diastolic dysfunction part I - concept & measurement
mechanism of diastolic dysfunction and measurements BY: Seyed A Sadatian MD. RDCS, RDMS. RVT
Жүктеу.....
Пікірлер: 180
@reza917711 ай бұрын
Dear Dr. Sadatian, I can confidently say you make the best educational videos about echocardiography on KZread. The videos are simply comprehensive and right to the point. I do really appreciate it.
@masteringEcho-US-cardiology
11 ай бұрын
Thanks and you are very welcome
@sangresangre6983 жыл бұрын
Your quote at the end is gold. Great lecture.
@EvgeniGaidukov4 жыл бұрын
Great lecture!
@Kingbhatti993 жыл бұрын
Sir you are the legend in echo teaching,the way you put your efforts in transforming difficult topics into simplest pattern is excellent and very appreciable.You always go to beginner level and start every thing from scratch that is very helpful for the beginners who going to start their echocardiography journey.God Bless you.
@masteringEcho-US-cardiology
3 жыл бұрын
Thank you .
@JoyForPalestine11 ай бұрын
Very nice explanations. Congrts
@hadialihosseini3 жыл бұрын
so many useful Prof.
@reynour1 Жыл бұрын
Such a great practical training with lllp😅😅ŕ
@udayakumarramachandran9551 Жыл бұрын
Very nice lecture on LV diastolic function evaluation. Thankyou.
@masteringEcho-US-cardiology
Жыл бұрын
You are very welcome
@kalpeshpatil61013 жыл бұрын
Sir u r just an exceptional teacher.......Thank you so much such amazing job to help us learn these concepts in cardiology....💐💐
@masteringEcho-US-cardiology
3 жыл бұрын
you are very welcome
@desertrose77783 жыл бұрын
Thank you for sharing this video and explaining so well!🙌 I am a Cardiovascular sonographer and this has been very enlightening!🙏
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome. check other clips I am sure there are some that will be useful in your practice
@desertrose7778
3 жыл бұрын
@@masteringEcho-US-cardiology Thank you!😊🙏
@yassergabr18444 жыл бұрын
Excellent, waiting for the next part. Thanks.
@masteringEcho-US-cardiology
4 жыл бұрын
thanks. there is second parts and other useful topic. check them out in channel.
@TheHeartSpecialist3 жыл бұрын
A wonderful lecture and elaborate teaching of echo diastolic measurements. Thank you.
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome
@doctorStamate3 жыл бұрын
Excellent presentation
@kellysalazaku9019 Жыл бұрын
Great teaching
@vikasreddy45923 жыл бұрын
Thank you! Complicated topic explained in a simple manner. This has been very useful.
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome
@monaalizadeh4255 жыл бұрын
Thank you for very clear and great explanation .
@masteringEcho-US-cardiology
5 жыл бұрын
you are welcome
@josephkazibwe97143 жыл бұрын
Very educative, and you have simplified the issues at hand, many thanks Sir
@masteringEcho-US-cardiology
3 жыл бұрын
you are very welcome
@ignacioscarafia916410 ай бұрын
very clear! loved the final thought... thanks!
@masteringEcho-US-cardiology
10 ай бұрын
You are welcome
@atheeralsaeed134 жыл бұрын
Hi great man... Do you know?..your approach is better than other prepaid online courses.... Your explanation is very scintefic and concentrated usefully.... Please do not avoid us from your knowledgements... Keep us with your easy benefitfull lectures.. You are nice teacher who has unique way in teaching
@masteringEcho-US-cardiology
4 жыл бұрын
thank you . If I have enough time I'll cover all important topics for sure
@atheeralsaeed13
4 жыл бұрын
You are really great
@glob32423 жыл бұрын
Always on point Sir! Thank you
@masteringEcho-US-cardiology
3 жыл бұрын
thank you
@SkyRyu2 жыл бұрын
Thank you so much! I've just started to learn echo and was having a really hard time with this topic but your video helped a lot.
@masteringEcho-US-cardiology
2 жыл бұрын
Glad it helped!
@nabilatallah1057 Жыл бұрын
Good luck.
@elvina76594 жыл бұрын
Thank you very much for your videos!
@masteringEcho-US-cardiology
4 жыл бұрын
you are welcome
@user-sz5ix4to3i2 жыл бұрын
Great lecture from a Great teacher
@masteringEcho-US-cardiology
2 жыл бұрын
thank you
@fenitta4 жыл бұрын
Thank you very much again, this was very useful =)!
@masteringEcho-US-cardiology
4 жыл бұрын
Glad to hear that!
@candyjo69602 жыл бұрын
Thank you so much!
@drgadham2 жыл бұрын
Excellent teaching 👏👏
@masteringEcho-US-cardiology
2 жыл бұрын
thank you
@charlenemacomber1777 Жыл бұрын
Thank you so very much for this lecture as it has helped me tremendously understand and to prepare for my Echo test this week!😀
@masteringEcho-US-cardiology
Жыл бұрын
you are very welcome I am glad it is helpful. don't forget review those board reviews & SDMS good luck
@shafaafray73133 жыл бұрын
Thank you so much sir, very useful lecture 🙏🙏🌹🌹
@masteringEcho-US-cardiology
3 жыл бұрын
Most welcome
@omerhaghussien4874 Жыл бұрын
Thanks
@user-pl8dd4di4b3 жыл бұрын
Thanks sir, explained well.
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome
@drafsheensultrasound9572 Жыл бұрын
Great explanation
@masteringEcho-US-cardiology
Жыл бұрын
Thanks
@peterashford51233 жыл бұрын
Thank you.
@genetkebede846 Жыл бұрын
thank you for the clear expanation.
@masteringEcho-US-cardiology
Жыл бұрын
you are welcome
@drbanwarilalnayak4093 жыл бұрын
Excellent teaching
@masteringEcho-US-cardiology
3 жыл бұрын
thank you
@letrinh226 Жыл бұрын
Thank you!
@masteringEcho-US-cardiology
Жыл бұрын
You are welcome
@wlodar0012 ай бұрын
Thank you very much !!! ❤
@masteringEcho-US-cardiology
2 ай бұрын
You are welcome
@ahmedmostafa13202 жыл бұрын
thank you very much it is very nice and useful ...thanks alot
@masteringEcho-US-cardiology
2 жыл бұрын
you are very welcome
@dr.husainhamdard4262 жыл бұрын
Great sir
@masteringEcho-US-cardiology
2 жыл бұрын
thanks
@ahmedayari68895 жыл бұрын
thank you sir
@masteringEcho-US-cardiology
4 жыл бұрын
you are welcome
@niloofarnika54542 жыл бұрын
Thank you so much ,i am cardiac sonoghrapher student .it is really usefule and helpeful .Thanks again .
@masteringEcho-US-cardiology
2 жыл бұрын
you are very welcome
@drbanwarilalnayak4092 жыл бұрын
excellent teaching
@masteringEcho-US-cardiology
2 жыл бұрын
thanks
@dmohamed812 жыл бұрын
Thank you very much
@masteringEcho-US-cardiology
2 жыл бұрын
you are very welcome
@assiaadyadou2534 жыл бұрын
God bless u
@masteringEcho-US-cardiology
4 жыл бұрын
thanks
@dr.fazalurrehmanawan15355 жыл бұрын
excellent
@seyedasgharsadatian741
5 жыл бұрын
Thanks
@dvshrai Жыл бұрын
thanks a lot
@masteringEcho-US-cardiology
Жыл бұрын
You are very welcome
@sarakhan-dl2lu3 жыл бұрын
M cardiology resident,,,really learn alot from ur knowledge
@masteringEcho-US-cardiology
3 жыл бұрын
Thank you Dr.
@yuvasrid22243 жыл бұрын
Thank you so much sir❤
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome
@nsas9554 жыл бұрын
It is a fantastic lecture thank you very much. But i wonder if you can elucidate the significance of DT duration and IVCT and IVRT ? What is their clinical significance?
@masteringEcho-US-cardiology
4 жыл бұрын
thank you. based on new guideline they are used in other unusual cases like Afib... that I am going to explain them in different presentation
@infodiff2 жыл бұрын
Thanks sir...
@masteringEcho-US-cardiology
2 жыл бұрын
you are welcome
@marleighconnolly27779 ай бұрын
What advice would you have for a sonography student writing their ARDMS and Sonography Canada exams in the next few weeks? Main topics to focus on, etc... Thank you for amazing videos by the way!
@masteringEcho-US-cardiology
9 ай бұрын
Hi Marleiggh, I am not familiar with Canada system but I am sure it will be the same around the world. Reviewing echo registry from SDMS will be the best. On their website (and in ARDMS website too ) there are some mocks test too (you should pay a small ) . Taking those exams give you very good idea what should you focus more (baord exam will be very close to that) but if you review all clips in this channel I am 100% sure you will pass . It will be great to let me know when you passed the exam. you don't need luck, but good luck
@masteringEcho-US-cardiology
9 ай бұрын
I forgot to mention that those review exams in this channel are very close to board exam too
@marleighconnolly2777
9 ай бұрын
Hi Dr. Sadatian, I passed my ARDMS adult echo exam today thanks to your videos. I also wrote the Sonography Canada Cardiac exam today for echocardiography but I won’t get the result of that for a few weeks. I just wanted to say thank you for uploaded such detail videos with excellent examples and descriptions. I truly believe your lectures were the reason I passed. Thank you so much 🙏🏻 Marleigh
@masteringEcho-US-cardiology
9 ай бұрын
@@marleighconnolly2777 Hi, Congratulation!. great job. You are very welcome . Welcome to the club.
@matt5662 жыл бұрын
Is E' something that can change with various external parameters to the heart or is it something that is intrinsic to the heart itself, like a progressive marker of deterioration? I had diastolic dysfunction diagnosed in 2018 with septal E' of 13 and lateral E' of 18 and an E/A ratio of 0.8 with EF of 65%. In 2020 December I had another echocardiogram with EF of 70%, septal E' of 10.1 and lateral E' not listed. E/A ratio was 0.9. I've had significant exercise intolerance and exertional dyspnea that lasts for quite a while afterward since 2015 that began months following an infection + antibiotics. I have reason to believe ciprofloxacin caused the cardiac dysfunction because a year before that I had cardiac evaluation as an athlete with completely normal function at maximal intensity and a VO2 max of 52. The following year after the antibiotics and infection the VO2 max was 38.
@masteringEcho-US-cardiology
2 жыл бұрын
it is important to know other parameters (like myocardium thickness , Left Atrium size , ECG... ) talk to your cardiologist, but those findings are at normal range , specially if you are athletic and don't have any specific problem (like hypertension, ... ).
@matt566
2 жыл бұрын
@@masteringEcho-US-cardiology I was athletic when I was younger but for the last 7 years since I became ill I have been extremely exercise intolerant. If I do something like cycling for more than like 30 seconds or 1 minute I get severely short of breath that lasts for hours and hours and have to go to the hospital. Then when I get there I just have tachycardia that persists for hours but they don't think anything else is wrong and they give me fluids then discharge me after several hours. My LAVI on the last echo was 14 (NR 16-32). thickness and walls are normal as far as I know. LVID IVCD LVIDs all like bottom end of normal range. My TAPSE is also below normal at 1.4 CM and has been that way for years.
@matt566
2 жыл бұрын
Another bizarre thing is that I had that echo at healthy capacity with no problems but then another echo one year after the problems started I had mitral valve regurgitation and in the years since I've seen tricuspid regurgitation, pulmonic regurgitation, and mild aortic leaflet calcification show up
@matt566
2 жыл бұрын
My E/A was > 1 up to 1.5 the first couple of years since being sick and now it is always < 1 now
@masteringEcho-US-cardiology
2 жыл бұрын
@@matt566 there are common almost majority of people have mild form of those. don't be obsessive with them unless they are moderate to severe
@Lolvideo1232 Жыл бұрын
Diostolic dysfunction grade 4😢😢 will I survive?
@masteringEcho-US-cardiology
Жыл бұрын
first make sure what is diagnosis ( it is a finding not diagnosis) for example if it is because of hypertrophy cardiomyopathy with correct treatment you will have almost the same survival as other normal people .
@andreac5152 Жыл бұрын
After the A wave I guess there's the mitral regurgitation, right? Thanks.
@masteringEcho-US-cardiology
Жыл бұрын
we don't judge based on PW for regurgitation even though in significant MR it can pick up some
@andreac5152
Жыл бұрын
@@masteringEcho-US-cardiology can I ask what is that negative wave then? Thank you
@masteringEcho-US-cardiology
Жыл бұрын
@@andreac5152 partially LVOT flow
@masteringEcho-US-cardiology
Жыл бұрын
Even sv is a little far from LVOT
@andreac5152
Жыл бұрын
@@masteringEcho-US-cardiology it's me again, tried to understand the issue even if I'm not a sonographer. It seem unreasonable that the LVOT flow can cause a negative wave(toward the atrium). I know that PW can't pickup fast velocities but being the point of measurement a little higher than the MV plane, maybe it can pick up a slight movement of blood toward the mitral valve caused by regurgitation. Is this possible? For instance this patient had at least mild regurgitation?
@mohapatraabhijit87143 жыл бұрын
Sir my suffering DD In heart. Please is it Clear problem sir please reply me
@masteringEcho-US-cardiology
3 жыл бұрын
your cardiologist is the best source for info. if you have any specific question let me know
@codrut91311 ай бұрын
@user-qh7oo3xy4d3 ай бұрын
Sir how can ı adjust sample size??
@masteringEcho-US-cardiology
3 ай бұрын
Depends on machine go to different page of control panel and find sample volume options and change it
@user-qh7oo3xy4d
3 ай бұрын
@@masteringEcho-US-cardiology thank you
@fatimanaseer8217 Жыл бұрын
Sir i am a big fan of your lectures.. I recently joined and subscribed your channel.. One issue is that i cant be able to play all videos?? There is an error saying to join the channel.. Kindly guide me how i should join your channel??
@masteringEcho-US-cardiology
Жыл бұрын
Hi Fatima, Thanks. yes, some videos belong to members. just click on JOIN button then it gives you two option then follow through. welcome to the group
@fatimanaseer8217
Жыл бұрын
@@masteringEcho-US-cardiology sir where should i find this join button as i have gone through whole of your channel but couldnt find it.. Kindly guide me as your channel is helping alot to learn echo and i want to watch all of your vidoes and learn them by heart.. Kindly guide me.. Thanks in advance
@masteringEcho-US-cardiology
Жыл бұрын
@@fatimanaseer8217 in channel or under clip there is join button if there isn't click on following link kzread.info/dron/bG7LU-o9zrIXH5wWYKEMYQ.htmljoin if it didn't work try with another web browser let me know if it worked tnx
@fatimanaseer8217
Жыл бұрын
@@masteringEcho-US-cardiology sir link doesnt opens and if i type the whole link in google it says channel doesnt exist.. Neither using anyother browser gives option to join this channel.. In short it didnt work
@masteringEcho-US-cardiology
Жыл бұрын
@@fatimanaseer8217 sorry to here that , we have this problem with some country and regions, if you give me favor and contact youtube support I am sure they can help you. thanks
@freecopt40034 жыл бұрын
I am a cardiac anesthesiologist TEE certified your lecture is better than MD lecture that is the truth you paid attention to details Thank yo. I am recently retired but still interested in ECHO Thank you
@masteringEcho-US-cardiology
4 жыл бұрын
Hi Dr. Thank you for your feedback.
@freecopt4003
4 жыл бұрын
@@masteringEcho-US-cardiology you deserve it thank you. I remember when i took my TEE board my favorite ultrasound physics and its equation was written by a technician. I remember he was from Arizona but was the reason I passed from the 1st time I took it. Honestly doctors take credits for things were done by their helpers that is the truth and I know it and always said I never could do my job without every one of my team Thank you
@thecurrentology1014 жыл бұрын
watch at 1.25 speed.
@masteringEcho-US-cardiology
4 жыл бұрын
thanks
@dikraaldobai4856 Жыл бұрын
How to joint the channel
@masteringEcho-US-cardiology
Жыл бұрын
Hi. Just in the channel click on Join button, here is: kzread.info/dash/bejne/emR-uKasqLTUnqw.html welcome to the group
@johnkabengele46289 ай бұрын
How can i join the community
@masteringEcho-US-cardiology
9 ай бұрын
In channel click on join button (under any clips or at top) then follow it . Welcome to the group
@kishankotadiya3879 Жыл бұрын
Sir what is normal A duration value?
@masteringEcho-US-cardiology
Жыл бұрын
A duration depends on age, gender, heart rate .. and it doesn't have normal range. the most important issue with A dur is Ar- A : if it goes over 30 ms it strongly suggests high LVEDP
@kishankotadiya3879
Жыл бұрын
Sir so we can't calculate A duration in LVDD like other parameters E velocity,A velocity,E/A ratio , IVRT,DT etc right?
@masteringEcho-US-cardiology
Жыл бұрын
We do but based on new guideline we don't use it regularly unless in those pts with arrhythmia, sepsis,, on ventilator,... . In these cases beside of other parameters ( IVRT, S', DT, S, D waves ..) we measure A dur & Ar dur too. (check the part 3 lecture in diastolic dysfunction
@kishankotadiya3879
Жыл бұрын
Okk thank you sir
@masteringEcho-US-cardiology
Жыл бұрын
@@kishankotadiya3879 any time
@emessawmte46134 жыл бұрын
HFrEF criteria is EF
@masteringEcho-US-cardiology
4 жыл бұрын
BAsed on 2017 ACC/AHA/HFSA CRITERIA FOR EF IS
@emessawmte4613
4 жыл бұрын
@@masteringEcho-US-cardiology i did, not find a change in the definition of heart failure in acc guideline 2017. Can you give me your source?
@masteringEcho-US-cardiology
4 жыл бұрын
@@emessawmte4613 CHECK OUT THESE: www.acc.org/latest-in-cardiology/ten-points-to-remember/2017/04/27/15/50/2017-acc-aha-hfsa-focused-update-of-hf-guideline www.heart.org/-/media/files/affiliates/swa/qi-files/guidelines-for-prevention--management-of-heart-failure.pdf?la=en&hash=23BC75960E457B587BE0B7452D6FB1BD68BA20BE www.acoi.org/sites/default/files/uploads/LinkCHF.pdf
@emessawmte4613
4 жыл бұрын
@@masteringEcho-US-cardiology this data were for update in management of heart failure, not for definition. Data are limited for Mid range Ef 40-50%
@masteringEcho-US-cardiology
4 жыл бұрын
@@emessawmte4613 THAT'S RIGHT
@VarunvarshaYadav4 ай бұрын
Sir me bahut pareshan hu pls mere help kar dijije😭 sir sach me bahut jyada pareshan hu sir maine apne echo test karaya tha usme mera ejection fraction toh 58 percent aaya h pr lvdd present likhkar aaya h dir mujhe ye samaj n aa rha mujhe kis grade ka lvdd h kaise pata kru
@masteringEcho-US-cardiology
4 ай бұрын
your ejection fraction is normal, how much was LVDD?
@VarunvarshaYadav
4 ай бұрын
@@masteringEcho-US-cardiology sir bs lvdd present likha hai kitna h ye nhi likha n hi grade likha h
@masteringEcho-US-cardiology
4 ай бұрын
@@VarunvarshaYadav so why you are worry. I don't see anything that makes you feel like that. even why don't you ask your Dr?
@VarunvarshaYadav
4 ай бұрын
@@masteringEcho-US-cardiology sir app report dekh lenge
Пікірлер: 180
Dear Dr. Sadatian, I can confidently say you make the best educational videos about echocardiography on KZread. The videos are simply comprehensive and right to the point. I do really appreciate it.
@masteringEcho-US-cardiology
11 ай бұрын
Thanks and you are very welcome
Your quote at the end is gold. Great lecture.
Great lecture!
Sir you are the legend in echo teaching,the way you put your efforts in transforming difficult topics into simplest pattern is excellent and very appreciable.You always go to beginner level and start every thing from scratch that is very helpful for the beginners who going to start their echocardiography journey.God Bless you.
@masteringEcho-US-cardiology
3 жыл бұрын
Thank you .
Very nice explanations. Congrts
so many useful Prof.
Such a great practical training with lllp😅😅ŕ
Very nice lecture on LV diastolic function evaluation. Thankyou.
@masteringEcho-US-cardiology
Жыл бұрын
You are very welcome
Sir u r just an exceptional teacher.......Thank you so much such amazing job to help us learn these concepts in cardiology....💐💐
@masteringEcho-US-cardiology
3 жыл бұрын
you are very welcome
Thank you for sharing this video and explaining so well!🙌 I am a Cardiovascular sonographer and this has been very enlightening!🙏
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome. check other clips I am sure there are some that will be useful in your practice
@desertrose7778
3 жыл бұрын
@@masteringEcho-US-cardiology Thank you!😊🙏
Excellent, waiting for the next part. Thanks.
@masteringEcho-US-cardiology
4 жыл бұрын
thanks. there is second parts and other useful topic. check them out in channel.
A wonderful lecture and elaborate teaching of echo diastolic measurements. Thank you.
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome
Excellent presentation
Great teaching
Thank you! Complicated topic explained in a simple manner. This has been very useful.
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome
Thank you for very clear and great explanation .
@masteringEcho-US-cardiology
5 жыл бұрын
you are welcome
Very educative, and you have simplified the issues at hand, many thanks Sir
@masteringEcho-US-cardiology
3 жыл бұрын
you are very welcome
very clear! loved the final thought... thanks!
@masteringEcho-US-cardiology
10 ай бұрын
You are welcome
Hi great man... Do you know?..your approach is better than other prepaid online courses.... Your explanation is very scintefic and concentrated usefully.... Please do not avoid us from your knowledgements... Keep us with your easy benefitfull lectures.. You are nice teacher who has unique way in teaching
@masteringEcho-US-cardiology
4 жыл бұрын
thank you . If I have enough time I'll cover all important topics for sure
@atheeralsaeed13
4 жыл бұрын
You are really great
Always on point Sir! Thank you
@masteringEcho-US-cardiology
3 жыл бұрын
thank you
Thank you so much! I've just started to learn echo and was having a really hard time with this topic but your video helped a lot.
@masteringEcho-US-cardiology
2 жыл бұрын
Glad it helped!
Good luck.
Thank you very much for your videos!
@masteringEcho-US-cardiology
4 жыл бұрын
you are welcome
Great lecture from a Great teacher
@masteringEcho-US-cardiology
2 жыл бұрын
thank you
Thank you very much again, this was very useful =)!
@masteringEcho-US-cardiology
4 жыл бұрын
Glad to hear that!
Thank you so much!
Excellent teaching 👏👏
@masteringEcho-US-cardiology
2 жыл бұрын
thank you
Thank you so very much for this lecture as it has helped me tremendously understand and to prepare for my Echo test this week!😀
@masteringEcho-US-cardiology
Жыл бұрын
you are very welcome I am glad it is helpful. don't forget review those board reviews & SDMS good luck
Thank you so much sir, very useful lecture 🙏🙏🌹🌹
@masteringEcho-US-cardiology
3 жыл бұрын
Most welcome
Thanks
Thanks sir, explained well.
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome
Great explanation
@masteringEcho-US-cardiology
Жыл бұрын
Thanks
Thank you.
thank you for the clear expanation.
@masteringEcho-US-cardiology
Жыл бұрын
you are welcome
Excellent teaching
@masteringEcho-US-cardiology
3 жыл бұрын
thank you
Thank you!
@masteringEcho-US-cardiology
Жыл бұрын
You are welcome
Thank you very much !!! ❤
@masteringEcho-US-cardiology
2 ай бұрын
You are welcome
thank you very much it is very nice and useful ...thanks alot
@masteringEcho-US-cardiology
2 жыл бұрын
you are very welcome
Great sir
@masteringEcho-US-cardiology
2 жыл бұрын
thanks
thank you sir
@masteringEcho-US-cardiology
4 жыл бұрын
you are welcome
Thank you so much ,i am cardiac sonoghrapher student .it is really usefule and helpeful .Thanks again .
@masteringEcho-US-cardiology
2 жыл бұрын
you are very welcome
excellent teaching
@masteringEcho-US-cardiology
2 жыл бұрын
thanks
Thank you very much
@masteringEcho-US-cardiology
2 жыл бұрын
you are very welcome
God bless u
@masteringEcho-US-cardiology
4 жыл бұрын
thanks
excellent
@seyedasgharsadatian741
5 жыл бұрын
Thanks
thanks a lot
@masteringEcho-US-cardiology
Жыл бұрын
You are very welcome
M cardiology resident,,,really learn alot from ur knowledge
@masteringEcho-US-cardiology
3 жыл бұрын
Thank you Dr.
Thank you so much sir❤
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome
It is a fantastic lecture thank you very much. But i wonder if you can elucidate the significance of DT duration and IVCT and IVRT ? What is their clinical significance?
@masteringEcho-US-cardiology
4 жыл бұрын
thank you. based on new guideline they are used in other unusual cases like Afib... that I am going to explain them in different presentation
Thanks sir...
@masteringEcho-US-cardiology
2 жыл бұрын
you are welcome
What advice would you have for a sonography student writing their ARDMS and Sonography Canada exams in the next few weeks? Main topics to focus on, etc... Thank you for amazing videos by the way!
@masteringEcho-US-cardiology
9 ай бұрын
Hi Marleiggh, I am not familiar with Canada system but I am sure it will be the same around the world. Reviewing echo registry from SDMS will be the best. On their website (and in ARDMS website too ) there are some mocks test too (you should pay a small ) . Taking those exams give you very good idea what should you focus more (baord exam will be very close to that) but if you review all clips in this channel I am 100% sure you will pass . It will be great to let me know when you passed the exam. you don't need luck, but good luck
@masteringEcho-US-cardiology
9 ай бұрын
I forgot to mention that those review exams in this channel are very close to board exam too
@marleighconnolly2777
9 ай бұрын
Hi Dr. Sadatian, I passed my ARDMS adult echo exam today thanks to your videos. I also wrote the Sonography Canada Cardiac exam today for echocardiography but I won’t get the result of that for a few weeks. I just wanted to say thank you for uploaded such detail videos with excellent examples and descriptions. I truly believe your lectures were the reason I passed. Thank you so much 🙏🏻 Marleigh
@masteringEcho-US-cardiology
9 ай бұрын
@@marleighconnolly2777 Hi, Congratulation!. great job. You are very welcome . Welcome to the club.
Is E' something that can change with various external parameters to the heart or is it something that is intrinsic to the heart itself, like a progressive marker of deterioration? I had diastolic dysfunction diagnosed in 2018 with septal E' of 13 and lateral E' of 18 and an E/A ratio of 0.8 with EF of 65%. In 2020 December I had another echocardiogram with EF of 70%, septal E' of 10.1 and lateral E' not listed. E/A ratio was 0.9. I've had significant exercise intolerance and exertional dyspnea that lasts for quite a while afterward since 2015 that began months following an infection + antibiotics. I have reason to believe ciprofloxacin caused the cardiac dysfunction because a year before that I had cardiac evaluation as an athlete with completely normal function at maximal intensity and a VO2 max of 52. The following year after the antibiotics and infection the VO2 max was 38.
@masteringEcho-US-cardiology
2 жыл бұрын
it is important to know other parameters (like myocardium thickness , Left Atrium size , ECG... ) talk to your cardiologist, but those findings are at normal range , specially if you are athletic and don't have any specific problem (like hypertension, ... ).
@matt566
2 жыл бұрын
@@masteringEcho-US-cardiology I was athletic when I was younger but for the last 7 years since I became ill I have been extremely exercise intolerant. If I do something like cycling for more than like 30 seconds or 1 minute I get severely short of breath that lasts for hours and hours and have to go to the hospital. Then when I get there I just have tachycardia that persists for hours but they don't think anything else is wrong and they give me fluids then discharge me after several hours. My LAVI on the last echo was 14 (NR 16-32). thickness and walls are normal as far as I know. LVID IVCD LVIDs all like bottom end of normal range. My TAPSE is also below normal at 1.4 CM and has been that way for years.
@matt566
2 жыл бұрын
Another bizarre thing is that I had that echo at healthy capacity with no problems but then another echo one year after the problems started I had mitral valve regurgitation and in the years since I've seen tricuspid regurgitation, pulmonic regurgitation, and mild aortic leaflet calcification show up
@matt566
2 жыл бұрын
My E/A was > 1 up to 1.5 the first couple of years since being sick and now it is always < 1 now
@masteringEcho-US-cardiology
2 жыл бұрын
@@matt566 there are common almost majority of people have mild form of those. don't be obsessive with them unless they are moderate to severe
Diostolic dysfunction grade 4😢😢 will I survive?
@masteringEcho-US-cardiology
Жыл бұрын
first make sure what is diagnosis ( it is a finding not diagnosis) for example if it is because of hypertrophy cardiomyopathy with correct treatment you will have almost the same survival as other normal people .
After the A wave I guess there's the mitral regurgitation, right? Thanks.
@masteringEcho-US-cardiology
Жыл бұрын
we don't judge based on PW for regurgitation even though in significant MR it can pick up some
@andreac5152
Жыл бұрын
@@masteringEcho-US-cardiology can I ask what is that negative wave then? Thank you
@masteringEcho-US-cardiology
Жыл бұрын
@@andreac5152 partially LVOT flow
@masteringEcho-US-cardiology
Жыл бұрын
Even sv is a little far from LVOT
@andreac5152
Жыл бұрын
@@masteringEcho-US-cardiology it's me again, tried to understand the issue even if I'm not a sonographer. It seem unreasonable that the LVOT flow can cause a negative wave(toward the atrium). I know that PW can't pickup fast velocities but being the point of measurement a little higher than the MV plane, maybe it can pick up a slight movement of blood toward the mitral valve caused by regurgitation. Is this possible? For instance this patient had at least mild regurgitation?
Sir my suffering DD In heart. Please is it Clear problem sir please reply me
@masteringEcho-US-cardiology
3 жыл бұрын
your cardiologist is the best source for info. if you have any specific question let me know
Sir how can ı adjust sample size??
@masteringEcho-US-cardiology
3 ай бұрын
Depends on machine go to different page of control panel and find sample volume options and change it
@user-qh7oo3xy4d
3 ай бұрын
@@masteringEcho-US-cardiology thank you
Sir i am a big fan of your lectures.. I recently joined and subscribed your channel.. One issue is that i cant be able to play all videos?? There is an error saying to join the channel.. Kindly guide me how i should join your channel??
@masteringEcho-US-cardiology
Жыл бұрын
Hi Fatima, Thanks. yes, some videos belong to members. just click on JOIN button then it gives you two option then follow through. welcome to the group
@fatimanaseer8217
Жыл бұрын
@@masteringEcho-US-cardiology sir where should i find this join button as i have gone through whole of your channel but couldnt find it.. Kindly guide me as your channel is helping alot to learn echo and i want to watch all of your vidoes and learn them by heart.. Kindly guide me.. Thanks in advance
@masteringEcho-US-cardiology
Жыл бұрын
@@fatimanaseer8217 in channel or under clip there is join button if there isn't click on following link kzread.info/dron/bG7LU-o9zrIXH5wWYKEMYQ.htmljoin if it didn't work try with another web browser let me know if it worked tnx
@fatimanaseer8217
Жыл бұрын
@@masteringEcho-US-cardiology sir link doesnt opens and if i type the whole link in google it says channel doesnt exist.. Neither using anyother browser gives option to join this channel.. In short it didnt work
@masteringEcho-US-cardiology
Жыл бұрын
@@fatimanaseer8217 sorry to here that , we have this problem with some country and regions, if you give me favor and contact youtube support I am sure they can help you. thanks
I am a cardiac anesthesiologist TEE certified your lecture is better than MD lecture that is the truth you paid attention to details Thank yo. I am recently retired but still interested in ECHO Thank you
@masteringEcho-US-cardiology
4 жыл бұрын
Hi Dr. Thank you for your feedback.
@freecopt4003
4 жыл бұрын
@@masteringEcho-US-cardiology you deserve it thank you. I remember when i took my TEE board my favorite ultrasound physics and its equation was written by a technician. I remember he was from Arizona but was the reason I passed from the 1st time I took it. Honestly doctors take credits for things were done by their helpers that is the truth and I know it and always said I never could do my job without every one of my team Thank you
watch at 1.25 speed.
@masteringEcho-US-cardiology
4 жыл бұрын
thanks
How to joint the channel
@masteringEcho-US-cardiology
Жыл бұрын
Hi. Just in the channel click on Join button, here is: kzread.info/dash/bejne/emR-uKasqLTUnqw.html welcome to the group
How can i join the community
@masteringEcho-US-cardiology
9 ай бұрын
In channel click on join button (under any clips or at top) then follow it . Welcome to the group
Sir what is normal A duration value?
@masteringEcho-US-cardiology
Жыл бұрын
A duration depends on age, gender, heart rate .. and it doesn't have normal range. the most important issue with A dur is Ar- A : if it goes over 30 ms it strongly suggests high LVEDP
@kishankotadiya3879
Жыл бұрын
Sir so we can't calculate A duration in LVDD like other parameters E velocity,A velocity,E/A ratio , IVRT,DT etc right?
@masteringEcho-US-cardiology
Жыл бұрын
We do but based on new guideline we don't use it regularly unless in those pts with arrhythmia, sepsis,, on ventilator,... . In these cases beside of other parameters ( IVRT, S', DT, S, D waves ..) we measure A dur & Ar dur too. (check the part 3 lecture in diastolic dysfunction
@kishankotadiya3879
Жыл бұрын
Okk thank you sir
@masteringEcho-US-cardiology
Жыл бұрын
@@kishankotadiya3879 any time
HFrEF criteria is EF
@masteringEcho-US-cardiology
4 жыл бұрын
BAsed on 2017 ACC/AHA/HFSA CRITERIA FOR EF IS
@emessawmte4613
4 жыл бұрын
@@masteringEcho-US-cardiology i did, not find a change in the definition of heart failure in acc guideline 2017. Can you give me your source?
@masteringEcho-US-cardiology
4 жыл бұрын
@@emessawmte4613 CHECK OUT THESE: www.acc.org/latest-in-cardiology/ten-points-to-remember/2017/04/27/15/50/2017-acc-aha-hfsa-focused-update-of-hf-guideline www.heart.org/-/media/files/affiliates/swa/qi-files/guidelines-for-prevention--management-of-heart-failure.pdf?la=en&hash=23BC75960E457B587BE0B7452D6FB1BD68BA20BE www.acoi.org/sites/default/files/uploads/LinkCHF.pdf
@emessawmte4613
4 жыл бұрын
@@masteringEcho-US-cardiology this data were for update in management of heart failure, not for definition. Data are limited for Mid range Ef 40-50%
@masteringEcho-US-cardiology
4 жыл бұрын
@@emessawmte4613 THAT'S RIGHT
Sir me bahut pareshan hu pls mere help kar dijije😭 sir sach me bahut jyada pareshan hu sir maine apne echo test karaya tha usme mera ejection fraction toh 58 percent aaya h pr lvdd present likhkar aaya h dir mujhe ye samaj n aa rha mujhe kis grade ka lvdd h kaise pata kru
@masteringEcho-US-cardiology
4 ай бұрын
your ejection fraction is normal, how much was LVDD?
@VarunvarshaYadav
4 ай бұрын
@@masteringEcho-US-cardiology sir bs lvdd present likha hai kitna h ye nhi likha n hi grade likha h
@masteringEcho-US-cardiology
4 ай бұрын
@@VarunvarshaYadav so why you are worry. I don't see anything that makes you feel like that. even why don't you ask your Dr?
@VarunvarshaYadav
4 ай бұрын
@@masteringEcho-US-cardiology sir app report dekh lenge
@VarunvarshaYadav
4 ай бұрын
Sir unhone kuch bola hi nhi
Thank you sir
@masteringEcho-US-cardiology
3 жыл бұрын
you are welcome
Thank you very much
@masteringEcho-US-cardiology
2 жыл бұрын
you are welcome