There is a lot more to this than meets the eye. You should measure the RV at end-diastole from base, mid, and apex to base to know how severe the dilation is. There is no color doppler to show how severe the tricuspid regurgitation is; which can help you know how severe the pulmonary hypertension is without a right heart cath. You'll want to see the IVC + how much it collapses with a sniff to get pulmonary pressures. There is clearly a pacemaker/ICD device which is also indicative of a TR gradient. You'll want to measure the RA to know how dilated that is. There is a pericardial effusion that should be measured with CW through the mitral valve and tricuspid valve with a respirometer. It also helps to look at the parasternal short axis to know if it's volume overload vs. pressure overload. In this case, it's a pressure overload because the LV is D shaped in systole and diastole. This is my non-diagnostic opinion but I hope it helps ;)
There is a lot more to this than meets the eye. You should measure the RV at end-diastole from base, mid, and apex to base to know how severe the dilation is. There is no color doppler to show how severe the tricuspid regurgitation is; which can help you know how severe the pulmonary hypertension is without a right heart cath. You'll want to see the IVC + how much it collapses with a sniff to get pulmonary pressures. There is clearly a pacemaker/ICD device which is also indicative of a TR gradient. You'll want to measure the RA to know how dilated that is. There is a pericardial effusion that should be measured with CW through the mitral valve and tricuspid valve with a respirometer.
It also helps to look at the parasternal short axis to know if it's volume overload vs. pressure overload. In this case, it's a pressure overload because the LV is D shaped in systole and diastole.
This is my non-diagnostic opinion but I hope it helps ;)
Really a great comment. Keep commenting like this - it helps a much clear diagnostic way
0:12 Normal right heart
0:59 Right ventricular dysfunction
2:46 Parasternal long-axis view
3:15 Parasternal short-axis view
3:30 Apical 4-chamber view
Excellent teaching presentation ❤
Great explanation. Thank you.
Great effort and presentation... God Bless you with Best Wishes
Thanks a Lot guys. More stuff like this.
The best thank you
why does look like its bouncing just asking😄
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