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The EACVI Echo Handbook by Patrizio Lancellotti, Bernard Cosyns

By Patrizio Lancellotti, Bernard Cosyns

Concise, fact-based and jam-packed with photographs and illustrations The EACVI Echo Handbook is the correct better half for making either each day and complicated scientific judgements. Designed and written by means of prime specialists within the box of echocardiography to be used within the medical enviornment, this useful instruction manual presents the required details for reviewing, or consulting whereas acting or reporting on an echo or making medical judgements in line with echo findings.

Disease-focussed and succinct, it covers the knowledge had to correctly practice and interpret echocardiograms, together with the best way to manage the echo-machine to optimize an exam and the way to accomplish echocardiographic sickness evaluation; the medical symptoms, approaches and contraindications.

Linked to EACVI thoughts and the EACVI middle Curriculum The EACVI Echo instruction manual is a necessary and simply available handbook on utilizing echocardiography for sonographers and trainee cardiologists that are meant to by no means be left at the back of while appearing an echocardiogram.

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11 4CV 21 Chapter 2 The Standard Transthoracic Echo Examination Apical 3-chamber view (3CV) (Fig. 12C) A Rotate transducer counter-clockwise further 30°–60° from 2CV to obtain the ‘apical long-axis view’ ◆◆ Contrary to the PTLAX, the apical LAX visualizes the LV apex/apical antero-septum ◆◆ May provide better Doppler alignment than 5CV B ◆◆ RV MV AV Apical RV 4-chamber view (RV 4CV) (Fig. 12D) Modify 4CV to see entire RV and to measure RV ◆◆ Derive TV annulus M-mode to measure TAPSE from RV 4CV lateral annulus zoom LV LV RA LA ◆◆ C D Subcostal 4-chamber view (4CV) Transducer pointing to the left (Fig.

19B Trace well aligned 29 Chapter 2 The Standard Transthoracic Echo Examination Assessment of valve regurgitation Any valvular regurgitation Not aligned Doppler/eccentric regurgitation → poor envelope definition → tracing error ◆◆ Doppler volumetric method ◆◆ R Vol = SV regurgitant valve – SV normal valve (R Vol = regurgitant volume, SV = stroke volume) ◆◆ RF% = (R Vol/SV regurgitant valve) × 100 (RF% = regurgitant fraction) ◆◆ Aortic (AR)/Pulmonary (PR) regurgitation assessment Pressure half-time (PHT/T1/2) ◆◆ Trace well-aligned (5CV or 3CV) AR CW signal (Fig.

10 Standard apical window Apical 5-chamber view (5CV) (Fig. 12A) Tilt transducer anteriorly from 4CV to visualize AV for LVOT and AV flow assessment ◆◆ More anterior part of the IVS is seen ◆◆ LV cavity may be distorted ◆◆ Apical 2-chamber view (2CV) (Fig. 12B) Rotate transducer counter-clockwise 60°–90° from 4CV ◆◆ May display the MV bi-commissural view RV IVS LV TV RA MV IAS ◆◆ LA PV Fig. 11 4CV 21 Chapter 2 The Standard Transthoracic Echo Examination Apical 3-chamber view (3CV) (Fig. 12C) A Rotate transducer counter-clockwise further 30°–60° from 2CV to obtain the ‘apical long-axis view’ ◆◆ Contrary to the PTLAX, the apical LAX visualizes the LV apex/apical antero-septum ◆◆ May provide better Doppler alignment than 5CV B ◆◆ RV MV AV Apical RV 4-chamber view (RV 4CV) (Fig.

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