answer to Q10 : pitfalls in tracing Endocardium

how we trace endocardium and its pitfalls
BY: Seyed A Sadatian MD. RDCS, RDMS. RVT

[@momen1060]

Thank you...your guidelines are unique to understand...God bless you...

[@masteringEcho-US-cardiology]

you are very welcome

[@shashimenon1000]

Good clarification. Thank you.

[@tristanraoult2874]

Very clear. Thank you !

[@boghossarkissian3977]

Thank you very much very useful

[@masteringEcho-US-cardiology]

you are very welcome

[@nsas955]

Great

[@raveeshroy]

4:13 FORESHORTENING OR APICAL HYPERTROPHY 4:59 MEDIAL AND LATERAL HINGE OF MITRAL VALVE,CURVE IS PARALLEL TO THE EPICARDIUM

[@SkyRyu]

Thank you so much

[@masteringEcho-US-cardiology]

you are welcome

[@abdussamedroble3551]

Thank you.

[@masteringEcho-US-cardiology]

you are welcome

[@劉哲言-z4y]

Thank you Professor🎉 May I ask the 0:51 said we don’t include papillary muscle, but we always tracing the papillary muscle when we are prescribe Simpsons method ?

[@masteringEcho-US-cardiology]

at the level of papillary we give the same thickness as adjacent myocardium ( find epicardium and trace the same thickness).

[@saraali-ho8fx]

Thanks Still Simpson difficult to me and don't knows how trace plz any help

[@masteringEcho-US-cardiology]

Check these clips: kzbin.info/www/bejne/nqPWpnevhNt-p68si=RnG-mEUTLzzucCIm kzbin.info/www/bejne/mYKlaGWZbMmIkMUsi=8nvGG0txE3sDSGvq

[@AaGg222]

👍💯

[@andreacutoloderosis8862]

Very good job!

[@kp5988]

The septal wall in standard ap 4ch should be inferoseptal not anteroseptal. I believe it use to be identified as anteroseptal but was later changed, here or there we are talking about EF evaluation not WMA

[@atheeralsaeed13]

Great explanation...you answered many questions for me and you solved many problems in my practice..you mentioned things that no one mentioned before... I went to india and egypt for training on echo...but they do not touch theses points

[@fayearadanasful]

Wow! This is very helpful! Thank you!

[@masteringEcho-US-cardiology]

you are welcome

[@neilgreen007]

This is really a beautiful discussion of a very difficult subject wrought with mystery and a great deal of inter observer variability. Your video serves the purpose of helping to clarify many of the heretofore never discussed issues regarding EF calculations. Thank you very much for your effort. I hope many more physicians and sonographers get a chance to view this superlative video.

[@masteringEcho-US-cardiology]

thank you Neil. I am glad it was useful for you

[@luigibirillo6629]

Thanks for the video. Important subject. At 1:29, right, the yellow circular tracing clearly includes trabeculations everywhere except parts of the septum. Is this circular yellow line really a correct tracing?

[@masteringEcho-US-cardiology]

you are right, it includes a little of trabeculation. for completely accurate way; line should goes a little outer. as general rule, if there is not any asymmetrical problem, thickness of myocardium in all walls almost ( almost) are equal).

[@glob3242]

Sir you are an excellent teacher! I thank you for all the helpful tips! Blessings always...

[@masteringEcho-US-cardiology]

thanks and you are very welcome

[@jpg7186]

One can use the echo machine tools and adjust the FOCUS to the apex which often enhances the resolution to further aid in finding the true apical endocardial segment.

[@masteringEcho-US-cardiology]

yes. that's the basic function of echo tech (optimizing image) including changing depth, sector, focus, dynamic range, frequency....

[@jinzhang4121]

Thank you so much. This lecture solves a big puzzle of me. I have a question about tracing the endocardium when we do the spackle tracking strain analysis. Do we follow the same principles as this way?

[@masteringEcho-US-cardiology]

thank you. yes almost the same rule but tracking functional myocardium not only endocardium

[@ziarehman7598]

Very nice...👍

[@j0neslike]

This was helpful!

[@julioserna5659]

I hope you can help us, the ones who want to pass the registry exam in adult echocardiography Thank you very much I appreciate it

[@masteringEcho-US-cardiology]

hi Julio.thank you for passing RDCS exam study very well SDMS adult Echocardiography registry book. you can order it on SDMS website , beside review all my channel clips in detail . good luck

[@BarrieLouis]

Merci. Idep, duq hay eq?

[@juanfranciscopetitpitalua3370]

Thanks a Lot teacher. Great tips

[@masteringEcho-US-cardiology]

you are welcome

[@hivaghassempouri9442]

من اپیکال رو متوجه نشدم😭

[@masteringEcho-US-cardiology]

سلام. دقیقا چی رو متوچه نشدید؟

[@hivaghassempouri9442]

@@masteringEcho-US-cardiology اینکه اندوکارد رو اپیکال چجوری تخمین بزنیم؟

[@masteringEcho-US-cardiology]

@@hivaghassempouri9442 find tip of the apex (epicardium) if there is not apical hypertrophy give it 4-5 mm thickness in diastole & about 6-7 mm in systole as thickness of apex

[@hivaghassempouri9442]

@@masteringEcho-US-cardiology آقای دکتر فرق آرتیفکت با هایپرترفی اپکس رو چطور تشخیص بدیم؟

[@masteringEcho-US-cardiology]

@@hivaghassempouri9442 If we can not see endo we can use color Doppler or contrast

[@MahmudulHasan-rk6ze]

Very much useful echo topics, thanks a lot sir.

[@momen1060]

Hi, i am an endocrinologist hving M.B.B.S and then Ph.D in Endocrinology, working here in pakistan...Your speciality is the field of my interest and i wanna learn all basic and advance guidelines through your lecture series...please let me guide what to do for this...thanks.

[@masteringEcho-US-cardiology]

Hi Dr Noor, Thanks, sure there are almost 50 clips in my channel and little by little I would add on other topics

[@HoneySoooFly]

Thank you so much this was the most helpful and very clear

[@masteringEcho-US-cardiology]

you are very welcome. check playlist I am sure you will find many useful clips and topics

[@fahimy1]

As usual great teaching skills. Thanks for giving your precious time.

[@masteringEcho-US-cardiology]

You are very well come. and Thanks for support

[@fahimy1]

@@masteringEcho-US-cardiology ❤️ Love u dear sir

[@toufik326]

Thanks

[@atheeralsaeed13]

Thank u

[@meimeikang2156]

Thank you.. Helpful.. Keep safe

[@masteringEcho-US-cardiology]

you are welcome. sure

[@healthstartshere]

Thank you so much Dr.! This was so incredibly helpful! I was so confused on where to judge the border especially on patients with difficult anatomy to see clearly but this really helps! Thank you!!!🙏🏼🙏🏼🙏🏼🙏🏼👏🏼👏🏼👏🏼👏🏼👏🏼🫶🏼

[@masteringEcho-US-cardiology]

you are welcome