Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd
Upload
124 views

Echo Basic Protocol (ENG)

This document provides guidance on performing echocardiograms and interpreting the results. It discusses the parasternal long axis view and checkpoints like ejection fraction, aortic and mitral valves. The parasternal short axis view is also covered, focusing on the aortic valve, mitral valve, and measuring areas. The apical 4 chamber view allows assessing diastolic function and chamber sizes. The apical 5 chamber view visualizes the aortic valve and allows calculating aortic valve area. All information presented is confidential and requires permission to share.

Uploaded by

stoicea_katalin
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
124 views

Echo Basic Protocol (ENG)

This document provides guidance on performing echocardiograms and interpreting the results. It discusses the parasternal long axis view and checkpoints like ejection fraction, aortic and mitral valves. The parasternal short axis view is also covered, focusing on the aortic valve, mitral valve, and measuring areas. The apical 4 chamber view allows assessing diastolic function and chamber sizes. The apical 5 chamber view visualizes the aortic valve and allows calculating aortic valve area. All information presented is confidential and requires permission to share.

Uploaded by

stoicea_katalin
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 15

ECHO Basic protocol

Clinical application specialist team

All information in the presentation are highly confidential and no part of contents may be informed or transmitted without permission from ALPINION Medical Systems.
Parasternal long axis view ( PLAX)

Probe
- 3rd~4th left intercostal, parallel to heart
Parasternal long axis view ( PLAX)

Check point

ü EF (Ejection Fraction )
- LV systolic function ( B or M )
- Normal range: 55~75%

ü AV ( Aortic Valve )
- Stenosis
- Regurgitation
- thickness and calcification
- Cusp mobility
Parasternal long axis view ( PLAX)

ü MV ( Mitral valve )
- Stenosis
- Regurgitation
- Thickness and calcification
- Prolapse

ü LA chamber size
- Ant.~ Post. wall
perpendicular measure
- Normal range : 2.7~ 4.4cm
Parasternal short axis view (PSAX)

Probe
- To rotate clockwise 90 degree from PLAX
Parasternal short axis view (PSAX)

Check Point

ü Aortic valve level


- Aortic valve morphology ,
AVA measure
- AV area normal range : 1.5~ 2㎠
- Tricuspid valve regurgitation
- Shunt ( VSD , ASD)
- Pulmonary valve
Parasternal short axis view ( PSAX)

ü Mitral valve level


- IVS thickness, wall motion
- RV size, mobility
- MV morphology , MVA
- MVA normal range : 4~6㎠
- MV M-mode
Parasternal short axis view ( PSAX)

ü Mid level ( papillary muscle level )


- LV regional wall motion abnormality
- LV M-mode EF ( 55~75%)
- Pericardial effusion
Parasternal short axis view ( PSAX)

Low –mid & Apex level


- LV regional wall motion abnormality
- Pericardial effusion
Apical 4 chamber view

Probe
To locate superior- medial site toward right scapula
Apical 4 chamber view

Check point

ü Diastolic function
- MV E pt , A pt . MV PHT
- MVA ( continue equation )
<Normal range >
E velocity 0.6 ~ 1 m/sec
A velocity 0.3 ~ 0.7 m/sec
E/A ratio 1 ~ 2 m/sec
Deceleration time 160 ~ 240 m/sec
IVRT 70 ~ 90 m/sec
E/E’ 8 ~ 15m/sec
Apical 4 chamber view

ü LA size measurement
-AP ( anterior~ posterior ) : 27~44mm
-ML ( medial ~lateral ) : 27~44mm

ü Color flow
- MV, TV regurgitation
- MV, TV stenosis

ü Simpson method
- Wall motion
- To measure EF in case of Ischemic heart disease
Apical 5 chamber view

Probe
To rotate clockwise of 4 chamber view

Check point
- AV morphology
- AR , AS
- Sigmoid septum
- LVOT doppler ( PW)
- AVA ( continue equation ) : 1.5~2㎠
① LVOT diameter ( PLAX)
② 5 Chamber LVOT PW
③ 5 Chamber AV systole CW
Apical 5 chamber view - AVA
LVOT dimension LVOT PW doppler

AV CW doppler
Thank You!

All information in the presentation are highly confidential and no part of contents may be informed or transmitted without permission from ALPINION Medical Systems.

You might also like