Echocardiography Standard Protocol | Step by Step | Complete Trans-thoracic Normal Echocardiogram
In this video I am going to illustrate the protocol for performing complete and comprehensive transthoracic echocardiography, which meets the current standards of American Society of Echocardiography. I will not be going into a lot of pathological issues here so the protocol presented here is meant as a guideline and does not cover every aspect, such as off axis views. I am also going to talk basic probe position and major structures visible side by side with the protocol steps.
So when you follow the protocol you don't skip anything, you can get additional images according to the pathology found. I personally found that once I could execute the standard protocol flawlessly, I was able to add and refine additional echo scanning skills while deepening my understanding of the purpose of each echo image. So it's immensely useful to learn basic steps of protocol. We will start with parasternal long axis window followed by short axis, apical and in the end subcostal and suprasternal windows.
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✅ ECHO MOCK Exam Part 3: • Echocardiography Mock ...
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✅ BROWSE FREE ECHO LIBRARY HERE: www.drmusmanjaved.com/p/echoc...
Echocardiography protocol Steps | Normal Echocardiogram | Learn How to do echo in 10 min
Following are the key steps according to standard protocol:
00:41 Parasternal Long Axis (PLAX):
2D image with increased depth
2D image with decreased depth
Color Doppler on AV, MV, IVS
M- Mode on Left ventricular level, MV and Aortic root
Measure IVS, LVID and PWT in diastole and systole at MV tip level
Measure Proximal RVOT
Zoom LVOT, measure LVOT diameter, AV annulus
Zoom, color Doppler on Aortic Root, measure at Sinus of Valsalva, SinoTubular Junction and at ascending aorta level
LA diameter in 2D image
01:31 RV Inflow View:
2D Image
Color on TV
CW on TV
02:00 RV outflow View:
2D Image
Color on pulmonary valve
CW on Pulmonary Valve
02:55 Parasternal Short Axis (PSAX)
At the level of great vessels
03:06 At Aortic Valve Level
2D image
Zoom/Focus on TV
Color on TV
CW on TV
Zoom/Focus on PV
Color on PV
CW on PV
Zoom image of LA Appendage
03:50 At Mitral Valve Level
2D Image
Color on MV
At Papillary Muscle Level
2D image
04:48 Apical Four Chamber View:
2D Image
Zoom at Ventricular level
Zoom/Focus on MV
Color on MV
CW on MV
PW at MV tips
TDI Septal and Lateral Mitral annulus
Color on Pulmonary veins
PW on Pulmonary veins
LA Volume in end-Systole
RV Focused View in 2D
Color on TV
CW on TV
RA Area and RA Volume in end systole
TDI of lateral annulus of TV for S'
M Mode of lateral annulus of TV for TAPSE
RV Area in end diastole and end systole for FAC
RV dimensions in end diastole (At Base, mid and mid annulus to apical level)
Apical Three Chamber View:
2D Image
Color on LVOT and AV
CW on AV for IVRT
PW in LVOT
Apical Two Chamber View:
2D Image
Color on MV
Subcostal View: (SC)
Four chamber view in 2D
Color on IAS
PW on IAS
IVC and Hepatic Veins in 2D and Color Doppler
PW Doppler on Hepatic Veins
Measure IVC Diameter in end diastole
Measure IVC collapsibility index
2D image of Abdominal Aorta
Color on Abdominal Aorta
PW Doppler on Abdominal Aorta
Supraternal View:
2D Image
Color on Ascending Aorta
PW on Ascending Aorta
Color on Descending Aorta
PW on Descending Aorta
CW on Descending aorta
#Echo #Echocardiography #Drmusmanjaved
#cardiology #heart
Пікірлер: 114
✅ HOW TO DO ECHO - COMPLETE GUIDE: www.drmusmanjaved.com/2020/05/how-to-do-echocardiography-standard.html ✅ BROWSE FREE ECHO LIBRARY HERE: www.drmusmanjaved.com/p/echocardiography_23.html
I will be having this test tomorrow !!! Pray all will be normal !!! I am 70 years old.
@DrMUsmanJaved
Ай бұрын
Hope all went normal, Best wishes for you
@chicagomike
Ай бұрын
Best wishes. I had mine. Basically ok with a mitral valve being degenerative but not linking or hard. Good luck Sister.
Recording steps of protocol in a sequence is always useful...excellent
@DrMUsmanJaved
Жыл бұрын
Glad it was helpful!
Great content..as always..thanks for uploading 👏
Very Helpful..Thanks alot for sharing 👍
I am so grateful to be able to do echocardiograms for a living ❤
@DrMUsmanJaved
23 күн бұрын
Thats Great ♥
Was looking for this exactly!
Brilliant illustration of all the steps 👍👍👍
@DrMUsmanJaved
Жыл бұрын
Thanks
It is a very clear and useful presentation with great illustrations! Excellent work! Thank you!
@DrMUsmanJaved
5 ай бұрын
Most welcome ♥
Worth watching again and again for reference 👌
@DrMUsmanJaved
Жыл бұрын
Thanks
Thank you so much for this lecture, need more on echo. Wonderful!
@DrMUsmanJaved
Жыл бұрын
Thanks alot ♥ will upload more inshAllah
Excellent description. Thank you ❤
@DrMUsmanJaved
9 ай бұрын
Most welcome ♥ ♥ ♥ ECHO LIBRARY - Watch Echo Cases, Tutorials, MOCK Exams, Board Review Lectures, Practice MCQs all in one place♦ #Echocardiography www.drmusmanjaved.com/p/echocardiography_23.html
Omg this is a life saver, I look how detailed it is, I would love if you could upload a updated one with how you do some of these measurements, that would be helpful for me since am not in the lab much
@DrMUsmanJaved
Жыл бұрын
Sure! will try to upload soon with the methods of taking these measurements inshAllah
@azzaaswad
7 ай бұрын
Thanks a lot for great information and details
Definitely saving this video! Thanks a bunch!
@DrMUsmanJaved
Жыл бұрын
Welcome ☺
To be honest cardiology is the only thing that helped me keep having faith in my career path
@DrMUsmanJaved
Жыл бұрын
Great
@ayeshamehreen4083
Жыл бұрын
Best of luck
@user-vm5rb5ot7t
Ай бұрын
Great❤
@Upliftursoul
29 күн бұрын
❤
EXCELLENT description of basic protocol to be followed in all patients..thanks for sharing
@DrMUsmanJaved
Жыл бұрын
Glad it was helpful! Thanks
Great job! Many thanks!
@DrMUsmanJaved
5 ай бұрын
Thanks Alot
One of the best detailed vedio I have watched ❤
@DrMUsmanJaved
9 ай бұрын
Glad you liked it ..Thanks Alot ♥ Access whlole Echo library here: www.drmusmanjaved.com/p/echocardiography_23.html
Excellent and to the point steps.. Thanks for sharing good with us ❤
@DrMUsmanJaved
Жыл бұрын
Thanks
Thank you for explaining👍🙏
@DrMUsmanJaved
Ай бұрын
Most welcome ☺
So clear and helpful..thanks alot for uploading such useful content..in our lab we prefer to have LV on right hand side.
@DrMUsmanJaved
Жыл бұрын
Most welcome 😊
Jazakh'Allah for this video brother
@DrMUsmanJaved
Жыл бұрын
JazakALLAH brother ♥
This is beautiful. With speed slowed down to 0.75 and captions on, I have basically 6 weeks of lab missed due to 11 students on 4 machines.
@DrMUsmanJaved
7 ай бұрын
Thanks alot 👍
Thank-you for this Great help
@DrMUsmanJaved
7 ай бұрын
Welcome ☺
Thank you for this lecture.
@DrMUsmanJaved
2 ай бұрын
You are welcome ☺
thank you making very helpful work video😊
@DrMUsmanJaved
8 ай бұрын
Thanks Alot ☺ Have a look at this video for guidelines and measurements involved in echo study: kzread.info/dash/bejne/noaLlJiNms3VlLA.html
so helpful video great job.
@DrMUsmanJaved
2 ай бұрын
Thanks Alot ♥
Thank u for uploading Doc
@DrMUsmanJaved
Жыл бұрын
Welcome bro
Just had it done this morning
@DrMUsmanJaved
11 ай бұрын
Great
It was great Thanks for sharing
@DrMUsmanJaved
5 ай бұрын
Most welcome
❤❤❤ fantastic overview
@DrMUsmanJaved
Ай бұрын
Thanks alot ♥
nice lecture
@DrMUsmanJaved
2 ай бұрын
Thanks alot
Wonderful video clip, Subscribed your channel !
@DrMUsmanJaved
11 ай бұрын
Thanks alot
Tq doc, very good video teaching
@DrMUsmanJaved
7 ай бұрын
Thanks Alot ☺
Dedicated approach and great job...hope you will upload a content about normal, mild, moderate and severe ranges of measurement of all dimensions and volumes...👍
@DrMUsmanJaved
Жыл бұрын
Thanks ..i will upload soon inshAllah
Thanks for uploading. It is reassuring
@DrMUsmanJaved
11 ай бұрын
Welcome ♥
@Fah766
5 ай бұрын
@@DrMUsmanJaved Shukran brother for this vid! I’m n tears bc I have graduated last year n Nov.2022 and taken test in April. I haven’t studied since probably bc of stress and needed to take break! It’s been too long . How can I get back to studying Ya Allah I’m n need of soo much help I’ve came too far soo this is my only alternative. I’ve been on my job now long time & Must move on. Plz do measurement vid. I’m n need of soo much 🙏🏾🙏🏾🙏🏾may Allah continue to bless u
@DrMUsmanJaved
5 ай бұрын
@Fah766 thanks alot brother, i uploaded useful videos including measurement videos on this link, have a look on it, these videos will help you inshAllah Link: www.drmusmanjaved.com/p/medical-lectures.html
Great video describing ASE protocol. Please make next video descending the measurements in detail
@DrMUsmanJaved
Жыл бұрын
I will post soon inshAllah
Thanks sir
@DrMUsmanJaved
3 ай бұрын
Welcome ♥
Fantastic
@DrMUsmanJaved
7 ай бұрын
Thank you so much ☺
Thankyou so much sir 🥹 it's very informative..... I'm cardiovascular technology student
@DrMUsmanJaved
3 ай бұрын
Most Welcome ♥
woooow!
❤❤❤❤❤❤❤
Does propranalol affect lvidd and lvids?
@DrMUsmanJaved
Жыл бұрын
Not significantly..but it does increase end diastolic and end systolic volumes by decreasing heart rate
Can you do a step by step protocol for a patient with an prosthetic valve of the aorta?
@DrMUsmanJaved
Ай бұрын
Yeah sure, will post separate videos on valve assessment soon 👍
Dear sir thanks . My question is why was used the PW doppler in ASD instead of CW doppler?
@DrMUsmanJaved
Жыл бұрын
Atria are lower pressure areas as compared to ventricles..so CW is used for VSD and PW for ASD ...because PW doppler is good to detect lower velocities..anyhow CW can also be used for ASD in case of atrial hypertension, restrictive shunts etc
shall we measure the STJ, SoV and Asc aorta in mid systole (as inthe video) or end diastole?? thanks
@DrMUsmanJaved
4 ай бұрын
Usually we take measurements which are maximum whether in diastole or systole, guidelines suggest to take aortic root measurements in diastole, from leading edge to leading edge in adults.
Sir what is the normal range for tricuspid and pulmonary valve peak gradients and velocity?
@DrMUsmanJaved
9 ай бұрын
Normal peak velocity for tricuspid valve is less than 2.8ms as per guidelines..gradient of 31mmHg (4v2) For pulmonary valve its less than 2m/s with gradient of 16mmHG ♦ ECHO LIBRARY - Watch Echo Cases, Tutorials, MOCK Exams, Board Review Lectures, Practice MCQs all in one place♦ #Echocardiography www.drmusmanjaved.com/p/echocardiography_23.html
worth spending 10 min on this videogreat
I didn't understand stand how measure pulmonary veins in apical view?
@DrMUsmanJaved
3 ай бұрын
Pulmonary veins are draining into LA, so in apical views, we can apply color doppler to assess flow, and then PW to get Pulmonary vein profile. Its pattern can suggest different pathologies, visit this link for differential www.drmusmanjaved.com/2024/01/pulmonary-vein-doppler-patterns-on.html
Sir 2d echo can detect pancreas problem?
@DrMUsmanJaved
Жыл бұрын
No..echo is for detecting heart problems. For pancrease ultrasound or any other test depending upon the problem can be done
@waruni2639
Жыл бұрын
@@DrMUsmanJaved thank you doctor!
Can you tell if your arteries are full of plaque from this test.
@DrMUsmanJaved
Ай бұрын
Best test for arteries is coronary angiography. Ehocardiogrqphy can suggest coronary artery diaease indirectly by showing wall motion abnormalities, but it cant tell surely if the arteries are full of plaque
@chicagomike
Ай бұрын
@@DrMUsmanJaved thank you so very very much. Bless you.
@DrMUsmanJaved
Ай бұрын
Welcome ☺
IVC collapsing,how we can understand ?
@DrMUsmanJaved
3 ай бұрын
08:31 we apply the M mode on IVC, and take two measurememts, one when distended and other when collapsed, if its decreasing to more than 50% then we say that its collapsing. Otherwise it may indicate high RA pressures
@Angels_of_purple
3 ай бұрын
@@DrMUsmanJaved thankyou Dr☺️
Please pead echo difficult case❤
@DrMUsmanJaved
4 ай бұрын
Yea sure, will post peads cases soon, meanwhile you can view congenital cases on following link: www.drmusmanjaved.com/p/medical-lectures.html
how long it will take
@DrMUsmanJaved
26 күн бұрын
It takes usually 15 to 20 minutes, few minutes extra for extra views and calculations required if some pathology is found
A little too fast but good
@DrMUsmanJaved
3 ай бұрын
Will make a slower version with measurements included