0 },
      "moderado": { "min": 109.0, "max": 121.0 },
      "grave": { "min": 122.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 49.0, "max": 115.0 },
      "leve": { "min": 116.0, "max": 130.0 },
      "moderado": { "min": 131.0, "max": 145.0 },
      "grave": { "min": 146.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_ONDA_A_MITRAL": {
    "M": {
      "normal": { "min": 0.2, "max": 0.5 },
      "leve": { "min": 0.1, "max": 0.19 },
      "moderado": { "min": 0.0, "max": 0.09 },
      "grave": { "min": 0.0, "max": 0.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Recommendations for the Evaluation of Left Ventricular Diastolic Function",
      "Pagina": 23
    }
  },
  "VR_ONDA_E_MITRAL": {
    "U": {
      "normal": { "min": 0.6, "max": 1.0 },
      "leve": { "min": 1.1, "max": 1.3 },
      "moderado": { "min": 1.4, "max": 1.6 },
      "grave": { "min": 1.7, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Recommendations for the Evaluation of Left Ventricular Diastolic Function",
      "Pagina": 23
    }
  },
  "VR_PPVE": {
    "F": {
      "normal": { "min": 6.0, "max": 9.0 },
      "leve": { "min": 10.0, "max": 11.0 },
      "moderado": { "min": 12.0, "max": 13.0 },
      "grave": { "min": 14.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 6.0, "max": 10.0 },
      "leve": { "min": 11.0, "max": 12.0 },
      "moderado": { "min": 13.0, "max": 14.0 },
      "grave": { "min": 15.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_PEC": {
    "F": {
      "normal": { "min": 27.0, "max": 45.0 },
      "leve": { "min": 46.0, "max": 50.0 },
      "moderado": { "min": 51.0, "max": 55.0 },
      "grave": { "min": 56.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 25.0, "max": 43.0 },
      "leve": { "min": 44.0, "max": 48.0 },
      "moderado": { "min": 49.0, "max": 53.0 },
      "grave": { "min": 54.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_RELACAO_E_ELINHA": {
    "U": {
      "normal": { "min": 0.0, "max": 14.0 },
      "leve": { "min": 14.1, "max": 16.0 },
      "moderado": { "min": 16.1, "max": 20.0 },
      "grave": { "min": 20.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Recommendations for the Evaluation of Left Ventricular Diastolic Function",
      "Pagina": 23
    }
  },
  "VR_SEPTO": {
    "F": {
      "normal": { "min": 6.0, "max": 9.0 },
      "leve": { "min": 10.0, "max": 11.0 },
      "moderado": { "min": 12.0, "max": 13.0 },
      "grave": { "min": 14.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 6.0, "max": 10.0 },
      "leve": { "min": 11.0, "max": 12.0 },
      "moderado": { "min": 13.0, "max": 14.0 },
      "grave": { "min": 15.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_ONDA_S_ANEL_TRICUSPIDE": {
    "U": {
      "normal": { "min": 9.6, "max": 999.0 },
      "leve": { "min": 7.2, "max": 9.5 },
      "moderado": { "min": 5.0, "max": 7.1 },
      "grave": { "min": 0.0, "max": 4.9 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 24
    }
  },
  "VR_TAPSE_VD": {
    "U": {
      "normal": { "min": 17.0, "max": 999.0 },
      "leve": { "min": 13.0, "max": 16.9 },
      "moderado": { "min": 10.0, "max": 12.9 },
      "grave": { "min": 0.0, "max": 9.9 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 24
    }
  },
  "VR_TEMPO_DESACELERACAO_E_MITRAL": {
    "U": {
      "normal": { "min": 150.0, "max": 240.0 },
      "leve": { "min": 201.0, "max": 240.0 },
      "moderado": { "min": 160.0, "max": 200.0 },
      "grave": { "min": 0.0, "max": 159.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Recommendations for the Evaluation of Left Ventricular Diastolic Function",
      "Pagina": 23
    }
  },
  "VR_VDF": {
    "F": {
      "normal": { "min": 46.0, "max": 106.0 },
      "leve": { "min": 107.0, "max": 120.0 },
      "moderado": { "min": 121.0, "max": 140.0 },
      "grave": { "min": 141.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 62.0, "max": 150.0 },
      "leve": { "min": 151.0, "max": 170.0 },
      "moderado": { "min": 171.0, "max": 190.0 },
      "grave": { "min": 191.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_VOLUME_AD_INDEX": {
    "F": {
      "normal": { "min": 0.0, "max": 27.0 },
      "leve": { "min": 28.0, "max": 32.0 },
      "moderado": { "min": 33.0, "max": 37.0 },
      "grave": { "min": 38.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 0.0, "max": 32.0 },
      "leve": { "min": 33.0, "max": 37.0 },
      "moderado": { "min": 38.0, "max": 42.0 },
      "grave": { "min": 43.0, "max": 999.0 }
    },
    "U": {
      "normal": { "min": 0.0, "max": 34.0 },
      "leve": { "min": 35.0, "max": 40.0 },
      "moderado": { "min": 41.0, "max": 45.0 },
      "grave": { "min": 46.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 33
    }
  },
  "VR_VDF_INDEX": {
    "F": {
      "normal": { "min": 29.0, "max": 61.0 },
      "leve": { "min": 62.0, "max": 70.0 },
      "moderado": { "min": 71.0, "max": 80.0 },
      "grave": { "min": 81.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 34.0, "max": 74.0 },
      "leve": { "min": 75.0, "max": 85.0 },
      "moderado": { "min": 86.0, "max": 96.0 },
      "grave": { "min": 97.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_VSF_INDEX": {
    "F": {
      "normal": { "min": 8.0, "max": 24.0 },
      "leve": { "min": 25.0, "max": 30.0 },
      "moderado": { "min": 31.0, "max": 36.0 },
      "grave": { "min": 37.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 11.0, "max": 31.0 },
      "leve": { "min": 32.0, "max": 38.0 },
      "moderado": { "min": 39.0, "max": 45.0 },
      "grave": { "min": 46.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_VSF": {
    "F": {
      "normal": { "min": 14.0, "max": 42.0 },
      "leve": { "min": 43.0, "max": 50.0 },
      "moderado": { "min": 51.0, "max": 60.0 },
      "grave": { "min": 61.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 21.0, "max": 61.0 },
      "leve": { "min": 62.0, "max": 70.0 },
      "moderado": { "min": 71.0, "max": 80.0 },
      "grave": { "min": 81.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 7
    }
  },
  "VR_VOL_AE_INDEX": {
    "U": {
      "normal": { "min": 0.0, "max": 34.0 },
      "leve": { "min": 35.0, "max": 40.0 },
      "moderado": { "min": 41.0, "max": 45.0 },
      "grave": { "min": 46.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 33
    }
  },
  "VR_DVD_MEDIO": {
    "U": {
      "normal": { "min": 0.0, "max": 42.0 },
      "leve": { "min": 42.1, "max": 44.0 },
      "moderado": { "min": 44.1, "max": 49.0 },
      "grave": { "min": 49.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_AREA_DVD_INDEX": {
    "U": {
      "normal": { "min": 0.0, "max": 11.5 },
      "leve": { "min": 11.6, "max": 14.0 },
      "moderado": { "min": 14.1, "max": 16.0 },
      "grave": { "min": 16.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_GLS": {
    "U": {
      "normal": { "min": -999.0, "max": -18.0 },
      "leve": { "min": -17.9, "max": -16.0 },
      "moderado": { "min": -15.9, "max": -14.0 },
      "grave": { "min": -13.9, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 17
    }
  },
  "VR_TRONCO_PULMONAR": {
    "F": {
      "normal": { "min": 0.0, "max": 21.0 },
      "leve": { "min": 22.0, "max": 25.0 },
      "moderado": { "min": 26.0, "max": 29.0 },
      "grave": { "min": 30.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 0.0, "max": 22.0 },
      "leve": { "min": 23.0, "max": 26.0 },
      "moderado": { "min": 27.0, "max": 30.0 },
      "grave": { "min": 31.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 35
    }
  },
  "VR_DP_DT": {
    "U": {
      "normal": { "min": 1000.0, "max": 9999.0 },
      "leve": { "min": 900.0, "max": 999.0 },
      "moderado": { "min": 800.0, "max": 899.0 },
      "grave": { "min": 0.0, "max": 799.0 }
    },
    "_meta": {
      "Ano": 2017,
      "Fonte": "Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation",
      "Pagina": 23
    }
  },
  "VR_RELACAO_E_A": {
    "U": {
      "normal": { "min": 0.8, "max": 1.5 },
      "leve": { "min": 0.0, "max": 0.79 },
      "moderado": { "min": 1.51, "max": 2.0 },
      "grave": { "min": 2.01, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Recommendations for the Evaluation of Left Ventricular Diastolic Function",
      "Pagina": 23
    }
  },
  "VR_DVD_LONGITUDINAL": {
    "U": {
      "normal": { "min": 59.0, "max": 83.0 },
      "leve": { "min": 84.0, "max": 90.0 },
      "moderado": { "min": 91.0, "max": 97.0 },
      "grave": { "min": 98.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_TSVD_PARASTERNAL": {
    "U": {
      "normal": { "min": 20.0, "max": 30.0 },
      "leve": { "min": 31.0, "max": 35.0 },
      "moderado": { "min": 36.0, "max": 40.0 },
      "grave": { "min": 41.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_TSVD_PROXIMAL": {
    "U": {
      "normal": { "min": 21.0, "max": 35.0 },
      "leve": { "min": 36.0, "max": 40.0 },
      "moderado": { "min": 41.0, "max": 45.0 },
      "grave": { "min": 46.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_TSVD_DISTAL": {
    "U": {
      "normal": { "min": 17.0, "max": 27.0 },
      "leve": { "min": 28.0, "max": 32.0 },
      "moderado": { "min": 33.0, "max": 37.0 },
      "grave": { "min": 38.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_AREA_DIASTOLICA_VD": {
    "F": {
      "normal": { "min": 8.0, "max": 20.0 },
      "leve": { "min": 21.0, "max": 24.0 },
      "moderado": { "min": 25.0, "max": 28.0 },
      "grave": { "min": 29.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 10.0, "max": 24.0 },
      "leve": { "min": 25.0, "max": 28.0 },
      "moderado": { "min": 29.0, "max": 32.0 },
      "grave": { "min": 33.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_AREA_DIASTOLICA_VD_INDEX": {
    "F": {
      "normal": { "min": 4.5, "max": 11.5 },
      "leve": { "min": 11.6, "max": 13.5 },
      "moderado": { "min": 13.6, "max": 15.5 },
      "grave": { "min": 15.6, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 5.0, "max": 12.6 },
      "leve": { "min": 12.7, "max": 14.5 },
      "moderado": { "min": 14.6, "max": 16.5 },
      "grave": { "min": 16.6, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_AREA_SISTOLICA_VD": {
    "F": {
      "normal": { "min": 3.0, "max": 11.0 },
      "leve": { "min": 11.1, "max": 14.0 },
      "moderado": { "min": 14.1, "max": 17.0 },
      "grave": { "min": 17.1, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 3.0, "max": 15.0 },
      "leve": { "min": 15.1, "max": 18.0 },
      "moderado": { "min": 18.1, "max": 21.0 },
      "grave": { "min": 21.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_AREA_SISTOLICA_VD_INDEX": {
    "F": {
      "normal": { "min": 1.6, "max": 6.4 },
      "leve": { "min": 6.5, "max": 8.0 },
      "moderado": { "min": 8.1, "max": 9.5 },
      "grave": { "min": 9.6, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 2.0, "max": 7.4 },
      "leve": { "min": 7.5, "max": 9.0 },
      "moderado": { "min": 9.1, "max": 10.5 },
      "grave": { "min": 10.6, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_VDF_VD_INDEX_3D": {
    "F": {
      "normal": { "min": 32.0, "max": 74.0 },
      "leve": { "min": 75.0, "max": 85.0 },
      "moderado": { "min": 86.0, "max": 96.0 },
      "grave": { "min": 97.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 35.0, "max": 87.0 },
      "leve": { "min": 88.0, "max": 98.0 },
      "moderado": { "min": 99.0, "max": 109.0 },
      "grave": { "min": 110.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_VSF_VD_INDEX_3D": {
    "F": {
      "normal": { "min": 8.0, "max": 36.0 },
      "leve": { "min": 37.0, "max": 45.0 },
      "moderado": { "min": 46.0, "max": 54.0 },
      "grave": { "min": 55.0, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 10.0, "max": 44.0 },
      "leve": { "min": 45.0, "max": 53.0 },
      "moderado": { "min": 54.0, "max": 62.0 },
      "grave": { "min": 63.0, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 21
    }
  },
  "VR_ONDA_S_DOPPLER_COLORIDO": {
    "U": {
      "normal": { "min": 6.0, "max": 999.0 },
      "leve": { "min": 4.0, "max": 5.9 },
      "moderado": { "min": 2.0, "max": 3.9 },
      "grave": { "min": 0.0, "max": 1.9 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 24
    }
  },
  "VR_STRAIN_PAREDE_LIVRE_VD": {
    "U": {
      "normal": { "min": -999.0, "max": -20.0 },
      "leve": { "min": -19.9, "max": -17.0 },
      "moderado": { "min": -16.9, "max": -14.0 },
      "grave": { "min": -13.9, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 24
    }
  },
  "VR_FE_3D_VD": {
    "U": {
      "normal": { "min": 45.0, "max": 999.0 },
      "leve": { "min": 40.0, "max": 44.9 },
      "moderado": { "min": 35.0, "max": 39.9 },
      "grave": { "min": 0.0, "max": 34.9 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 24
    }
  },
  "VR_RELACAO_ELINHA_ALINHA": {
    "U": {
      "normal": { "min": 0.52, "max": 0.99 },
      "leve": { "min": 1.0, "max": 1.5 },
      "moderado": { "min": 1.6, "max": 2.0 },
      "grave": { "min": 2.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 24
    }
  },
  "VR_E_LINHA": {
    "U": {
      "normal": { "min": 7.8, "max": 9.9 },
      "leve": { "min": 5.0, "max": 7.7 },
      "moderado": { "min": 3.0, "max": 4.9 },
      "grave": { "min": 0.0, "max": 2.9 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Guidelines for the Echocardiographic Assessment of the Right Heart in Adults",
      "Pagina": 24
    }
  },
  "VR_EIXO_CURTO_AD_INDEX": {
    "F": {
      "normal": { "min": 1.6, "max": 2.2 },
      "leve": { "min": 2.3, "max": 2.5 },
      "moderado": { "min": 2.6, "max": 2.8 },
      "grave": { "min": 2.9, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 1.6, "max": 2.2 },
      "leve": { "min": 2.3, "max": 2.5 },
      "moderado": { "min": 2.6, "max": 2.8 },
      "grave": { "min": 2.9, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 33
    }
  },
  "VR_EIXO_LONGO_AD_INDEX": {
    "F": {
      "normal": { "min": 2.2, "max": 2.8 },
      "leve": { "min": 2.9, "max": 3.2 },
      "moderado": { "min": 3.3, "max": 3.6 },
      "grave": { "min": 3.7, "max": 999.0 }
    },
    "M": {
      "normal": { "min": 2.1, "max": 2.7 },
      "leve": { "min": 2.8, "max": 3.1 },
      "moderado": { "min": 3.2, "max": 3.5 },
      "grave": { "min": 3.6, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2015,
      "Fonte": "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults",
      "Pagina": 33
    }
  },
  "VR_DIFERENCA_AR_A": {
    "U": {
      "normal": { "min": -999.0, "max": 0.0 },
      "leve": { "min": 0.1, "max": 15.0 },
      "moderado": { "min": 15.1, "max": 30.0 },
      "grave": { "min": 30.1, "max": 999.0 }
    },
    "_meta": {
      "Ano": 2025,
      "Fonte": "Recommendations for the Evaluation of Left Ventricular Diastolic Function",
      "Pagina": 23
    }
  }
}
