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Understanding LVH Part 1: Concentric, Eccentric and Concentric Remodeling

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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).

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8 Things to Know About Estimation of RAP via Echocardiography

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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.

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IAC’s New Sonographer Credentialing Requirement

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ECHO AND VASCULAR LABS – ARE YOU READY FOR THE NEW SONOGRAPHER CREDENTIALING REQUIREMENTS?
As you may be aware in January 2017 the latest changes to the Echo and Vascular accreditation standards as set forth by the Intersocietal Accreditation Commission become effective. We have discussed the changes to the Quality Improvement Program in recent blogs. In this blog we will cover the changes to the sonographer credentialing and training requirements.

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6 Pitfalls of Accurate LV Measurements

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Last year the American Society of Echocardiography (ASE) released updated guidelines for cardiac chamber quantification by echocardiography. The ASE teamed up with the European Association of Cardiovascular Imaging to update the previous guidelines due to the rapid technological developments of the past decade and the changes in echocardiographic practice brought about by these developments.

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The 4 Most Effective Tactics for Gathering Clinical Correlation

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For those following our blog series you should be getting the hang of streamlining your QI Program by now. This week we will tackle the dreaded clinical correlation! Wait… before you cringe and close out this blog let me share some good news! IAC recently changed the correlation requirements for many of the modalities.

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Pulmonary Hypertension Case Study Presentation

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An 85 year old patient presents to the ER with worsening shortness of breath and a history of known pulmonary hypertension. Her chest x-ray reveals massive cardiomegaly. An echo is ordered to assess the status of her pulmonary hypertension. We will present this echo to illustrate the correct techniques when performing an echocardiogram with the indication of pulmonary hypertension. Learn about the LV Eccentricity index and the latest recommendations for calculating correct RA pressure through evaluation of the IVC.

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Echo in Pulmonary Embolism…the clot thickens

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Pulmonary embolism continues to cause at least 60,000 deaths per year in the United States according to CDC statistics. Ten percent of symptomatic pulmonary emboli are fatal within one hour of symptoms onset. However, diagnosis can often be difficult because the presenting signs and symptoms are nonspecific and often mimic other cardiac and pulmonary diseases. Interventional strategies to remove or dissolve thrombi continue to improve. With these improvements, our ability to understand and diagnose also needs to improve. Echocardiography can aid in the diagnosis of pulmonary embolism and provides important functional information about the right and left ventricle that cannot be ascertained from other tests.

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