beautiful review. I am a 3rd year cardiology fellow in New Orleans and loved your review.

very high yeild, thank you. A comment at 2:04 - MAPSE is a measure of distance the mitral annulus travels , whereas the S' is looking at annular velocity.

Apologies the footage of buttons being pressed / optimisation of 3D imaging didn't come out as well as hoped. If interest can try again.

Great study!

I'm a beginner in echocardiography. The information you provide is so valuable and worth learning!

Wall motions abnormalities

Nice cases and discussion. Really enjoy the teaching and DDU viva session. Was really great to meet Prof Sam in London for the 1st Advanced echo course with Barts health in 2023 and nice to see him back on these episodes. Congratulations on 10K followers, very well deserved. Case 2 : Seems like there is a wire in RV which makes me think of pacemaker and having conduction delay (LBBB like morphology on ECG and depolarization from Right to left) which could also be causing the septal wobble. Is it important for DDU to mention this? Case 4 : Corpulmonale case. The RVOT doppler profile shows reduced PAT around 60msecs suggesting severe PVR but no notching. The RVSP is 25 + RAP so would be <60. 60:60 sign positive, would think of acute vs chronic at this point and PE but would like to see the RV wall thickness and could very well be that RV dysfunction is so significant that it is now unable to generate pressure >60mmHg in systole. Also the clinical picture of ILD with bilateral infiltrates. Wanted to hear your thoughts on that!

These DISSECTIONS were crazy, incredibly and beautifully demonstrated. SENSATIONAL!!!😁

Thank you Sam & team for excellent education on echocardiography. Can I request if you can do presentation on how to do measurement on TTE?

Helpful topic🙏🙏🙏

Been researching after my 2DE results

How can I enrol for advanced Echo program...

It said there's a sign called sine wave Could you explain?

superb and very informative presentation.

state of the art. Excellent!

magnificient! Thank you indeed.

Keep the good work 👏

Great teaching - thank you

Thank you very mush doctor

at 10:27 i think you mean MR rather than TR 😅

Very good 👍🏻

Ended rather abruptly. Is there a part 2?

absolutely fantabulous lecture The doctor made it very simple thank you!

Very informative

Great video.Thanks for uploading

an excellent lecture. Helped me to organize the jumble of PHTN evaluation/approach to care much better. Your lectures help patients far away in the world - wanted to to echo back my thank you. I am a community intensive at in USA

Excellent presentation but Dr Emma is talking rapidly and her accent is slightly difficult for us as Arabs to follow. Yet excellent discussion many many thanks.

Beautiful presentation thanks

Thank you vers mush

Great videos and lovely cases. Thank you for sharing these. I am currently in the process of taking the British Society of Echocardigraphy exam in TTE, these DDU Viva Practice videos have been a great resource for me. I didn't realise the level of knowledge you have as an intensive care practitioner in regards to cardiac imaging, really great to see! Thanks again!

Thanks for another amazing presentation. Not quite an echo question but what is the best way to manage afterload in a patient with increased LAP?

Nice case Sam and Michael :) Using X plane I find is very helpful for a number of things including a) correlating potential RWMA on the parasternal long to provide side by side view in real time of the short axis view, and also when using off axis imaging at the apex particularly for apical thrombus identification

Nice case Sam and Emma :) This kind of patient (amongst others) who I think would really benefit from a balloon aortic valvuloplasty as a temporising measure for their haemodynamics whilst critically unwell. Unfortunately not always readily accessible !

Thank you👍🏻 Sam used the s70 for this

Great live scanning case! What GE modality are you using? Thx for sharing :)

Thank for interactive cases like this.

Thanks for this!

Hello I lived in 3rd word country can you explain or make video about poor man contrast using Colour flow or TDI to detect thrombus? please because its gonna useful for us because in my country we dont have any contrast for echo

Wow

Very good lecture.

Great video!

That was great explanation and precious information thank you

Fascinating stuff!

Awesome job.

So so so helpful. Thankyou so much for an amazing video!

Thanks a lot

Great video! I met Dr. Sam in the Echo Advance course in Belgium he is a top leader in critical care echo

I would highly encourage all sonographers to assess pulmonary regurg spectral Doppler. It is often the only clue to Pulmonary Hypertension. As we all know, we cannot obtain adequate TR spectral Doppler on most patients.

This is very good Echo video

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