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St. Michael's Hospital Virtual Echo Rounds
Canada
Приєднався 4 кві 2020
St. Michael's Hospital Virtual Echo Round
Thank you for your participation and support. These rounds take place every Thursday from 08:00 to 09:00 (ET).
These one-hour video lectures take a deep dive into the day-to-day echo topics.
To subscribe to the mailing list to get weekly reminders and topics, please click:
eepurl.com/hDXu7z
Please like, comment, and subscribe. Most importantly tell others who can benefit from these rounds.
Thank you for your participation and support. These rounds take place every Thursday from 08:00 to 09:00 (ET).
These one-hour video lectures take a deep dive into the day-to-day echo topics.
To subscribe to the mailing list to get weekly reminders and topics, please click:
eepurl.com/hDXu7z
Please like, comment, and subscribe. Most importantly tell others who can benefit from these rounds.
Stress Echo in the Setting of Pulmonary Hypertension
Date: 16 Jan 2025
Speaker: Priya Koilpillai MD, Echo Fellow, St. Michael's Hospital
Title: Stress Echo in the Setting of Pulmonary Hypertension
Objectives:
1. Review the principles of stress echo
2. Review the transthoracic echo findings of pulmonary hypertension
3. How stress echo can further assess for pulmonary hypertension
4. How does stress echo compare to other modalities for diagnosing pulmonary hypertension
Review questions for this presentation:
1. What is the primary reason for performing stress echo in patients with suspected pulmonary hypertension?
A) To measure left ventricular ejection fraction
B) To assess for ischemic heart disease
C) To evaluate changes in pulmonary artery pressure and right ventricular function during exercise
D) To diagnose congenital heart defects
Answer: C) To evaluate changes in pulmonary artery pressure and right ventricular function during exercise.
Explanation: Stress echo is particularly useful in assessing how pulmonary artery pressure and right ventricular function change with exercise, which can be critical in diagnosing pulmonary hypertension. It allows us to see if there is an abnormal increase in pressure that might not be evident at rest.
2. Which imaging modality is preferred for measuring pulmonary artery pressures at peak exercise during a stress echo?
A) Treadmill exercise
B) Supine bicycle exercise
C) Dobutamine stress test
D) Adenosine stress test
Answer: B) Supine bicycle exercise
Explanation: Supine bicycle exercise is preferred because it allows real-time imaging and measurement of pulmonary artery pressures at peak exercise. This is particularly valuable for capturing the hemodynamic changes that occur during the peak of physical exertion.
3. What is a significant finding on transthoracic echo that suggests a high probability of pulmonary hypertension?
A) Large left atrium
B) Peak tricuspid regurgitation velocity greater than 3.4 m/s
C) Ejection fraction greater than 50%
D) Normal right ventricular function
Answer: B) Peak tricuspid regurgitation velocity greater than 3.4 m/s
Explanation: A peak tricuspid regurgitation velocity greater than 3.4 m/s is a strong indicator of elevated pulmonary artery pressure, which is suggestive of pulmonary hypertension. This measurement is crucial for assessing the likelihood of the condition.
Speaker: Priya Koilpillai MD, Echo Fellow, St. Michael's Hospital
Title: Stress Echo in the Setting of Pulmonary Hypertension
Objectives:
1. Review the principles of stress echo
2. Review the transthoracic echo findings of pulmonary hypertension
3. How stress echo can further assess for pulmonary hypertension
4. How does stress echo compare to other modalities for diagnosing pulmonary hypertension
Review questions for this presentation:
1. What is the primary reason for performing stress echo in patients with suspected pulmonary hypertension?
A) To measure left ventricular ejection fraction
B) To assess for ischemic heart disease
C) To evaluate changes in pulmonary artery pressure and right ventricular function during exercise
D) To diagnose congenital heart defects
Answer: C) To evaluate changes in pulmonary artery pressure and right ventricular function during exercise.
Explanation: Stress echo is particularly useful in assessing how pulmonary artery pressure and right ventricular function change with exercise, which can be critical in diagnosing pulmonary hypertension. It allows us to see if there is an abnormal increase in pressure that might not be evident at rest.
2. Which imaging modality is preferred for measuring pulmonary artery pressures at peak exercise during a stress echo?
A) Treadmill exercise
B) Supine bicycle exercise
C) Dobutamine stress test
D) Adenosine stress test
Answer: B) Supine bicycle exercise
Explanation: Supine bicycle exercise is preferred because it allows real-time imaging and measurement of pulmonary artery pressures at peak exercise. This is particularly valuable for capturing the hemodynamic changes that occur during the peak of physical exertion.
3. What is a significant finding on transthoracic echo that suggests a high probability of pulmonary hypertension?
A) Large left atrium
B) Peak tricuspid regurgitation velocity greater than 3.4 m/s
C) Ejection fraction greater than 50%
D) Normal right ventricular function
Answer: B) Peak tricuspid regurgitation velocity greater than 3.4 m/s
Explanation: A peak tricuspid regurgitation velocity greater than 3.4 m/s is a strong indicator of elevated pulmonary artery pressure, which is suggestive of pulmonary hypertension. This measurement is crucial for assessing the likelihood of the condition.
Переглядів: 146
Відео
Echocardiography in Systemic Diseases
Переглядів 74621 день тому
Date: 19 Dec. 2024 Speaker: Rana Hassan MD, Cardiology Resident, University of Toronto Objectives: 1. Identify systemic disease with cardiac involvement. 2. Identify echocardiographic findings in systemic illnesses. 3. Review the available medical treatment options. References: 1. Baron, T., Bergsten, J., Albåge, A., Lundin, L., Sörensen, J., Öberg, K., & Flachskampf, F. A. (2021). Cardiac Imag...
Lead-Induced TR: An Echocardiographic Approach for Physicians and Sonographers
Переглядів 34321 день тому
Date: 12 Dec 2024. Speaker: Dr. Rudy Unni, Echo Fellow, St. Michael’s Hospital Objectives: 1. Understand the epidemiology and mechanisms behind CIED-lead-induced tricuspid regurgitation. 2. Develop a systematic approach to TTE/TEE assessment of TR. 3. Review the current data on treatment options and strategies.
M-Mode: The Forgotten Art or Echo Essential?
Переглядів 762Місяць тому
Date: December 5, 2024. Speaker: Dr. Michael Elfassy, PGY 5 Cardiology Resident, Univeristy of Toronto Objectives: 1. Review the historical context of echocardiography and the development of M-Mode. 2. Introduce physical principles, advantages and disadvantages of M-Mode. 3. Highlight key clinical applications for valvular, ventricular, septal and pericardial assessment. 4. Explore the theory a...
Assessment of LV Filling Pressures in Special Populations - Arrhythmia
Переглядів 471Місяць тому
Date: 29 Nov 2024 Speaker: Dr. Anahita Emami, Cardiology Resident, University of Toronto Objectives: 1. Examine the challenges of arrhythmias in the assessment of diastolic dysfunction. 2. Discuss techniques to address and mitigate these challenges. Reference: Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Ec...
Resuscitative TEE: The Next Level of POCUS
Переглядів 2262 місяці тому
Date: Thursday, 14 Nov 2024 Speaker: Pablo Perez d’Empaire, MD FRCPC FCCM FASE Cardiovascular Anesthesiology and Perioperative Echocardiography Director POCUS Fellowship Program Sunnybrook Health Sciences Centre Assistant Professor, Department of Anesthesiology and Pain Medicine, University of Toronto Objectives: 1. Describe the role of resuscitative TEE. 2. Review the literature on resuscitati...
Echocardiographic Quantification of the Left Heart Chambers
Переглядів 6342 місяці тому
Date: Thursday, 07 Nov 2024 Speaker: Dr. Jeff Lam, Cardiology Resident, Queen's University 1. Review the guideline-based recommendations for the assessment of left ventricular measurements, ejection fraction, and wall motion 2. Review the guideline-based recommendations for the assessment of left atrial measurement 3. Recognize limitations to various measurement techniques and discuss strategie...
Frightening Findings: Spooky Recent Cases from the Echo Lab on Halloween
Переглядів 4772 місяці тому
Date: Thursday, 31 Oct 2024 Speaker: Noah Lewis, Cardiology Resident, University of Toronto Objectives: 1. Review unique cases encountered in October 2024 from the echo lab. 2. Describe each case's fundamental echo findings, workup & initial management considerations. (The mystery of each case is to be revealed during the presentation)
Use of echocardiography in hemodynamics instability and cardiac arrest
Переглядів 4822 місяці тому
Date: 24 October 2024 Speaker: Dr. Rosalie Brochu, Critical Care Medicine Fellow, University of Toronto Objectives: 1. Appreciate the use of echocardiography to optimize support, etiology, identification, and prognostication during cardiac arrest. 2. Discuss available evidence on the role of echocardiography in patients with hemodynamic instability. 3. Identify the challenges and pitfalls of us...
Echocardiographic Assessment of Mechanical Complications Due to Myocardial Infarction
Переглядів 6063 місяці тому
Date: 24 Oct 2023 Speaker: Muhtashim Mian MD MSc, Cardiology Resident C2, University of Western Ontario Objectives: 1) Review mechanical complications of myocardial infarction (MI). 2) Demonstrate echocardiographic findings of mechanical complications of MI. 3) Discuss management for patients with complications of MI.
Echocardiographic Evaluation of Pericardial Effusions: To Tap or Not to Tap?
Переглядів 6953 місяці тому
Date: 3 Oct 2023 Speaker: Sofiane Ouerd MD Objectives: 1. Review the physiology and clinical features of cardiac tamponade. 2. Discuss the sonographic features of cardiac tamponade. 3. Review the role of echocardiography in guiding pericardiocentesis.
Echo Cases Potpourri - Contrast Edition
Переглядів 3613 місяці тому
Date: Thursday, 29 August 2024 Speaker: Dr. Howard Leong-poi Objectives: 1. Review echocardiographic cases of trauma patients. 2. Discuss types of traumatic cardiac injury and their management.
Title: Echocardiographic Assessment of Mechanical Valves
Переглядів 7173 місяці тому
Date: 19 Sept 2024 Speaker: Dr. Meshal AlAnezi Objectives: 1. Provide an overview of mechanical aortic and mitral valves echocardiographic assessment 2. Review some complications associated with mechanical heart valves. 3. Compare various imaging modalities used to assess mechanical heart valves.
Echocardiography and the Aorta: Fundamentals and Beyond
Переглядів 6784 місяці тому
Date: 5 September 2024 Speaker: Dr. Sivisan Suntheralingam MD FRCPC, Cardiology Resident, University of Toronto. Objectives: 1. Review anatomy and acquisition of images and measurements of the aorta. 2. Discuss guidelines on monitoring and intervention for aortopathies. 3. Describe acute aortic pathologies and role of echocardiography.
Traumatic Cardiac Injury: The St. Michael's Experience
Переглядів 3214 місяці тому
Date: Thursday, 29 August 2024 Speaker: Dr. Howard Leong-poi Objectives: 1 Review echocardiographic cases of trauma patients. 2.Discuss types of traumatic cardiac injury and their management.
Structural Potpourri, Part 2: No, Really, What Am I Looking At?
Переглядів 3294 місяці тому
Structural Potpourri, Part 2: No, Really, What Am I Looking At?
Structural Pot Pourri Part 1: What am I looking at?
Переглядів 5265 місяців тому
Structural Pot Pourri Part 1: What am I looking at?
A practical approach to grading valvular severity using transthoracic echo.
Переглядів 1,4 тис.5 місяців тому
A practical approach to grading valvular severity using transthoracic echo.
That is not supposed to be there … An Overview of cardiac masses
Переглядів 2985 місяців тому
That is not supposed to be there … An Overview of cardiac masses
Echo Features in Patients with Hypertrophic Cardiomyopathy - A Journey Through the Echo Lab
Переглядів 7945 місяців тому
Echo Features in Patients with Hypertrophic Cardiomyopathy - A Journey Through the Echo Lab
Journal Club: Postprandial Echocardiography: Unmasking Latent LVOTO in Hypertrophic Cardiomyopathy
Переглядів 2655 місяців тому
Journal Club: Postprandial Echocardiography: Unmasking Latent LVOTO in Hypertrophic Cardiomyopathy
Fact or Artifact: A Case-Based Discussion
Переглядів 6346 місяців тому
Fact or Artifact: A Case-Based Discussion
Chicken Wing, Cactus, Windsock: Review of LAA Pathophysiology and Interventions
Переглядів 3996 місяців тому
Chicken Wing, Cactus, Windsock: Review of LAA Pathophysiology and Interventions
Pulmonary Embolism or Pulmonary Embolism That is the Question
Переглядів 5117 місяців тому
Pulmonary Embolism or Pulmonary Embolism That is the Question
Echo How to Series: Basics of Myocardial Strain
Переглядів 2,6 тис.7 місяців тому
Echo How to Series: Basics of Myocardial Strain
Echo Core Curriculum: Basics of Echo Doppler (Part 2)
Переглядів 6977 місяців тому
Echo Core Curriculum: Basics of Echo Doppler (Part 2)
Echo to the Rescue: Role of Echocardiography in Optimizing the Care of Cardiac Amyloidosis
Переглядів 5418 місяців тому
Echo to the Rescue: Role of Echocardiography in Optimizing the Care of Cardiac Amyloidosis
Echo Core Curriculum: Comprehensive Transthoracic Echocardiogram
Переглядів 1,8 тис.8 місяців тому
Echo Core Curriculum: Comprehensive Transthoracic Echocardiogram
Achieving Competency in Echocardiography
Переглядів 5389 місяців тому
Achieving Competency in Echocardiography
had to stop due to background noise.
Excellent
Great lecture ❤
Using 124 cm/s expiratory velocity and 93 cms/ sec inspiratory velocity ... there is a velocity drop of 31 cm/s... This works out to only 25% drop during inspiration in the PW tracing shown
At 16:05.. The calculation formula you use to find the velocity change during expiration is confusing
I learned useful practical knowledge from your video, thanks
terrific!!
Very great❤
nice!
This lecture has many mistakes about the anatomy and definitions of the mitral valve
Sound comes late worst video ever
Excellent video thank you!!🙏🏼
Thank you!! Wonderful presentation.
Thank you so much!!! This was so helpful, I learned a lot!!🙏🏼👏🏼👏🏼
Great explanation... But the audio🔊 video 🎥mismatch is annoying
Thank you for sharing
Why all the people in this video is talking so weird? It is called actually “affectation”. Just….knock it off and talk normal. Other than that Great information.
Oh it's funny as well as informative
Just started learning eccho and learning to asses if there is aortic stenosis, this is way above my pay grade, I will come back to this video in a couple of years though
Thank you, great cases, but why “ echogenic” structure 09:06? Thrombus looks dark, should it be echolucent? I think echogenic means brighter than surrounding tissue 😐
your audio is very bad. please fix it.
perfect presentation, thanx for sharing!
please improve your audio. listen to some Apollo 11 tapes , sixty years ago we had better sound quality from the surface of the moon.
Heart valve prosthesis stenosis by 3D-echo : Heart prosthetic valve stenosis and 3D-echo@ to drahmadmirdamadi?si=xARuATKjZ9oDpsxe ua-cam.com/video/y8w-0XfniCY/v-deo.html
ua-cam.com/video/qZdBHVPTFAI/v-deo.html
Great lecture. Seriously.
You did not provide an EF for cases 1, 2, and 3. Also, case 4 looks like a cardiomyopathy and the EF does not appear normal or near normal, also EF is not 55%.
Hanni needs a brain transplant
At 11:30 I think you mean "coarse"
So strange to introduce a doctor by her first name
Love u from pakistan....Dr.mahmood Alam
Interesting cases in this channel : youtube.com/@drahmadmirdamadi?si=cbpukX9dd3DIqkfY
Mechanical Valves are garbage, the patient has to be on blood thinners for the rest of his or her life. Also, TAVR valves are a death warrant, my dear mom's health declined right after she had an aortic TAVR valve put in. My dear mom didn't deserve the progressive health problems that ultimately ended up with sepsis that I truly believe the valve was infected when it was installed in her.
RU kidding , is this the best audio quality we have ? listen to some Apollo landing tapes - 60 years ago we had better sound from the surface of the moon.
please improve your audio quality. Remarkable , the ability of modern webinar software, to make the presenter sound like a third stage navigator floating in a tank of melange.
very interesting presentation...i wish i could interact also..,
Quite interesting case, echo in IVC as a complication in AMI setting could be quite challenging, do not expect a linear defect, particularly in RCA territory AMI.
❤❤❤
Such a wonderful lecture, Thanks from Uruguay.
I totally understood everything that was said
Good info but throat... 😢
Excellent procedures explained...tendyne procedure I am impressed...
Thank you. very informative
Just thank you from my heart 🎉❤🎉
Why can nobody offer us decent quality webinar audio ?
someday we will have good webinar audio quality .... someday .....
❤❤
excellent
perfect, thanx for sharing!!
MAGNIFIC COURSE. GOD BLESS YOU