The image on the right is suggestive of severe TR: early peaking dense jet.
Remember: cannot use peak velocity to determine severity in regurgitant lesions
Aortic regurgitation peak jet velocity must be >/= 4m/s
Mitral stenosis velocities will usually be lower than 4m/s
AS jet starts after the QRS; while MR jet starts with the QRS
Note higher velocities seen in MR
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