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.
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.
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... ❣️
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.
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?
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".
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
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?
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.
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: ua-cam.com/video/SaIzTIWyRRQ/v-deo.html
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...
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.
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 !
Hello doc! Welcome... Haha thank you! Stay safe!!!
Super easy, and super clearly explained! Thanks so much for this video!
Thank you! Have a nice Christmas
@@the_echo_lady Thank you very much, and best of everything for Christmas and the New Year for you!
For TAPSE you should get Mmode from apex to tricuspid annulus.
Nooooo... you can measure it either way, try it.
If you measure in any direction you will get false value
Excellent explanation, simple and analytical at the same time!
Thank youuu
@@the_echo_lady hola Tia
@@ivyrodriguez8272 hola mi reina te amo
tapse is angle dependent. the example given was not lined up parallel with motion.
You are explaining it very well, please keep going, and your voice is very nice
Thank you so much for clear explanation, its really straight forward
Thank you!!! 🥰🥰🥰
Thank you so much for clear explanation
Thank you Kamal 🫀
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.
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.
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... ❣️
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.
Nice explanation with point to point ... 👌🙏
Thank you.
A lot of thanks for making and sharing your video!!
Thank you Dan!
Thank you very much for such prcise and concise explanation.
Thank you!
Thank you for your brilliant illustration
🤍🤍👑
Thanks.. Can you show more details about tricuspid annulus.. How to exactly find it on echo because its easy to misplace the cursor
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
please do a video on PW,CW, Color doppler with specific example thank you
I will 😊
Great explanation!
Thank you 🙏🏽
Thank you!! 😍
Thank you very much. Very nice presentation.
Thank you! You are very kind
Mam please make a video On Vena Contracta And MR PISA
Yes absolutely!
Thanks a lot.Would you tell the the cut off value of mild,moderate,severe RV systolic function? Already you told
Hello, with this value is just nornal or impaired... We don't use gradings
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?
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".
Thanks for sharing. this video is very useful
Thanks :)
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 ?
You can measure it either way and it's the same...
@@the_echo_lady many many thanks
Great 👍
Thanks I like ur voice ad explain sound .....
Thank you 🫀
Great presentation
Thank you!!!
Amazing Chanel ! Go ahead! 😘
Thank you!!! ✨🎄❤️
Super! Danke dir!
keine Ursache! 🙃❤️
Thank you very much ❤
🥰🥰🫀🫀🫀🫀
Thank you.
❤️❤️❤️❤️🥰
Thank you so much sister 😘
My pleasure 🫀🫀🫀
Thank you for sharing
Thank you
thank you
Thanks to you :)
I think it’s vertical height not the slope which represent TAPSE . What you measured is slope distance over time .
It does not matter which way you measure it as the measurement will always be the distance, not the time... try it.
Vertical height would be less than the slope …📐@@the_echo_lady
very useful! Thank you
Your welcome 💪🏻
Great
🙏🏻🙏🏻🙏🏻🙏🏻
How to find the tricuspid annulus.. Can you point out where to place the cursor exactly
I will do more videos about it then
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 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
So cool! thanks
Thanks to you🖤
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?
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.
If tapse is 1.80cm what is results of heart condition.
Is it any serious. If so what is solution to make 2 CM.
A TAPSE >1.6cm is normal
Thanks
🫀🫀🫀
Tapse abnormal but no ra rv dilatation ..can we telll it as rv dysfunction?
What about the S wave? Fractional area change? you could confirm with other parameters.
Cool!
Thanks!!! ❤️
thanks!
🫶🏻
Good thank you
🫀🤗
EXCELENT¡ 😍😍😍
Thank you.
Exacto
correcto
So nice madam
Thank you 🫶🏻
Thanx
🖤✨
Which annulus do we use is it medial or septa
For tapse is the free RV wall annulus...
Is there a measurement in the m mode package or do u just measure the distance?
Most of the machines have this measurements included in the calcs... If not, just measure the diameter with caliper
@@the_echo_lady ..I found the TAPSE measurement..thanx
@@doorknob9027 that's awesomeeeee! I'm glad :)
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:
ua-cam.com/video/SaIzTIWyRRQ/v-deo.html
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...
If it is less than 17 than what we cal it
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.
GReat!
Thank you !!! 🤗✨
@@the_echo_lady Which one is your preferred Ultrasound machine?
@@francescodifoggia2373 I really like the Philips Epic and the GE E95
My current tapse is 18 mm ,is it normal
Yes
@@the_echo_lady mine is 24 which is said to be high, no idea what that means!!!
@@danladking9788 is normal
@@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!!
i think this is wrong From lowest point to hghest point in same plane
😐
Plz ans me
Did it already
Great
🫀✨✨✨