This is really a beautiful discussion of a very difficult subject wrought with mystery and a great deal of inter observer variability. Your video serves the purpose of helping to clarify many of the heretofore never discussed issues regarding EF calculations. Thank you very much for your effort. I hope many more physicians and sonographers get a chance to view this superlative video.
Thank you so much Dr.! This was so incredibly helpful! I was so confused on where to judge the border especially on patients with difficult anatomy to see clearly but this really helps! Thank you!!!🙏🏼🙏🏼🙏🏼🙏🏼👏🏼👏🏼👏🏼👏🏼👏🏼🫶🏼
Great explanation...you answered many questions for me and you solved many problems in my practice..you mentioned things that no one mentioned before... I went to india and egypt for training on echo...but they do not touch theses points
One can use the echo machine tools and adjust the FOCUS to the apex which often enhances the resolution to further aid in finding the true apical endocardial segment.
The septal wall in standard ap 4ch should be inferoseptal not anteroseptal. I believe it use to be identified as anteroseptal but was later changed, here or there we are talking about EF evaluation not WMA
Check these clips: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-hrsuDyOvKqM.htmlsi=RnG-mEUTLzzucCIm ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-cQB72c7dUZc.htmlsi=8nvGG0txE3sDSGvq
Thanks for the video. Important subject. At 1:29, right, the yellow circular tracing clearly includes trabeculations everywhere except parts of the septum. Is this circular yellow line really a correct tracing?
you are right, it includes a little of trabeculation. for completely accurate way; line should goes a little outer. as general rule, if there is not any asymmetrical problem, thickness of myocardium in all walls almost ( almost) are equal).
Thank you so much. This lecture solves a big puzzle of me. I have a question about tracing the endocardium when we do the spackle tracking strain analysis. Do we follow the same principles as this way?
Hi, i am an endocrinologist hving M.B.B.S and then Ph.D in Endocrinology, working here in pakistan...Your speciality is the field of my interest and i wanna learn all basic and advance guidelines through your lecture series...please let me guide what to do for this...thanks.
hi Julio.thank you for passing RDCS exam study very well SDMS adult Echocardiography registry book. you can order it on SDMS website , beside review all my channel clips in detail . good luck
@@hivaghassempouri9442 find tip of the apex (epicardium) if there is not apical hypertrophy give it 4-5 mm thickness in diastole & about 6-7 mm in systole as thickness of apex