simplified echo part II

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echo, ECHOCARDIOGRAPHY

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و في الأرضِ آياتٌ للموقنينَ * و في أنفُسِكم أفلا تُبْصِرونَ * الذاريات 20 و 21: 

و في الأرضِ آياتٌ للموقنينَ * و في أنفُسِكم أفلا تُبْصِرونَ * الذاريات 20 و 21

Simplified Echocardiography: 

Simplified Echocardiography SayedSyleem Kafr Saad central hospital 2010 Part 2

PowerPoint Presentation: 

Part 2

PowerPoint Presentation: 

Part 2

PowerPoint Presentation: 

Part 2

PowerPoint Presentation: 

Part 2

PowerPoint Presentation: 

Part 2

Types and views of ECHOCARDIOGRAPHY: 

Types and views of ECHOCARDIOGRAPHY TTE Parasternal (Log axis-Short axis) Apical (2,3,4,5 Chamber) Epigastric Suprasternal TEE Part 2

Parasternal Long Axis: 

Parasternal Long Axis Left Ventricular Inflow and Outflow Ascending aorta Aortic valve Mitral valve Left ventricle Right Ventricular Inflow Right ventricle and tricuspid valve Probe marker is towards the right shoulder At 3rd or 4th ICS just lateral to the sternum 2D - M-Mode- Doppler Color- PW- CW

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2D - M-Mode- Doppler Color- PW- CW

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Measurements: A: aortic annulus; B: sinuses of Valsalva (aortic root); C: sino.tubular junction; D: most distal point of visualization of ascending aorta 52 mm from aortic annulus). E: ascending aorta; 2D - M-Mode- Doppler Color- PW- CW

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AO: aortic root; LA: left atrium; LV: left ventricle; LVOT: LV outflow tract; RVOT: right ventricular outflow tract. Arrows point at anterior right coronary cusp and posterior non coronary cusp (open in systole) of aortic valve. 2D - M-Mode- Doppler Color- PW- CW

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AO: aortic root; LA: left atrium; LV: left ventricle; LVOT: left ventricular outflow tract; Pap: Papillary muscle 2D - M-Mode- Doppler Color- PW- CW

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AO: aortic root; LA: left atrium; RVOT: right ventricular outflow tract 2D- M-Mode - Doppler Color- PW- CW

PowerPoint Presentation: 

2D- M-Mode - Doppler Color- PW- CW

PowerPoint Presentation: 

2D- M-Mode - Doppler Color- PW- CW

PowerPoint Presentation: 

AO: aortic root; LA: left atrium; LV: left ventricle; RV: right ventricle. 2D- M-Mode- Doppler Color- PW- CW

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RA: right atrium; RV: right ventricle; TR: tricuspid regurgitation, mild. 2D- M-Mode- Doppler Color- PW- CW

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CW Doppler interrogation of mild TR. Maximum velocity of regurgitation is 197 cm/s. 2D- M-Mode- Doppler Color- PW- CW

Parasternal Short Axis: 

Parasternal Short Axis Aortic valve and outflow Coronary arteries Interatrial septum and atria Tricuspid valve RV outflow, pulmonary valve and artery Mitral valve Left ventricle Apex Rotate 90° clockwise to the left shoulder Part 2

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2D - M-Mode- Doppler Color- PW- CW

PowerPoint Presentation: 

2D - M-Mode- Doppler Color- PW- CW

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AV: Aortic Valve; LA: Left Atrium; PA: Pulmonary Artery; PV: Pulmonary Valve; RA: Right Atrium; RPA: Right Pulmonary Artery; RV: Right Ventricle; RVOT: Right Ventricular Outflow Tract. 2D- M-Mode- Doppler Color- PW- CW

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Arrow shows measurement of diameter of RVOT, immediately below the pulmonary valve annulus. 2D- M-Mode- Doppler Color- PW- CW

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PW Doppler of RVOT (immediately below pulmonary valve) Red double arrow measures time to peak velocity 2D- M-Mode- Doppler Color- PW - CW

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Arrow points at pulsed Doppler sample volume positioned 1 cm distal to the pulmonary artery, to sample pulmonary artery systolic flow velocities. 2D- M-Mode- Doppler Color- PW - CW

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Red arrow shows peak velocity through pulmonary valve in systole (90 cm/s). 2D- M-Mode- Doppler Color- PW- CW

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2D - M-Mode- Doppler Color- PW- CW

PowerPoint Presentation: 

2D - M-Mode- Doppler Color- PW- CW

Apical: 

Apical 2-Chamber 3-Chamber 4-Chamber 5-Chamber The marker towards the patient’s left The marker points towards the head Part 2

PowerPoint Presentation: 

2D - M-Mode- Doppler Color- PW- CW

PowerPoint Presentation: 

2D - M-Mode- Doppler Color- PW- CW

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2D - M-Mode- Doppler Color- PW- CW

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Part 2

Epigastric: 

Epigastric 4-Chamber Short Axis Inferior vena cava and hepatic veins Inter-atrial septum and bi-caval Aorta 15° angle to the chest wall. Marker towards the left hip Marker towards the right hip Part 2

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Arrow points at diaphragm. 2D - M-Mode- Doppler Color- PW- CW

PowerPoint Presentation: 

2D - M-Mode- Doppler Color- PW- CW

Apical short axis: 

Apical short axis 2D - M-Mode- Doppler Color- PW- CW

Suprasternal: 

Suprasternal Evaluates the aortic arch Marker at the patient’s left 2D - M-Mode- Doppler Color- PW- CW

PowerPoint Presentation: 

2D- M-Mode- Doppler Color- PW- CW

Types and views of ECHOCARDIOGRAPHY: 

Types and views of ECHOCARDIOGRAPHY TTE Parasternal Log axis (B-mode – M-mode) (Valves, flow & diameters) Short axis (Great vessels, MV, PM, Apex) (Valves, flow & PG) Apical (2,4,5 Chamber) (Valves & flow) Epigastric (4 chamber) (Valves & flow) Suprasternal (Aortic arch) (aneurysm, Coarctation,….etc) TEE Part 2

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Part 2 Sayed Syleem