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diastolic dysfunction part I - concept & measurement 

Mastering & Guidelines in Ultrasound & Echo-Card
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1 окт 2024

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Комментарии : 182   
@reza9177
@reza9177 Год назад
Dear Dr. Sadatian, I can confidently say you make the best educational videos about echocardiography on RU-vid. The videos are simply comprehensive and right to the point. I do really appreciate it.
@masteringEcho-US-cardiology
Thanks and you are very welcome
@atheeralsaeed13
@atheeralsaeed13 4 года назад
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
@masteringEcho-US-cardiology 4 года назад
thank you . If I have enough time I'll cover all important topics for sure
@atheeralsaeed13
@atheeralsaeed13 4 года назад
You are really great
@sangresangre698
@sangresangre698 3 года назад
Your quote at the end is gold. Great lecture.
@udayakumarramachandran9551
@udayakumarramachandran9551 Год назад
Very nice lecture on LV diastolic function evaluation. Thankyou.
@masteringEcho-US-cardiology
You are very welcome
@Lolvideo1232
@Lolvideo1232 Год назад
Diostolic dysfunction grade 4😢😢 will I survive?
@masteringEcho-US-cardiology
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 .
@reynour1
@reynour1 Год назад
Such a great practical training with lllp😅😅ŕ
@Finansalköle
@Finansalköle 7 месяцев назад
Sir how can ı adjust sample size??
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 7 месяцев назад
Depends on machine go to different page of control panel and find sample volume options and change it
@Finansalköle
@Finansalköle 7 месяцев назад
@@masteringEcho-US-cardiology thank you
@JoyForPalestine
@JoyForPalestine Год назад
Very nice explanations. Congrts
@kalpeshpatil6101
@kalpeshpatil6101 3 года назад
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
@masteringEcho-US-cardiology 3 года назад
you are very welcome
@letrinh226
@letrinh226 Год назад
Thank you!
@masteringEcho-US-cardiology
You are welcome
@monaalizadeh425
@monaalizadeh425 5 лет назад
Thank you for very clear and great explanation .
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 5 лет назад
you are welcome
@mohapatraabhijit8714
@mohapatraabhijit8714 3 года назад
Sir my suffering DD In heart. Please is it Clear problem sir please reply me
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
your cardiologist is the best source for info. if you have any specific question let me know
@dvshrai
@dvshrai Год назад
thanks a lot
@masteringEcho-US-cardiology
You are very welcome
@candyjo6960
@candyjo6960 2 года назад
Thank you so much!
@SkyRyu
@SkyRyu 2 года назад
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
@masteringEcho-US-cardiology 2 года назад
Glad it helped!
@kellysalazaku9019
@kellysalazaku9019 Год назад
Great teaching
@nabilatallah1057
@nabilatallah1057 Год назад
Good luck.
@omerhaghussien4874
@omerhaghussien4874 2 года назад
Thanks
@Kingbhatti99
@Kingbhatti99 4 года назад
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
@masteringEcho-US-cardiology 4 года назад
Thank you .
@hadialihosseini
@hadialihosseini 3 года назад
so many useful Prof.
@desertrose7778
@desertrose7778 4 года назад
Thank you for sharing this video and explaining so well!🙌 I am a Cardiovascular sonographer and this has been very enlightening!🙏
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 4 года назад
you are welcome. check other clips I am sure there are some that will be useful in your practice
@desertrose7778
@desertrose7778 4 года назад
@@masteringEcho-US-cardiology Thank you!😊🙏
@codrut913
@codrut913 Год назад
@moza2385
@moza2385 Месяц назад
عالی بود. بسیار سپاسگزارم. ای کاش زودتر از این با کانال شما آشنا می شدم.
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology Месяц назад
@@moza2385 ممنون. خوش اومدید. هنوز هم دیر نشده بیشتر از ۵۰۰ تا کلیپهای کاربردی تو کانال هستش
@fatimanaseer8217
@fatimanaseer8217 Год назад
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
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
@fatimanaseer8217 Год назад
@@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
@@fatimanaseer8217 in channel or under clip there is join button if there isn't click on following link ru-vid.com/show-UCbG7LU-o9zrIXH5wWYKEMYQjoin if it didn't work try with another web browser let me know if it worked tnx
@fatimanaseer8217
@fatimanaseer8217 Год назад
@@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
@@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
@dmohamed81
@dmohamed81 2 года назад
Thank you very much
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
you are very welcome
@drgadham
@drgadham 2 года назад
Excellent teaching 👏👏
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
thank you
@yuvasrid2224
@yuvasrid2224 3 года назад
Thank you so much sir❤
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
you are welcome
@thecurrentology101
@thecurrentology101 4 года назад
watch at 1.25 speed.
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 4 года назад
thanks
@drafsheensultrasound9572
@drafsheensultrasound9572 Год назад
Great explanation
@masteringEcho-US-cardiology
Thanks
@wlodar001
@wlodar001 6 месяцев назад
Thank you very much !!! ❤
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 6 месяцев назад
You are welcome
@niloofarnika5454
@niloofarnika5454 2 года назад
Thank you so much ,i am cardiac sonoghrapher student .it is really usefule and helpeful .Thanks again .
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
you are very welcome
@johnkabengele4628
@johnkabengele4628 Год назад
How can i join the community
@masteringEcho-US-cardiology
In channel click on join button (under any clips or at top) then follow it . Welcome to the group
@dikraaldobai4856
@dikraaldobai4856 2 года назад
How to joint the channel
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
Hi. Just in the channel click on Join button, here is: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-H0JVDsxQnnI.html welcome to the group
@dr.husainhamdard426
@dr.husainhamdard426 2 года назад
Great sir
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
thanks
@ignacioscarafia9164
@ignacioscarafia9164 Год назад
very clear! loved the final thought... thanks!
@masteringEcho-US-cardiology
You are welcome
@ahmedmostafa1320
@ahmedmostafa1320 2 года назад
thank you very much it is very nice and useful ...thanks alot
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
you are very welcome
@EvgeniGaidukov
@EvgeniGaidukov 5 лет назад
Great lecture!
@sarakhan-dl2lu
@sarakhan-dl2lu 3 года назад
M cardiology resident,,,really learn alot from ur knowledge
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
Thank you Dr.
@TheHeartSpecialist
@TheHeartSpecialist 3 года назад
A wonderful lecture and elaborate teaching of echo diastolic measurements. Thank you.
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
you are welcome
@nsas955
@nsas955 4 года назад
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
@masteringEcho-US-cardiology 4 года назад
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
@charlenemacomber1777
@charlenemacomber1777 Год назад
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
you are very welcome I am glad it is helpful. don't forget review those board reviews & SDMS good luck
@vikasreddy4592
@vikasreddy4592 3 года назад
Thank you! Complicated topic explained in a simple manner. This has been very useful.
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
you are welcome
@genetkebede846
@genetkebede846 Год назад
thank you for the clear expanation.
@masteringEcho-US-cardiology
you are welcome
@shafaafray7313
@shafaafray7313 3 года назад
Thank you so much sir, very useful lecture 🙏🙏🌹🌹
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
Most welcome
@marleighconnolly2777
@marleighconnolly2777 Год назад
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
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
I forgot to mention that those review exams in this channel are very close to board exam too
@marleighconnolly2777
@marleighconnolly2777 Год назад
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
@@marleighconnolly2777 Hi, Congratulation!. great job. You are very welcome . Welcome to the club.
@josephkazibwe9714
@josephkazibwe9714 3 года назад
Very educative, and you have simplified the issues at hand, many thanks Sir
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
you are very welcome
@doctorStamate
@doctorStamate 3 года назад
Excellent presentation
@infodiff
@infodiff 2 года назад
Thanks sir...
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
you are welcome
@kishankotadiya3879
@kishankotadiya3879 Год назад
Sir what is normal A duration value?
@masteringEcho-US-cardiology
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
@kishankotadiya3879 Год назад
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
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
@kishankotadiya3879 Год назад
Okk thank you sir
@masteringEcho-US-cardiology
@@kishankotadiya3879 any time
@ahmedayari6889
@ahmedayari6889 5 лет назад
thank you sir
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 5 лет назад
you are welcome
@peterashford5123
@peterashford5123 4 года назад
Thank you.
@fenitta
@fenitta 4 года назад
Thank you very much again, this was very useful =)!
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 4 года назад
Glad to hear that!
@VarunvarshaYadav
@VarunvarshaYadav 8 месяцев назад
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
@masteringEcho-US-cardiology 8 месяцев назад
your ejection fraction is normal, how much was LVDD?
@VarunvarshaYadav
@VarunvarshaYadav 8 месяцев назад
@@masteringEcho-US-cardiology sir bs lvdd present likha hai kitna h ye nhi likha n hi grade likha h
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 8 месяцев назад
@@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
@VarunvarshaYadav 8 месяцев назад
@@masteringEcho-US-cardiology sir app report dekh lenge
@VarunvarshaYadav
@VarunvarshaYadav 8 месяцев назад
Sir unhone kuch bola hi nhi
@christianarriola2396
@christianarriola2396 3 года назад
Thank you very much
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
you are welcome
@yassergabr1844
@yassergabr1844 5 лет назад
Excellent, waiting for the next part. Thanks.
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 5 лет назад
thanks. there is second parts and other useful topic. check them out in channel.
@glob3242
@glob3242 3 года назад
Always on point Sir! Thank you
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
thank you
@ШавкатжонШухратович
Thanks sir, explained well.
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
you are welcome
@ابراهيمابوالعلا-ح4خ
Great lecture from a Great teacher
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
thank you
@elvina7659
@elvina7659 4 года назад
Thank you very much for your videos!
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 4 года назад
you are welcome
@drbanwarilalnayak409
@drbanwarilalnayak409 3 года назад
excellent teaching
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
thanks
@saurabhmishra6514
@saurabhmishra6514 3 года назад
Thank you sir
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 3 года назад
you are welcome
@andreac5152
@andreac5152 2 года назад
After the A wave I guess there's the mitral regurgitation, right? Thanks.
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
we don't judge based on PW for regurgitation even though in significant MR it can pick up some
@andreac5152
@andreac5152 2 года назад
@@masteringEcho-US-cardiology can I ask what is that negative wave then? Thank you
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
@@andreac5152 partially LVOT flow
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 2 года назад
Even sv is a little far from LVOT
@andreac5152
@andreac5152 2 года назад
@@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?
@drbanwarilalnayak409
@drbanwarilalnayak409 4 года назад
Excellent teaching
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 4 года назад
thank you
@matt566
@matt566 2 года назад
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
@masteringEcho-US-cardiology 2 года назад
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
@matt566 2 года назад
@@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
@matt566 2 года назад
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
@matt566 2 года назад
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
@masteringEcho-US-cardiology 2 года назад
@@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
@assiaadyadou253
@assiaadyadou253 5 лет назад
God bless u
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 5 лет назад
thanks
@dr.fazalurrehmanawan1535
@dr.fazalurrehmanawan1535 5 лет назад
excellent
@seyedasgharsadatian741
@seyedasgharsadatian741 5 лет назад
Thanks
@emessawmte4613
@emessawmte4613 4 года назад
HFrEF criteria is EF
@masteringEcho-US-cardiology
@masteringEcho-US-cardiology 4 года назад
BAsed on 2017 ACC/AHA/HFSA CRITERIA FOR EF IS
@emessawmte4613
@emessawmte4613 4 года назад
@@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
@masteringEcho-US-cardiology 4 года назад
@@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
@emessawmte4613 4 года назад
@@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
@masteringEcho-US-cardiology 4 года назад
@@emessawmte4613 THAT'S RIGHT
@freecopt4003
@freecopt4003 4 года назад
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
@masteringEcho-US-cardiology 4 года назад
Hi Dr. Thank you for your feedback.
@freecopt4003
@freecopt4003 4 года назад
@@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
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