Soft tissue Ultrasound:
Echocardiography Tips:
Eyeball qualitative LV systolic function assessment: -mitral annulus movement along the long/major axis -LV wall movement inward along minor axis -thickening of LV wall during systole -proximity of anterior leaflet of MV and septal wall Eyeball qualitative RV assessment: - RV tends to dilate before it goes bad (with acute pulmonary embolism physiology) - RV shape and function more complex - Most significant movements of RV are along long/major axis [NERD alert!: TAPSE (tricuspid annular planar systolic excursion)] Image Acquisition Tips: - Focused RV assessment: - Apical window: angle medially toward RV to get better view of RV apex, free wall and annulus - Use subcostal window… must view RV apex - Parasternal long: angle anteriorly and you’ll see both RV & RA - Looking for RV enlargement (RVE): - Look for RVE Apex enlargement + widened RV base - Subcostal and apical views to get a good look at the apex - Parasternal short axis view - Normal contour of RV semilunar/croissant next to donut (LV) - RVE might show as ‘helmet’ rather than ‘croissant’ Tips to Avoid Trips
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