Case and images James Dent A 44F presents with chest pain for 20 mins, central chest reflux/burning sensation. Onset on leaning forward to open drawer. Now just in left shoulder. Then tingling to bilateral hands, feet and generalised and spasming of hands. Recently well OE: eyes closed, SaO2 100% on [...]
A 72 year old lady presents to the Emergency Department with syncope. A point of care ECHO is performed. What is the structure in the right atrium? https://www.criticalcare-sonography.com/wp-content/uploads/2023/05/Produce_11.mp4 This is a Eustachian valve. The differential diagnosis would be a tumour, a thrombus or a vegetation. In the [...]
All answers are directly from the article Jan 20, 2015 - Recommendations for echocardiographic chamber quantification were last published in 2005 by the American Society of. Echocardiography 1.How do you measure the LVOT diameter or aortic annulus ? Zoom onto the aortic valvein the PLAX view Measure between the [...]
The answers to this quiz can be found in the ASE quantification chamber guidelines 2018 1.What windows do you use to assess RV size ? Use multiple windows including: Parasternal long-axis view (PLAX) Parasternal short-axis view (PSAX) Parasternal RV inflow view Apical 4-chamber view Focused apical 4-chamber RV view [...]
Most answers for this quiz are from the ASE chamber quantification guidelines document 2018 1. What are you looking for when you are eye balling the LV to assess ejection fraction? Look at Inward motion of the endocardium The thickening of the myocardium The longitudinal motion of the [...]
Question 1 A haemodynamically decompensating patient requires assessment of the intravascular fluid status. Describe the Doppler echo cardiographic methods that can assist outlining the supportive evidence for their use, in addition to any obvious limitations in their application Assessment of fluid status can be achieved by using the LVOT VTI [...]
Question 2. Discuss the use and value of echocardiography in evaluating pericardial disease of various types Value is to look at the pericardium for structural abnormalities (thickening/calcification), assess associated pericardial effusions (may have strands suggesting inflammatory more chronic problem, may be anechoic, may show swirling cells) , look for haemodynamic [...]
Discuss the use of Echocardiography/Doppler in the assessment of the complications of acute myocardial infarction Acute/subacute complications Cardiogenic shock Thrombus formation Myocardial rupture Papillary muscle rupture Ischaemic ventricular septum defect Chronic Remodelling of the heart Aneurysm Right heart failure Late thrombus Mitral regurgitation Assessment using ECHO Regional wall abnormalities Will [...]
Question 4 A 45 year old presents with sudden onset of severe acute central chest and back pain suggestive of acute dissection. Discuss the role of transthoracic and transoesophageal echo –cardiography in the initial assessment and ongoing management Role of ECHO in initial assessment: Differentiate between aortic dissection and other [...]
Describe the echocardiographic features not uncommonly seen in the patient with septic shock 1. ECHO exam may be normal 2. Sepsis induced cardiomyopathy: Left Ventricular contraction impairment which may be global or segmental. MASPE < 8mm EF < 52% in men and < 54% in women (2) Left ventricular diastolic [...]