We dedicated the month of April to learning about ways to implement right heart quantification into our routine exams. This month, we are going to continue that journey and discuss ways to evaluate the function of the right heart!
We have been discussing the importance of evaluating the right heart over the past few blogs this month. The ASE updated the chamber quantification guidelines that provided us with the correct methods to measuring size and function of the right ventricle (RV) and atrium (RA). This week, we are going to talk about the proper method to measuring the size of the right atrium! We will review both the preferred volumetric measurement methods and the linear measurements of the right atrium.
We recently reviewed basic right heart anatomy and outlined the ASE updated recommendations for quantifying right heart size and function. For the 2nd part of our Right Heart blog series, we are going to discuss proper measurements for size evaluation of the right ventricle (RV).
CardioServ is dedicating the month of April to right heart quantification awareness! This month we will present a series of blogs to review the proper methods to quantify right ventricular size and function.
Modality: Adult Echo TEE
Review the following images and see if you know what pathology is present! TEE images of LA and RA Color Doppler over the atrial septum demonstrating PFO.
As diagnostic imaging professionals, we often perform echocardiograms on patients with hypertension to monitor the thickness, strength and wall motion of the heart. Last week we launched our two-part blog on left ventricular hypertrophy (LVH). In part one we explained the pathophysiology behind the various categories of LVH along with the echocardiographic findings. We discussed how LVM and RWT plays a role in identifying the categories of LVH. This week we will answer the question: What is LVM and RWT and how do we obtain these values?
Last month was designated American Heart Month to raise awareness of cardiovascular disease, the leading fatality of Americans. AHA encourages our patients to take control over understanding their risk factors of heart disease including knowing their numbers related to blood pressure. Untreated hypertension can have a long-term effect on the heart causing hypertensive heart disease, which can include coronary heart disease (CAD), left ventricular hypertrophy (LVH) and hypertrophic cardiomyopathy (HCM).
HOW COULD I IMPROVE THIS IMAGE?
Modality: Transthoracic Echocardiography
View: Subcostal long axis IVC
ANSWER:
The image could be optimized to elongate the IVC to ensure the correct diameter is measured.
Last week, we shared our new year resolutions which including writing more and inspiring more. So I am jumping right in by writing a blog on the correct method to estimate right atrial pressures (RAP) when calculating your RVSP during an echo. The American Society of Echocardiography has outlined the correct use of the Collapsibility Index to estimate RAP yet the majority of the echocardiograms that we review on a daily basis still have an RAP of 10 entered for every echo. After speaking with sonographers, most admit it’s either a bad habit or it is just what they were taught to do.
We provide our software clients with weekly eTutoring and the next 2 weeks we are reviewing the recent echo accreditation changes to the QI program and to the random audits. We wanted to share this information with all of you. This week, we will briefly review both the current changes in effect and the new changes that will kick in January 2017.
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