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
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
Thank you Professor🎉 May I ask the 0:51 said we don’t include papillary muscle, but we always tracing the papillary muscle when we are prescribe Simpsons method ?
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. 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?
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).
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.
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
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.
@@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
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!!!🙏🏼🙏🏼🙏🏼🙏🏼👏🏼👏🏼👏🏼👏🏼👏🏼🫶🏼
Thanks
Still Simpson difficult to me and don't knows how trace plz any help
Check these clips:
ruclips.net/video/hrsuDyOvKqM/видео.htmlsi=RnG-mEUTLzzucCIm
ruclips.net/video/cQB72c7dUZc/видео.htmlsi=8nvGG0txE3sDSGvq
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
Very good job!
👍💯
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
Thank you Professor🎉
May I ask the 0:51 said we don’t include papillary muscle, but we always tracing the papillary muscle when we are prescribe Simpsons method ?
at the level of papillary we give the same thickness as adjacent myocardium ( find epicardium and trace the same thickness).
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 Neil. I am glad it was useful for you
Sir you are an excellent teacher!
I thank you for all the helpful tips! Blessings always...
thanks and you are very welcome
Very clear. Thank you !
Wow! This is very helpful! Thank you!
you are welcome
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?
thank you.
yes almost the same rule but tracking functional myocardium not only endocardium
Good clarification. Thank you.
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).
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.
yes. that's the basic function of echo tech (optimizing image) including changing depth, sector, focus, dynamic range, frequency....
Very nice...👍
This was helpful!
Thank you...your guidelines are unique to understand...God bless you...
you are very welcome
I hope you can help us, the ones who want to pass the registry exam in adult echocardiography
Thank you very much
I appreciate it
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
4:13 FORESHORTENING OR APICAL HYPERTROPHY 4:59 MEDIAL AND LATERAL HINGE OF MITRAL VALVE,CURVE IS PARALLEL TO THE EPICARDIUM
Thank you very much very useful
you are very welcome
Thanks a Lot teacher. Great tips
you are welcome
Very much useful echo topics, thanks a lot sir.
Thank you so much
you are welcome
Merci. Idep, duq hay eq?
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 Dr Noor, Thanks,
sure there are almost 50 clips in my channel and little by little I would add on other topics
Thank you so much this was the most helpful and very clear
you are very welcome. check playlist I am sure you will find many useful clips and topics
Thanks
As usual great teaching skills. Thanks for giving your precious time.
You are very well come. and Thanks for support
@@masteringEcho-US-cardiology ❤️ Love u dear sir
Thank u
Great
Thank you.. Helpful.. Keep safe
you are welcome. sure
Thank you.
you are welcome
من اپیکال رو متوجه نشدم😭
سلام. دقیقا چی رو متوچه نشدید؟
@@masteringEcho-US-cardiology اینکه اندوکارد رو اپیکال چجوری تخمین بزنیم؟
@@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
@@masteringEcho-US-cardiology آقای دکتر فرق آرتیفکت با هایپرترفی اپکس رو چطور تشخیص بدیم؟
@@hivaghassempouri9442 If we can not see endo we can use color Doppler or contrast
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!!!🙏🏼🙏🏼🙏🏼🙏🏼👏🏼👏🏼👏🏼👏🏼👏🏼🫶🏼
you are welcome