All about TAPSE! (Echocardiography)

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  • Опубликовано: 6 окт 2024
  • Hello guys, in this video im talking about TAPSE! What it is? and how to measure it?. This is a parameter we use to assess the right ventricular systolic function.
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Комментарии • 130

  • @FacundoMD
    @FacundoMD 2 года назад +2

    ER doc here !!! Love the voice/accent ! I was on my critical care shift and forgot to measure that Haha so here I am. Stay Safe Everyone !

    • @the_echo_lady
      @the_echo_lady  2 года назад +1

      Hello doc! Welcome... Haha thank you! Stay safe!!!

  • @mikefoster4068
    @mikefoster4068 2 месяца назад +1

    tapse is angle dependent. the example given was not lined up parallel with motion.

  • @Falaxuper
    @Falaxuper 2 года назад +6

    Super easy, and super clearly explained! Thanks so much for this video!

    • @the_echo_lady
      @the_echo_lady  2 года назад +1

      Thank you! Have a nice Christmas

    • @Falaxuper
      @Falaxuper 2 года назад

      @@the_echo_lady Thank you very much, and best of everything for Christmas and the New Year for you!

  • @ranjanajaiswal6284
    @ranjanajaiswal6284 2 месяца назад

    You are explaining it very well, please keep going, and your voice is very nice

  • @mirtsakalbazidou527
    @mirtsakalbazidou527 Год назад +3

    Excellent explanation, simple and analytical at the same time!

  • @aaqiffmohideen4141
    @aaqiffmohideen4141 7 месяцев назад +1

    For TAPSE you should get Mmode from apex to tricuspid annulus.

    • @the_echo_lady
      @the_echo_lady  5 месяцев назад

      Nooooo... you can measure it either way, try it.

    • @aaqiffmohideen4141
      @aaqiffmohideen4141 5 месяцев назад

      If you measure in any direction you will get false value

  • @polycarpfrance6521
    @polycarpfrance6521 2 года назад +2

    Thank you so much for clear explanation, its really straight forward

  • @kamalsalami
    @kamalsalami Год назад +1

    Thank you so much for clear explanation

  • @snaps1194
    @snaps1194 Год назад

    Thank you for your brilliant illustration

  • @Mike51689
    @Mike51689 4 года назад +6

    Question - Why do you measure the length of the sloped line, as opposed to the vertical distance between the peak and trough? My understanding is that TAPSE is a distance measurement - ie how much the triscuspid annulus moves towards and then away from your probe. In M mode, the Y axis is distance, and X axis is time. Therefore, measuring the length of the sloped line would be affected by the X axis ie time parameter. Would it not make more sense to simply measure the Y axis distance - ie, the length of the *vertical* line between the peak and trough? I have asked several cardiologists, most are telling me to measure the vertical distance.

    • @the_echo_lady
      @the_echo_lady  4 года назад +4

      Is the same, I'm just placing the Lowe's point and the highest point and the result I'm obtaining is the vertical distance. Depends on the machine it will look like this or it will show you a vertical line.

    • @the_echo_lady
      @the_echo_lady  4 года назад +6

      Also this is M-Mode, is not 2D and it doesn't matter if you measure something diagonal, is always going to give you the distance between those 2 points. Try it and you would get the same value and depends on the machine I have to do it diagonally to make sure I'm in the correct position because the system doesn't show you a guide line along your measurement. I hope I explained myself properly... ❣️

    • @Mike51689
      @Mike51689 4 года назад +7

      The Echo Lady - So my understanding now from speaking with colleagues (PCCM) is that the echo machines will automatically correct the hypotenuse to the vertical side, as the machine is programmed that way. Said another way, the computer on the machine automatically knows that you want a distance measurement, and so calculates just the Y-axis (distance) component and eliminates the X-axis (time) component for you. So you should technically get the same answer if you measured the distance down the length of the sloped curve or if you measure vertically from peak to trough. Measuring down the slope may be slightly more precise, as you are placing the caliper exactly at the trough point, as opposed to ‘eyeballing’ where the trough point is when going vertically - however you should technically get the same measurement.

  • @Imrancool0
    @Imrancool0 2 года назад +1

    Nice explanation with point to point ... 👌🙏

  • @dancu9271
    @dancu9271 Год назад

    A lot of thanks for making and sharing your video!!

  • @mohamadalneel4443
    @mohamadalneel4443 3 года назад

    Thank you very much for such prcise and concise explanation.

  • @alemayehuabebe9704
    @alemayehuabebe9704 Год назад

    please do a video on PW,CW, Color doppler with specific example thank you

  • @imre2784
    @imre2784 2 года назад

    Thank you very much. Very nice presentation.

  • @user-cc4kq6hl4c
    @user-cc4kq6hl4c 2 года назад +1

    Thanks.. Can you show more details about tricuspid annulus.. How to exactly find it on echo because its easy to misplace the cursor

    • @the_echo_lady
      @the_echo_lady  2 года назад

      Yes, the best view due to the angle it's the apical 4 chamber view. I have a video on how to obtain this view already on my channel

  • @Duonghm98
    @Duonghm98 4 месяца назад

    Thanks for sharing. this video is very useful

  • @joesuarez1983
    @joesuarez1983 4 года назад +1

    Great explanation!
    Thank you 🙏🏽

  • @atifbilal1345
    @atifbilal1345 Месяц назад

    Great 👍

  • @dr.khan.dr.khan.7020
    @dr.khan.dr.khan.7020 3 года назад

    Thanks I like ur voice ad explain sound .....

  • @aaspaas11
    @aaspaas11 3 года назад +4

    Mam please make a video On Vena Contracta And MR PISA

  • @MahmudulHasan-rk6ze
    @MahmudulHasan-rk6ze Год назад

    Thanks a lot.Would you tell the the cut off value of mild,moderate,severe RV systolic function? Already you told

    • @the_echo_lady
      @the_echo_lady  Год назад

      Hello, with this value is just nornal or impaired... We don't use gradings

  • @krishnaveni24.
    @krishnaveni24. Год назад

    Thank you so much sister 😘

  • @domenicogiannattasio9037
    @domenicogiannattasio9037 8 месяцев назад

    many thanks for explication very clear so TAPSE is all the long distance between lowest and highest point in M Mode or vertucal distance between ?

  • @carolinamoreira7766
    @carolinamoreira7766 2 года назад

    Amazing Chanel ! Go ahead! 😘

  • @phyllismok6033
    @phyllismok6033 3 года назад

    Thank you for sharing

  • @emanali9789
    @emanali9789 8 месяцев назад

    Thank you very much ❤

  • @spacefed101
    @spacefed101 Год назад

    hello ECHO GODDESS XD! . Nice video as always. I just wanted to clarify. In the measurement of TAPSE, should we measure the diagonal distance from the baseline to the peak of the tricuspid annulus (as shown in your video above)? or should we measure the vertical distance from the baseline to the peak of the tricuspid annulus?

    • @the_echo_lady
      @the_echo_lady  Год назад

      Hello! You can measure it diagonal from left to right, diagonal from right to left or vertical... It's all the same! Always from base to peak... Try it and you will see it doesn't matter which method do you use because you are measuring "distance".

  • @سلامعلىآلياسين-ح8ب
    @سلامعلىآلياسين-ح8ب 4 года назад

    Great presentation

  • @Waqarvloggingtweet
    @Waqarvloggingtweet 2 года назад

    Great

  • @infodiff
    @infodiff 2 года назад

    Thank you.

  • @edenn.6168
    @edenn.6168 4 года назад

    very useful! Thank you

  • @Fazliddinsobirov
    @Fazliddinsobirov 2 года назад

    Super! Danke dir!

  • @sifar1111
    @sifar1111 9 месяцев назад

    I think it’s vertical height not the slope which represent TAPSE . What you measured is slope distance over time .

    • @the_echo_lady
      @the_echo_lady  9 месяцев назад

      It does not matter which way you measure it as the measurement will always be the distance, not the time... try it.

    • @sifar1111
      @sifar1111 9 месяцев назад

      Vertical height would be less than the slope …📐@@the_echo_lady

  • @hsbae2388
    @hsbae2388 4 года назад

    So cool! thanks

  • @paanmelaka
    @paanmelaka 3 месяца назад

    thank you

  • @user-cc4kq6hl4c
    @user-cc4kq6hl4c 2 года назад

    How to find the tricuspid annulus.. Can you point out where to place the cursor exactly

  • @daoanhtuan36
    @daoanhtuan36 2 года назад

    Thanks

  • @Tdhdoc
    @Tdhdoc 2 года назад

    thanks!

  • @TheIkpeng
    @TheIkpeng 4 года назад

    Cool!

  • @د.خليل
    @د.خليل 3 года назад

    Good thank you

  • @anaghamv2745
    @anaghamv2745 3 месяца назад

    Tapse abnormal but no ra rv dilatation ..can we telll it as rv dysfunction?

    • @the_echo_lady
      @the_echo_lady  2 месяца назад

      What about the S wave? Fractional area change? you could confirm with other parameters.

  • @neilggala
    @neilggala 2 года назад

    So I watched your MAPSE video as well, is there any reason for TAPSE we only measure the lateral excursion and not the septal?

    • @the_echo_lady
      @the_echo_lady  2 года назад +3

      The septum is considered part of the LV longitudinal function. To assess RV we just measure the free wall. To assess LV we can measure septal and lateral MAPSE

  • @vthejasri5266
    @vthejasri5266 3 года назад +1

    If tapse is 1.80cm what is results of heart condition.
    Is it any serious. If so what is solution to make 2 CM.

  • @jhinukpal6467
    @jhinukpal6467 4 года назад

    My mother is a patient of viral myocarditis...About 2 months ago she was admitted in hospital and treated.. echocardiograpy report on 8.6.20- TAPSE 25mm..But 14.7.20 echocardiography report TAPSE 15mm..Is it dangerous?Or life threatening?

    • @the_echo_lady
      @the_echo_lady  4 года назад +2

      Hello, a single measurement by itself doesn't mean anything... The echocardiogram should be analysed as a whole, if you have any concerns please ask to your mother's cardiologist.

  • @srinivasaraosirasapalli5104
    @srinivasaraosirasapalli5104 10 месяцев назад

    So nice madam

  • @doorknob9027
    @doorknob9027 4 года назад

    Thanx

  • @mariateresaguerra3027
    @mariateresaguerra3027 Год назад

    Exacto

  • @ilynpayne7491
    @ilynpayne7491 Год назад

    Which annulus do we use is it medial or septa

    • @the_echo_lady
      @the_echo_lady  Год назад

      For tapse is the free RV wall annulus...

  • @rustynail2310
    @rustynail2310 Год назад

    EXCELENT¡ 😍😍😍

  • @heartcare6038
    @heartcare6038 3 года назад

    If it is less than 17 than what we cal it

    • @the_echo_lady
      @the_echo_lady  3 года назад

      We can't rely on just 1 single measurement to conclude something, however if TAPSE is reduced as well as other measurements to assess RV systolic function... We can say that the RV longitudinal (or radial) function is impaired. Correlate TAPSE with S wave, FAC or visually.

  • @doorknob9027
    @doorknob9027 4 года назад

    Is there a measurement in the m mode package or do u just measure the distance?

    • @the_echo_lady
      @the_echo_lady  4 года назад

      Most of the machines have this measurements included in the calcs... If not, just measure the diameter with caliper

    • @doorknob9027
      @doorknob9027 4 года назад

      @@the_echo_lady ..I found the TAPSE measurement..thanx

    • @the_echo_lady
      @the_echo_lady  4 года назад

      @@doorknob9027 that's awesomeeeee! I'm glad :)

  • @francescodifoggia2373
    @francescodifoggia2373 3 года назад

    GReat!

    • @the_echo_lady
      @the_echo_lady  3 года назад +1

      Thank you !!! 🤗✨

    • @francescodifoggia2373
      @francescodifoggia2373 3 года назад

      @@the_echo_lady Which one is your preferred Ultrasound machine?

    • @the_echo_lady
      @the_echo_lady  3 года назад

      @@francescodifoggia2373 I really like the Philips Epic and the GE E95

  • @vikasshenoy729
    @vikasshenoy729 3 года назад

    My current tapse is 18 mm ,is it normal

    • @the_echo_lady
      @the_echo_lady  3 года назад

      Yes

    • @danladking9788
      @danladking9788 2 года назад

      @@the_echo_lady mine is 24 which is said to be high, no idea what that means!!!

    • @the_echo_lady
      @the_echo_lady  2 года назад +1

      @@danladking9788 is normal

    • @danladking9788
      @danladking9788 2 года назад

      @@the_echo_lady thanks echo lady, my ECG report is saying only 16 or under is normal, made me feel better hearing you say this!!

  • @alainfernandez9254
    @alainfernandez9254 Год назад

    TAPSE measures the maximum annulus depression towards the right atrium in systole to have an idea of the right ventricular systolic function. I have seen this slope measurement in so many places which tends to underestimate the presence of disease. This should be the right way to go:
    ruclips.net/video/SaIzTIWyRRQ/видео.html

    • @the_echo_lady
      @the_echo_lady  Год назад

      It's still measuring the diameter... Gives you the same value it doesn't matter if you measure it from right to left, left to right, bottom to top or top to bottom...

  • @ahfr9706
    @ahfr9706 Год назад

    i think this is wrong From lowest point to hghest point in same plane

  • @jhinukpal6467
    @jhinukpal6467 4 года назад

    Plz ans me

  • @navedsheikh2105
    @navedsheikh2105 3 года назад

    Great