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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✅ 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

  • @DrMUsmanJaved
    @DrMUsmanJaved9 ай бұрын

    ✅ 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

  • @SisterPatGoad
    @SisterPatGoadАй бұрын

    I will be having this test tomorrow !!! Pray all will be normal !!! I am 70 years old.

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Ай бұрын

    Hope all went normal, Best wishes for you

  • @chicagomike

    @chicagomike

    Ай бұрын

    Best wishes. I had mine. Basically ok with a mitral valve being degenerative but not linking or hard. Good luck Sister.

  • @soniahaneef632
    @soniahaneef632 Жыл бұрын

    Recording steps of protocol in a sequence is always useful...excellent

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Glad it was helpful!

  • @betablocker9722
    @betablocker9722 Жыл бұрын

    Great content..as always..thanks for uploading 👏

  • @hinaikram600
    @hinaikram600 Жыл бұрын

    Very Helpful..Thanks alot for sharing 👍

  • @METALMOLLI01
    @METALMOLLI0123 күн бұрын

    I am so grateful to be able to do echocardiograms for a living ❤

  • @DrMUsmanJaved

    @DrMUsmanJaved

    23 күн бұрын

    Thats Great ♥

  • @mikeblake9483
    @mikeblake9483 Жыл бұрын

    Was looking for this exactly!

  • @kiranijaz896
    @kiranijaz896 Жыл бұрын

    Brilliant illustration of all the steps 👍👍👍

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Thanks

  • @imre2784
    @imre27845 ай бұрын

    It is a very clear and useful presentation with great illustrations! Excellent work! Thank you!

  • @DrMUsmanJaved

    @DrMUsmanJaved

    5 ай бұрын

    Most welcome ♥

  • @hinaikram600
    @hinaikram600 Жыл бұрын

    Worth watching again and again for reference 👌

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Thanks

  • @shehryar-khann
    @shehryar-khann Жыл бұрын

    Thank you so much for this lecture, need more on echo. Wonderful!

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Thanks alot ♥ will upload more inshAllah

  • @ashiqrahman3011
    @ashiqrahman30119 ай бұрын

    Excellent description. Thank you ❤

  • @DrMUsmanJaved

    @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

  • @kdbrealist5102
    @kdbrealist5102 Жыл бұрын

    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

    @DrMUsmanJaved

    Жыл бұрын

    Sure! will try to upload soon with the methods of taking these measurements inshAllah

  • @azzaaswad

    @azzaaswad

    7 ай бұрын

    Thanks a lot for great information and details

  • @JenniferJones-gi4os
    @JenniferJones-gi4os Жыл бұрын

    Definitely saving this video! Thanks a bunch!

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Welcome ☺

  • @sanaiqbal9741
    @sanaiqbal9741 Жыл бұрын

    To be honest cardiology is the only thing that helped me keep having faith in my career path

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Great

  • @ayeshamehreen4083

    @ayeshamehreen4083

    Жыл бұрын

    Best of luck

  • @user-vm5rb5ot7t

    @user-vm5rb5ot7t

    Ай бұрын

    Great❤

  • @Upliftursoul

    @Upliftursoul

    29 күн бұрын

  • @ayeshamehreen4083
    @ayeshamehreen4083 Жыл бұрын

    EXCELLENT description of basic protocol to be followed in all patients..thanks for sharing

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Glad it was helpful! Thanks

  • @dadalin9227
    @dadalin92275 ай бұрын

    Great job! Many thanks!

  • @DrMUsmanJaved

    @DrMUsmanJaved

    5 ай бұрын

    Thanks Alot

  • @user-vx8zr2bx2m
    @user-vx8zr2bx2m9 ай бұрын

    One of the best detailed vedio I have watched ❤

  • @DrMUsmanJaved

    @DrMUsmanJaved

    9 ай бұрын

    Glad you liked it ..Thanks Alot ♥ Access whlole Echo library here: www.drmusmanjaved.com/p/echocardiography_23.html

  • @myInspiration786
    @myInspiration786 Жыл бұрын

    Excellent and to the point steps.. Thanks for sharing good with us ❤

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Thanks

  • @dinarabatyrzhanova4233
    @dinarabatyrzhanova4233Ай бұрын

    Thank you for explaining👍🙏

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Ай бұрын

    Most welcome ☺

  • @drjawadahmad3944
    @drjawadahmad3944 Жыл бұрын

    So clear and helpful..thanks alot for uploading such useful content..in our lab we prefer to have LV on right hand side.

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Most welcome 😊

  • @Queenhood007
    @Queenhood007 Жыл бұрын

    Jazakh'Allah for this video brother

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    JazakALLAH brother ♥

  • @vaniamelamed5285
    @vaniamelamed52857 ай бұрын

    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

    @DrMUsmanJaved

    7 ай бұрын

    Thanks alot 👍

  • @tevitabaravilala2864
    @tevitabaravilala28647 ай бұрын

    Thank-you for this Great help

  • @DrMUsmanJaved

    @DrMUsmanJaved

    7 ай бұрын

    Welcome ☺

  • @jessyoludaisi
    @jessyoludaisi2 ай бұрын

    Thank you for this lecture.

  • @DrMUsmanJaved

    @DrMUsmanJaved

    2 ай бұрын

    You are welcome ☺

  • @mitalgohil2631
    @mitalgohil26318 ай бұрын

    thank you making very helpful work video😊

  • @DrMUsmanJaved

    @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

  • @Elzhen
    @Elzhen2 ай бұрын

    so helpful video great job.

  • @DrMUsmanJaved

    @DrMUsmanJaved

    2 ай бұрын

    Thanks Alot ♥

  • @fahimy1
    @fahimy1 Жыл бұрын

    Thank u for uploading Doc

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Welcome bro

  • @StarzzyJJASD
    @StarzzyJJASD11 ай бұрын

    Just had it done this morning

  • @DrMUsmanJaved

    @DrMUsmanJaved

    11 ай бұрын

    Great

  • @dr.ahmadjawadqureshi3343
    @dr.ahmadjawadqureshi33435 ай бұрын

    It was great Thanks for sharing

  • @DrMUsmanJaved

    @DrMUsmanJaved

    5 ай бұрын

    Most welcome

  • @user-vm5rb5ot7t
    @user-vm5rb5ot7tАй бұрын

    ❤❤❤ fantastic overview

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Ай бұрын

    Thanks alot ♥

  • @sidrarehman8632
    @sidrarehman86322 ай бұрын

    nice lecture

  • @DrMUsmanJaved

    @DrMUsmanJaved

    2 ай бұрын

    Thanks alot

  • @user-cg1nm9ug2i
    @user-cg1nm9ug2i11 ай бұрын

    Wonderful video clip, Subscribed your channel !

  • @DrMUsmanJaved

    @DrMUsmanJaved

    11 ай бұрын

    Thanks alot

  • @sulisdr
    @sulisdr7 ай бұрын

    Tq doc, very good video teaching

  • @DrMUsmanJaved

    @DrMUsmanJaved

    7 ай бұрын

    Thanks Alot ☺

  • @ziarehman7598
    @ziarehman7598 Жыл бұрын

    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

    @DrMUsmanJaved

    Жыл бұрын

    Thanks ..i will upload soon inshAllah

  • @wantok71
    @wantok7111 ай бұрын

    Thanks for uploading. It is reassuring

  • @DrMUsmanJaved

    @DrMUsmanJaved

    11 ай бұрын

    Welcome ♥

  • @Fah766

    @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

    @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

  • @drpahore4269
    @drpahore4269 Жыл бұрын

    Great video describing ASE protocol. Please make next video descending the measurements in detail

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    I will post soon inshAllah

  • @AbdurrahmanKhan-ql9lf
    @AbdurrahmanKhan-ql9lf3 ай бұрын

    Thanks sir

  • @DrMUsmanJaved

    @DrMUsmanJaved

    3 ай бұрын

    Welcome ♥

  • @tarigabdelrahman7277
    @tarigabdelrahman72777 ай бұрын

    Fantastic

  • @DrMUsmanJaved

    @DrMUsmanJaved

    7 ай бұрын

    Thank you so much ☺

  • @Angels_of_purple
    @Angels_of_purple3 ай бұрын

    Thankyou so much sir 🥹 it's very informative..... I'm cardiovascular technology student

  • @DrMUsmanJaved

    @DrMUsmanJaved

    3 ай бұрын

    Most Welcome ♥

  • @user-mq2fb3sx8n
    @user-mq2fb3sx8n3 ай бұрын

    woooow!

  • @CardioNotes
    @CardioNotes3 ай бұрын

    ❤❤❤❤❤❤❤

  • @5min_stories
    @5min_stories Жыл бұрын

    Does propranalol affect lvidd and lvids?

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Жыл бұрын

    Not significantly..but it does increase end diastolic and end systolic volumes by decreasing heart rate

  • @chancesc6415
    @chancesc6415Ай бұрын

    Can you do a step by step protocol for a patient with an prosthetic valve of the aorta?

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Ай бұрын

    Yeah sure, will post separate videos on valve assessment soon 👍

  • @talibrahiem5663
    @talibrahiem5663 Жыл бұрын

    Dear sir thanks . My question is why was used the PW doppler in ASD instead of CW doppler?

  • @DrMUsmanJaved

    @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

  • @MrSin1113
    @MrSin11134 ай бұрын

    shall we measure the STJ, SoV and Asc aorta in mid systole (as inthe video) or end diastole?? thanks

  • @DrMUsmanJaved

    @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.

  • @goatcontender3123
    @goatcontender31239 ай бұрын

    Sir what is the normal range for tricuspid and pulmonary valve peak gradients and velocity?

  • @DrMUsmanJaved

    @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

  • @drjawadahmad3944
    @drjawadahmad3944 Жыл бұрын

    worth spending 10 min on this videogreat

  • @saraali-ho8fx
    @saraali-ho8fx3 ай бұрын

    I didn't understand stand how measure pulmonary veins in apical view?

  • @DrMUsmanJaved

    @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

  • @waruni2639
    @waruni2639 Жыл бұрын

    Sir 2d echo can detect pancreas problem?

  • @DrMUsmanJaved

    @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

    @waruni2639

    Жыл бұрын

    @@DrMUsmanJaved thank you doctor!

  • @chicagomike
    @chicagomikeАй бұрын

    Can you tell if your arteries are full of plaque from this test.

  • @DrMUsmanJaved

    @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

    @chicagomike

    Ай бұрын

    @@DrMUsmanJaved thank you so very very much. Bless you.

  • @DrMUsmanJaved

    @DrMUsmanJaved

    Ай бұрын

    Welcome ☺

  • @Angels_of_purple
    @Angels_of_purple3 ай бұрын

    IVC collapsing,how we can understand ?

  • @DrMUsmanJaved

    @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

    @Angels_of_purple

    3 ай бұрын

    @@DrMUsmanJaved thankyou Dr☺️

  • @AshrafAli-dr7ft
    @AshrafAli-dr7ft4 ай бұрын

    Please pead echo difficult case❤

  • @DrMUsmanJaved

    @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

  • @walfmoonchannel4264
    @walfmoonchannel426426 күн бұрын

    how long it will take

  • @DrMUsmanJaved

    @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

  • @ITzyBItzify
    @ITzyBItzify3 ай бұрын

    A little too fast but good

  • @DrMUsmanJaved

    @DrMUsmanJaved

    3 ай бұрын

    Will make a slower version with measurements included