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Echocardiography Standard Protocol | Step by Step | Complete Trans-thoracic Normal Echocardiogram

Dr. M Usman Javed
2022 ж. 22 Там.
109 898 Рет қаралды
Жүктеу

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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SHARPEN YOUR SKILLS BY MOCK EXAMS COLLECTION:
✅ ECHO MOCK Exam Part 1: Collection of Thirty Echo Cases: • Echocardiography Mock ...
✅ ECHO MOCK Exam Part 2: • Echocardiography Mock ...
✅ ECHO MOCK Exam Part 3: • Echocardiography Mock ...
✅ WATCH: Collection M Mode Echocardiography Cases: • M Mode Echocardiograph...
✅ HOW TO DO ECHO - COMPLETE GUIDE: www.drmusmanjaved.com/2020/05...
✅ 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

  • ✅ 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

    @DrMUsmanJaved@DrMUsmanJaved9 ай бұрын

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

    @SisterPatGoad@SisterPatGoad26 күн бұрын

    • Hope all went normal, Best wishes for you

      @DrMUsmanJaved@DrMUsmanJaved26 күн бұрын

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

      @chicagomike@chicagomike21 күн бұрын

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

    @METALMOLLI01@METALMOLLI0112 күн бұрын

    • Thats Great ♥

      @DrMUsmanJaved@DrMUsmanJaved12 күн бұрын

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

    @soniahaneef632@soniahaneef632 Жыл бұрын

    • Glad it was helpful!

      @DrMUsmanJaved@DrMUsmanJaved 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

    @kdbrealist5102@kdbrealist5102 Жыл бұрын

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

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

    • Thanks a lot for great information and details

      @azzaaswad@azzaaswad6 ай бұрын

  • Was looking for this exactly!

    @mikeblake9483@mikeblake9483 Жыл бұрын

  • Excellent description. Thank you ❤

    @ashiqrahman3011@ashiqrahman30119 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

      @DrMUsmanJaved@DrMUsmanJaved8 ай бұрын

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

    @betablocker9722@betablocker9722 Жыл бұрын

  • Very Helpful..Thanks alot for sharing 👍

    @hinaikram600@hinaikram600 Жыл бұрын

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

    @sanaiqbal9741@sanaiqbal9741 Жыл бұрын

    • Great

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

    • Best of luck

      @ayeshamehreen4083@ayeshamehreen4083 Жыл бұрын

    • Great❤

      @user-vm5rb5ot7t@user-vm5rb5ot7tАй бұрын

    • ❤

      @Upliftursoul@Upliftursoul19 күн бұрын

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

    @imre2784@imre27845 ай бұрын

    • Most welcome ♥

      @DrMUsmanJaved@DrMUsmanJaved5 ай бұрын

  • Brilliant illustration of all the steps 👍👍👍

    @kiranijaz896@kiranijaz896 Жыл бұрын

    • Thanks

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

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

    @shehryar-khann@shehryar-khann Жыл бұрын

    • Thanks alot ♥ will upload more inshAllah

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

  • One of the best detailed vedio I have watched ❤

    @user-vx8zr2bx2m@user-vx8zr2bx2m9 ай бұрын

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

      @DrMUsmanJaved@DrMUsmanJaved9 ай бұрын

  • Worth watching again and again for reference 👌

    @hinaikram600@hinaikram600 Жыл бұрын

    • Thanks

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

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

    @ayeshamehreen4083@ayeshamehreen4083 Жыл бұрын

    • Glad it was helpful! Thanks

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

  • thank you making very helpful work video😊

    @mitalgohil2631@mitalgohil26317 ай бұрын

    • Thanks Alot ☺ Have a look at this video for guidelines and measurements involved in echo study: kzhead.info/sun/n7aQYpqMoZyll4U/bejne.html

      @DrMUsmanJaved@DrMUsmanJaved7 ай бұрын

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

    @drjawadahmad3944@drjawadahmad3944 Жыл бұрын

    • Most welcome 😊

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

  • Definitely saving this video! Thanks a bunch!

    @JenniferJones-gi4os@JenniferJones-gi4os Жыл бұрын

    • Welcome ☺

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

  • worth spending 10 min on this videogreat

    @drjawadahmad3944@drjawadahmad3944 Жыл бұрын

  • Thank you for explaining👍🙏

    @dinarabatyrzhanova4233@dinarabatyrzhanova4233Ай бұрын

    • Most welcome ☺

      @DrMUsmanJaved@DrMUsmanJavedАй бұрын

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

    @myInspiration786@myInspiration786 Жыл бұрын

    • Thanks

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

  • Great job! Many thanks!

    @dadalin9227@dadalin92274 ай бұрын

    • Thanks Alot

      @DrMUsmanJaved@DrMUsmanJaved4 ай 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...👍

    @ziarehman7598@ziarehman7598 Жыл бұрын

    • Thanks ..i will upload soon inshAllah

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

  • Jazakh'Allah for this video brother

    @Queenhood007@Queenhood007 Жыл бұрын

    • JazakALLAH brother ♥

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

  • Fantastic

    @tarigabdelrahman7277@tarigabdelrahman72777 ай бұрын

    • Thank you so much ☺

      @DrMUsmanJaved@DrMUsmanJaved7 ай бұрын

  • so helpful video great job.

    @Elzhen@Elzhen2 ай бұрын

    • Thanks Alot ♥

      @DrMUsmanJaved@DrMUsmanJaved2 ай бұрын

  • Thank-you for this Great help

    @tevitabaravilala2864@tevitabaravilala28646 ай бұрын

    • Welcome ☺

      @DrMUsmanJaved@DrMUsmanJaved6 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.

    @vaniamelamed5285@vaniamelamed52856 ай бұрын

    • Thanks alot 👍

      @DrMUsmanJaved@DrMUsmanJaved6 ай бұрын

  • Thank u for uploading Doc

    @fahimy1@fahimy1 Жыл бұрын

    • Welcome bro

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

  • Just had it done this morning

    @StarzzyJJASD@StarzzyJJASD11 ай бұрын

    • Great

      @DrMUsmanJaved@DrMUsmanJaved11 ай бұрын

  • Thank you for this lecture.

    @jessyoludaisi@jessyoludaisiАй бұрын

    • You are welcome ☺

      @DrMUsmanJaved@DrMUsmanJavedАй бұрын

  • It was great Thanks for sharing

    @dr.ahmadjawadqureshi3343@dr.ahmadjawadqureshi33435 ай бұрын

    • Most welcome

      @DrMUsmanJaved@DrMUsmanJaved5 ай бұрын

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

    @drpahore4269@drpahore4269 Жыл бұрын

    • I will post soon inshAllah

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

  • Thanks for uploading. It is reassuring

    @wantok71@wantok7111 ай бұрын

    • Welcome ♥

      @DrMUsmanJaved@DrMUsmanJaved11 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

      @Fah766@Fah7665 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

      @DrMUsmanJaved@DrMUsmanJaved5 ай бұрын

  • nice lecture

    @sidrarehman8632@sidrarehman86322 ай бұрын

    • Thanks alot

      @DrMUsmanJaved@DrMUsmanJaved2 ай бұрын

  • Wonderful video clip, Subscribed your channel !

    @user-cg1nm9ug2i@user-cg1nm9ug2i11 ай бұрын

    • Thanks alot

      @DrMUsmanJaved@DrMUsmanJaved11 ай бұрын

  • Tq doc, very good video teaching

    @sulisdr@sulisdr7 ай бұрын

    • Thanks Alot ☺

      @DrMUsmanJaved@DrMUsmanJaved6 ай бұрын

  • ❤❤❤ fantastic overview

    @user-vm5rb5ot7t@user-vm5rb5ot7tАй бұрын

    • Thanks alot ♥

      @DrMUsmanJaved@DrMUsmanJavedАй бұрын

  • Thanks sir

    @AbdurrahmanKhan-ql9lf@AbdurrahmanKhan-ql9lf3 ай бұрын

    • Welcome ♥

      @DrMUsmanJaved@DrMUsmanJaved3 ай бұрын

  • woooow!

    @user-mq2fb3sx8n@user-mq2fb3sx8n2 ай бұрын

  • Does propranalol affect lvidd and lvids?

    @5min_stories@5min_stories Жыл бұрын

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

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

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

    @Angels_of_purple@Angels_of_purple2 ай бұрын

    • Most Welcome ♥

      @DrMUsmanJaved@DrMUsmanJaved2 ай бұрын

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

    @goatcontender3123@goatcontender31238 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

      @DrMUsmanJaved@DrMUsmanJaved8 ай бұрын

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

    @chancesc6415@chancesc6415Ай бұрын

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

      @DrMUsmanJaved@DrMUsmanJavedАй бұрын

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

    @talibrahiem5663@talibrahiem5663 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

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

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

    @MrSin1113@MrSin11133 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.

      @DrMUsmanJaved@DrMUsmanJaved3 ай бұрын

  • ❤❤❤❤❤❤❤

    @CardioNotes@CardioNotes2 ай бұрын

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

    @saraali-ho8fx@saraali-ho8fx3 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

      @DrMUsmanJaved@DrMUsmanJaved3 ай бұрын

  • Please pead echo difficult case❤

    @AshrafAli-dr7ft@AshrafAli-dr7ft4 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

      @DrMUsmanJaved@DrMUsmanJaved4 ай бұрын

  • Sir 2d echo can detect pancreas problem?

    @waruni2639@waruni2639 Жыл бұрын

    • No..echo is for detecting heart problems. For pancrease ultrasound or any other test depending upon the problem can be done

      @DrMUsmanJaved@DrMUsmanJaved Жыл бұрын

    • @@DrMUsmanJaved thank you doctor!

      @waruni2639@waruni2639 Жыл бұрын

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

    @chicagomike@chicagomike21 күн 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

      @DrMUsmanJaved@DrMUsmanJaved21 күн бұрын

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

      @chicagomike@chicagomike21 күн бұрын

    • Welcome ☺

      @DrMUsmanJaved@DrMUsmanJaved21 күн бұрын

  • IVC collapsing,how we can understand ?

    @Angels_of_purple@Angels_of_purple2 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

      @DrMUsmanJaved@DrMUsmanJaved2 ай бұрын

    • @@DrMUsmanJaved thankyou Dr☺️

      @Angels_of_purple@Angels_of_purple2 ай бұрын

  • how long it will take

    @walfmoonchannel4264@walfmoonchannel426415 күн бұрын

    • It takes usually 15 to 20 minutes, few minutes extra for extra views and calculations required if some pathology is found

      @DrMUsmanJaved@DrMUsmanJaved15 күн бұрын

  • A little too fast but good

    @ITzyBItzify@ITzyBItzify3 ай бұрын

    • Will make a slower version with measurements included

      @DrMUsmanJaved@DrMUsmanJaved3 ай бұрын
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