Transthoracic Echo full protocol. Part II: Parasternal View (PLAX , PSAX, RVIT, RVOT, M-Mode)

[@glob3242]

This gentleman is soooo good at what he does...in fact excellent!!! I cannot say it enough! Brilliant mind!!!

[@masteringEcho-US-cardiology]

thanks

[@sadeepjoshi2701]

Highly informative and helpful for beginners

[@HenryCZheng]

first year cardiology fellow here starting off on TTE rotation. this channel is by far the most useful resource i've come across. thank you sir and i hope you continue to post videos! much appreciated!

[@masteringEcho-US-cardiology]

thank you Dr Zheng. Sure! I'll.

[@mohamedmostafa8187]

Thanks!

[@masteringEcho-US-cardiology]

Thank you Mohamed

[@eugeneazzopardi2974]

Very detailed. Excellent quality video

[@shivaghorbanian8799]

Thank you very much DR Sadatian، your presentations are very useful. اقای دکتر سعادتیان خیلی متشکرم خیلی از لکچر شما یاد گرفتم

[@masteringEcho-US-cardiology]

you are very welcome خانم قربانیان

[@marija900]

Thank you so much for such an excellent presentation! It's really very useful and detailed. All the best for you!

[@masteringEcho-US-cardiology]

thank you

[@positionvector]

I loved watching it and Dr. Seyed has explained it very well at every stage of PLAX and PSAX. I have shared it with my wife who is also a RDCS license holder. Thanks a lot.

[@masteringEcho-US-cardiology]

You are very welcome

[@josephkazibwe9714]

may God bless you abundantly, this video and clarified many concepts for me 🙏🏾

[@masteringEcho-US-cardiology]

you are very welcome and thanks

[@shadipie5478]

Thank you for the great presentation and nice slides I found them very useful

[@masteringEcho-US-cardiology]

You are welcome and thanks

[@masteringEcho-US-cardiology]

You are very welcome. Don't forget watch other related parts too ( Part III, IV, V and...)

[@dejanjovic1055]

Bravo. So clear and simple. Thank you

[@masteringEcho-US-cardiology]

you are welcome

[@mohammadesmaeili3104]

Clear and complete... wonderful

[@masteringEcho-US-cardiology]

thank you

[@wenyicvs]

Can not thank you enough , most helpful and insightful.

[@masteringEcho-US-cardiology]

you are very welcome

[@mariamharutyunyan5904]

Thank you! This video was very informative and helped me to improve my skills.

[@masteringEcho-US-cardiology]

you are very welcome. check others too I am sure there are helpful too

[@masteringEcho-US-cardiology]

For beginners it is not bad idea start following clips in order: 1) General Concept of Ultrasound & Echo kzbin.info/www/bejne/gGHGY315eKmNiq8 2)probe maneuver kzbin.info/www/bejne/gYLMioiFe91nnbc 3)Transthoracic Echo full protocol. Part II: Parasternal View (PLAX , PSAX, RVIT, RVOT, M-Mode) kzbin.info/www/bejne/b6STlp5vq9CUqas 4) Echocardiographic Anatomy; Part 1: PLAX (Parasternal Long Axis) kzbin.info/www/bejne/Y6KnaIWDnpKmnrc 5) students- Fixing views on PLAX kzbin.info/www/bejne/f4qQm6Vmo9hrp5o 6) Tips & Mistakes : PLAX (long parasternal axis) kzbin.info/www/bejne/n2LOdKSenayVjLc 7) Echocardiographic Anatomy Part 3: Apical Four Chambers (A4C) kzbin.info/www/bejne/fJO9aIeYjNyYhqM 8) Students-Echo Anatomy Part 3_ A4C kzbin.info/www/bejne/oJOziqd7e8-obbc 9) Students- Echo Anatomy Part 4_ A2C kzbin.info/www/bejne/mJDXqmaPmMebgbc 10) students-Echo Anatomy Part 5_ A3C & A5C kzbin.info/www/bejne/fpali5-qhaihoc0 11) Echocardiographic Anatomy Part 4: Apical Two Chamber (A2C) kzbin.info/www/bejne/opzWZ5WFltxkeNk 12) Echocardiographic Anatomy Part 5: Apical Three & Five Chamber A3C & A5C) kzbin.info/www/bejne/fHbRnoCwmqiSn6c 13) Echocardiographic Anatomy Part 6: Right Ventricle Focused View (RV focused) kzbin.info/www/bejne/iX2YmoCVqMmFhqM 14) Transthoracic Echo full protocol Part III: apical window kzbin.info/www/bejne/imPdh6GDgsuKja8 15) Transthoracic Echo-full protocol Part IV: subcostal and suprasternal notch windows kzbin.info/www/bejne/rGO5aJqhqsl7rM0 16) Views & Measurements of Ascending Ao, Aortic Arch & thoracic Desc. Ao kzbin.info/www/bejne/Y4XZeWmdlMyCg9k 17) answer to Q10 : pitfalls in tracing Endocardium kzbin.info/www/bejne/Z2SZYpVqiM2Yqtk 18) MAPSE and TAPSE kzbin.info/www/bejne/horZoaCsqqqeg8k 19) Ejection fraction measurement kzbin.info/www/bejne/nqPWpnevhNt-p68 20) LA volume measurement kzbin.info/www/bejne/rIK4mqGrfLOcaLs 21) Visual Guessing Ejection Fraction- Technique & practice kzbin.info/www/bejne/rJ-tmKaXltulZtE 22) Tissue Doppler LV kzbin.info/www/bejne/m4rIfHSZl52natU 23) Tips & Mistakes: CW Doppler by Pedoff Probe kzbin.info/www/bejne/jWTFo5Z8jpJ5l9E 24) diastolic dysfunction part I - concept & measurement kzbin.info/www/bejne/nYXFYpttaruUiLc 25) diastolic dysfunction part II-grading ASE 2016 kzbin.info/www/bejne/iH20d3lui72hgbM 26) Wall Motion Abnormality in Echo kzbin.info/www/bejne/bmHEgKawhN5nkLs 27) Wall Motion Abnormality Part II: cases & practice kzbin.info/www/bejne/aHTXkoaQbLSEl8U 28) Strain Echocardiography by speckle tracking and tissue Doppler -Part I:technique kzbin.info/www/bejne/rZjOk4SBf9Rma6s 29) Strain Echocardiography part II: General concept kzbin.info/www/bejne/ZqStmJWcg6mpadE 30) students- strain echo speckle tracking kzbin.info/www/bejne/nZmsfaGKoJ2cotE 31) MCQ IV: Invasive echocardiography (TEE, ICE,...) kzbin.info/www/bejne/rGTLq3tmnJZggs0 32) Master Clips 33) all Hands-on clips 34) all Tips & Mistakes Clips 35) pathologic & diseases 36) MCQ & Case studies

[@전수연-n4b]

14:38 LVIDd = Left ventricular internal dimension diastole 35:25 The cine loop

[@merhabahmedmolla9580]

well elaborate,clear and brief lecture ,so much helpful, tnx !!

[@masteringEcho-US-cardiology]

I'm glad it was useful

[@danteruskin8954]

Wow awesome

[@masteringEcho-US-cardiology]

Thanks 🤗

[@halukozdemir7568]

wonderful lecture!

[@masteringEcho-US-cardiology]

thanks

[@jahongirjurayev3725]

Thank you very much for such amazing lecture! 👌🏼 I have learned a lot from this Video

[@masteringEcho-US-cardiology]

you are very welcome

[@be3zbe3z43]

Truly Amazing!

[@masteringEcho-US-cardiology]

Thank you

[@aishatukur9668]

U r really wonderful ! Many thanks for the lectures

[@masteringEcho-US-cardiology]

you are very welcome

[@zahedullah5038]

One of the best lectures.thanks sir

[@masteringEcho-US-cardiology]

you are very welcome

[@hanansalama9300]

Oh my god, you are the best

[@masteringEcho-US-cardiology]

thanks

[@masteringEcho-US-cardiology]

thank you

[@Lheure_vérité]

Thank you so much DR very helpful 👌.

[@masteringEcho-US-cardiology]

You are very welcome

[@smhmd2211]

detailed systimatic and clear 🌹good job doctor and keep on

[@masteringEcho-US-cardiology]

sure

[@mohammadqureshi2986]

Your videos are amazing..however I’d suggest if you can also make videos on how you manoeuvre the probe to get each view, that’d be great. Thanks

[@masteringEcho-US-cardiology]

Thanks. I have 5 other clips about that point you mention ( under name of Echocardiographic anatomy that belong to members group)

[@masteringEcho-US-cardiology]

For beginners it is not bad idea start following clips in order: 1) General Concept of Ultrasound & Echo kzbin.info/www/bejne/gGHGY315eKmNiq8 2)probe maneuver kzbin.info/www/bejne/gYLMioiFe91nnbc 3)Transthoracic Echo full protocol. Part II: Parasternal View (PLAX , PSAX, RVIT, RVOT, M-Mode) kzbin.info/www/bejne/b6STlp5vq9CUqas 4) Echocardiographic Anatomy; Part 1: PLAX (Parasternal Long Axis) kzbin.info/www/bejne/Y6KnaIWDnpKmnrc 5) students- Fixing views on PLAX kzbin.info/www/bejne/f4qQm6Vmo9hrp5o 6) Tips & Mistakes : PLAX (long parasternal axis) kzbin.info/www/bejne/n2LOdKSenayVjLc 7) Echocardiographic Anatomy Part 3: Apical Four Chambers (A4C) kzbin.info/www/bejne/fJO9aIeYjNyYhqM 8) Students-Echo Anatomy Part 3_ A4C kzbin.info/www/bejne/oJOziqd7e8-obbc 9) Students- Echo Anatomy Part 4_ A2C kzbin.info/www/bejne/mJDXqmaPmMebgbc 10) students-Echo Anatomy Part 5_ A3C & A5C kzbin.info/www/bejne/fpali5-qhaihoc0 11) Echocardiographic Anatomy Part 4: Apical Two Chamber (A2C) kzbin.info/www/bejne/opzWZ5WFltxkeNk 12) Echocardiographic Anatomy Part 5: Apical Three & Five Chamber A3C & A5C) kzbin.info/www/bejne/fHbRnoCwmqiSn6c 13) Echocardiographic Anatomy Part 6: Right Ventricle Focused View (RV focused) kzbin.info/www/bejne/iX2YmoCVqMmFhqM 14) Transthoracic Echo full protocol Part III: apical window kzbin.info/www/bejne/imPdh6GDgsuKja8 15) Transthoracic Echo-full protocol Part IV: subcostal and suprasternal notch windows kzbin.info/www/bejne/rGO5aJqhqsl7rM0 16) Views & Measurements of Ascending Ao, Aortic Arch & thoracic Desc. Ao kzbin.info/www/bejne/Y4XZeWmdlMyCg9k 17) answer to Q10 : pitfalls in tracing Endocardium kzbin.info/www/bejne/Z2SZYpVqiM2Yqtk 18) MAPSE and TAPSE kzbin.info/www/bejne/horZoaCsqqqeg8k 19) Ejection fraction measurement kzbin.info/www/bejne/nqPWpnevhNt-p68 20) LA volume measurement kzbin.info/www/bejne/rIK4mqGrfLOcaLs 21) Visual Guessing Ejection Fraction- Technique & practice kzbin.info/www/bejne/rJ-tmKaXltulZtE 22) Tissue Doppler LV kzbin.info/www/bejne/m4rIfHSZl52natU 23) Tips & Mistakes: CW Doppler by Pedoff Probe kzbin.info/www/bejne/jWTFo5Z8jpJ5l9E 24) diastolic dysfunction part I - concept & measurement kzbin.info/www/bejne/nYXFYpttaruUiLc 25) diastolic dysfunction part II-grading ASE 2016 kzbin.info/www/bejne/iH20d3lui72hgbM 26) Wall Motion Abnormality in Echo kzbin.info/www/bejne/bmHEgKawhN5nkLs 27) Wall Motion Abnormality Part II: cases & practice kzbin.info/www/bejne/aHTXkoaQbLSEl8U 28) Strain Echocardiography by speckle tracking and tissue Doppler -Part I:technique kzbin.info/www/bejne/rZjOk4SBf9Rma6s 29) Strain Echocardiography part II: General concept kzbin.info/www/bejne/ZqStmJWcg6mpadE 30) students- strain echo speckle tracking kzbin.info/www/bejne/nZmsfaGKoJ2cotE 31) MCQ IV: Invasive echocardiography (TEE, ICE,...) kzbin.info/www/bejne/rGTLq3tmnJZggs0 32) Master Clips 33) all Hands-on clips 34) all Tips & Mistakes Clips 35) pathologic & diseases 36) MCQ & Case studies

[@nsas955]

Great presentation .Thank you

[@masteringEcho-US-cardiology]

you are welcome

[@tamilselvi1005]

Very useful...thank you sir

[@masteringEcho-US-cardiology]

you are welcome

[@Rehanabmw]

Great explanation sir.

[@masteringEcho-US-cardiology]

you are welcome and thank you

[@codrut913]

Best😍

[@Cardiologyforever]

This is amazing. I am just trying to find the rest of the protcols, it seems it is not there?

[@masteringEcho-US-cardiology]

Hi Ahmad , you have access to all of them. just go to the playlist and go to members clips: kzbin.info/www/bejne/imPdh6GDgsuKja8 kzbin.info/www/bejne/rGO5aJqhqsl7rM0 and all others, just check all clips

[@Cardiologyforever]

That's Awesome! Thanks a lot

[@skyblue3137]

How can I become a member of this channel to watch the exclusive videos?

[@masteringEcho-US-cardiology]

Hey Humbert, in the channel just click on join button & follow it (it givers you two options : fan & master. if you want to have access to everything select master) welcome to the group

[@skyblue3137]

@@masteringEcho-US-cardiology hello i did it but it doesn't show me the master option

[@masteringEcho-US-cardiology]

select after clicking on JOIN button select MASTER

[@masteringEcho-US-cardiology]

@@skyblue3137 cancel your membership then again join, it that case it give you two options, this time choose master

[@manukondanaresh3107]

Tq sir I help full in video tqqq sir

[@amrmohamedabozahhad5239]

It's great, thanks. Please keep on😀

[@masteringEcho-US-cardiology]

thanks. I will

[@masteringEcho-US-cardiology]

For beginners it is not bad idea start following clips in order: 1) General Concept of Ultrasound & Echo kzbin.info/www/bejne/gGHGY315eKmNiq8 2)probe maneuver kzbin.info/www/bejne/gYLMioiFe91nnbc 3)Transthoracic Echo full protocol. Part II: Parasternal View (PLAX , PSAX, RVIT, RVOT, M-Mode) kzbin.info/www/bejne/b6STlp5vq9CUqas 4) Echocardiographic Anatomy; Part 1: PLAX (Parasternal Long Axis) kzbin.info/www/bejne/Y6KnaIWDnpKmnrc 5) students- Fixing views on PLAX kzbin.info/www/bejne/f4qQm6Vmo9hrp5o 6) Tips & Mistakes : PLAX (long parasternal axis) kzbin.info/www/bejne/n2LOdKSenayVjLc 7) Echocardiographic Anatomy Part 3: Apical Four Chambers (A4C) kzbin.info/www/bejne/fJO9aIeYjNyYhqM 8) Students-Echo Anatomy Part 3_ A4C kzbin.info/www/bejne/oJOziqd7e8-obbc 9) Students- Echo Anatomy Part 4_ A2C kzbin.info/www/bejne/mJDXqmaPmMebgbc 10) students-Echo Anatomy Part 5_ A3C & A5C kzbin.info/www/bejne/fpali5-qhaihoc0 11) Echocardiographic Anatomy Part 4: Apical Two Chamber (A2C) kzbin.info/www/bejne/opzWZ5WFltxkeNk 12) Echocardiographic Anatomy Part 5: Apical Three & Five Chamber A3C & A5C) kzbin.info/www/bejne/fHbRnoCwmqiSn6c 13) Echocardiographic Anatomy Part 6: Right Ventricle Focused View (RV focused) kzbin.info/www/bejne/iX2YmoCVqMmFhqM 14) Transthoracic Echo full protocol Part III: apical window kzbin.info/www/bejne/imPdh6GDgsuKja8 15) Transthoracic Echo-full protocol Part IV: subcostal and suprasternal notch windows kzbin.info/www/bejne/rGO5aJqhqsl7rM0 16) Views & Measurements of Ascending Ao, Aortic Arch & thoracic Desc. Ao kzbin.info/www/bejne/Y4XZeWmdlMyCg9k 17) answer to Q10 : pitfalls in tracing Endocardium kzbin.info/www/bejne/Z2SZYpVqiM2Yqtk 18) MAPSE and TAPSE kzbin.info/www/bejne/horZoaCsqqqeg8k 19) Ejection fraction measurement kzbin.info/www/bejne/nqPWpnevhNt-p68 20) LA volume measurement kzbin.info/www/bejne/rIK4mqGrfLOcaLs 21) Visual Guessing Ejection Fraction- Technique & practice kzbin.info/www/bejne/rJ-tmKaXltulZtE 22) Tissue Doppler LV kzbin.info/www/bejne/m4rIfHSZl52natU 23) Tips & Mistakes: CW Doppler by Pedoff Probe kzbin.info/www/bejne/jWTFo5Z8jpJ5l9E 24) diastolic dysfunction part I - concept & measurement kzbin.info/www/bejne/nYXFYpttaruUiLc 25) diastolic dysfunction part II-grading ASE 2016 kzbin.info/www/bejne/iH20d3lui72hgbM 26) Wall Motion Abnormality in Echo kzbin.info/www/bejne/bmHEgKawhN5nkLs 27) Wall Motion Abnormality Part II: cases & practice kzbin.info/www/bejne/aHTXkoaQbLSEl8U 28) Strain Echocardiography by speckle tracking and tissue Doppler -Part I:technique kzbin.info/www/bejne/rZjOk4SBf9Rma6s 29) Strain Echocardiography part II: General concept kzbin.info/www/bejne/ZqStmJWcg6mpadE 30) students- strain echo speckle tracking kzbin.info/www/bejne/nZmsfaGKoJ2cotE 31) MCQ IV: Invasive echocardiography (TEE, ICE,...) kzbin.info/www/bejne/rGTLq3tmnJZggs0 32) Master Clips 33) all Hands-on clips 34) all Tips & Mistakes Clips 35) pathologic & diseases 36) MCQ & Case studies

[@dr.hasibulislam5342]

Awesome 👌 and thanks for easy learning. But it will be more helpful if u give access to see members only vedio ...

[@dr.hasibulislam5342]

Or how i can see this...

[@masteringEcho-US-cardiology]

Hi Dr. thanks. yo can join to the member group very easy ; kzbin.info/www/bejne/fmGth3eprbahpKs

[@swedishshortsnout5610]

Very detailed lecture. I'm finding this very useful, thank you! One question... at 26:17, you say that the hyperechoic line is the Ebstein valve (??). Perhaps I am mistaken, but I was under the impression that it was the Eustachian valve? Am I wrong?

[@masteringEcho-US-cardiology]

hi . thank you for comment. yes you are right. it's Eustachian valve

[@kanddaka]

Thank you so much, it was very helpful

[@masteringEcho-US-cardiology]

you are welcome

[@samahm875]

i could not understand what you said at 12:54 ..how to correct the image to have equal distance from probe

[@masteringEcho-US-cardiology]

with heel-toe (rocking) maneuver

[@samahm875]

@@masteringEcho-US-cardiology Thank you so much.

[@maa9542]

This is gold!! thank you so much! is there continuation for the rest of the protocol?

[@masteringEcho-US-cardiology]

You are very welcome Yes but only for members. You can join us by click on join. Button and select your preference

[@aravindmaddini1095]

Thanks so much

[@masteringEcho-US-cardiology]

you are welcome

[@idrisabdulrahman2042]

Sir the part three of this video is no longer available!

[@masteringEcho-US-cardiology]

they are in member group

[@idrisabdulrahman2042]

@@masteringEcho-US-cardiology how can I gain access sir

[@masteringEcho-US-cardiology]

On channel click on join button

[@henridemaj]

Thank you for a video very well compiled. Just have to ask. Is that flapping thing a dissection of the descending aorta at the beginning of the video and far field PLAX ?

[@masteringEcho-US-cardiology]

you are welcome no that's artifact . in another clip (Aortic Dissection ) I'll explain in details

[@henridemaj]

@@masteringEcho-US-cardiology thank you for your answer and for the patience good sir. God bless you

[@jabbarsirhan9005]

Thanks very good

[@drsyndroman805]

Thanks highly good

[@masteringEcho-US-cardiology]

thank you

[@codrut913]

💕💜😍

[@healer378]

Bravo.

[@masteringEcho-US-cardiology]

thanks

[@EvgeniGaidukov]

thank you, sir

[@masteringEcho-US-cardiology]

you are welcome

[@aleksandardis3756]

Is there full protocol for 4 chamber view?

[@masteringEcho-US-cardiology]

yes there are three more in member group

[@saurabhmishra6514]

Thank you sir. I always struggle with making PSAX view at aortic valve level.

[@seyedasgharsadatian741]

You are welcome. I hope you don't have problem anymore .

[@sabrinad513]

When measuring the EJ using Teicholz method. Should the aortic valve be closed doing both Diastole and Systole? Or should the aortic valve be closed doing diastole and open doing systole? Or it doesn’t matter?

[@masteringEcho-US-cardiology]

largest diameter at diastole and smallest at systole (that usually correspond with valve closed). nowadays, sympson technique is the best because a little off axis PLAX or not measuring exactly the same spots can affects a lot on results

[@sharemarketmarket9914]

Dear sir , when are u planning to release next video? We are eagrly waiting

[@masteringEcho-US-cardiology]

very soon. I hope you checked other videos in my channel

[@JassimIbrahim-c4m]

Hello, How I can contact Dr Seyed please?

[@masteringEcho-US-cardiology]

His email is in the channel

[@hivaghassempouri9442]

آقای دکتر Angel to apex معنیش اینه که فوت پرینت رو به سمت اپکس نشونه میگیریم؟

[@masteringEcho-US-cardiology]

هیوا خانم حتما این گلیپ رو اول نگاه کنید kzbin.info/www/bejne/gYLMioiFe91nnbcsi=JqXax2-CUdcHFGVx

[@masteringEcho-US-cardiology]

angling or pointing or fanning toward apex of the heart

[@hivaghassempouri9442]

سلام آقای دکتر وقتتون بخیر....برای دیدن شاخه های پولوناری آرتری نوشته درPSAX تویست کلاک وایز تو 3 O CLOCK و Angle alittle up , معنی angle a little up چیه در عمل؟

[@masteringEcho-US-cardiology]

سلام هیوا خانم. وفتی میخوایم ویوی شریان ریوی و دو تا شاخه هاشو بگیریم از منطره دریچه آنورت اول پروب رو به طرف چپ مریض کچ میکنیم و بعد به طرف عقربه ساعت می چرخونیم (معمولا مارکر پروپ به جای ساعدت 2 به ساعت 3 ) . بعد اگه هنوز دو تا شاخه ها رو ندیدیم و پروب رو یکم پایین می اریم و در همون هین نوک پروب رو به طرف سقف انحراف میدیم . تو کلیپ پروب مانور با چزییات هستش: kzbin.info/www/bejne/gYLMioiFe91nnbcsi=JqXax2-CUdcHFGVx

[@masteringEcho-US-cardiology]

خانم دکتر خسیس بازی در نیارید 🙂 عضو کاتال بشید و همه کلیپها رو نگاه کنید

[@hivaghassempouri9442]

@@masteringEcho-US-cardiology عضو شدم آقای دکتر...ولی کلیپ مانور پروب خیلی کم بود...وقتی تصویر افقیه مثه توی Plax نمیتونم چپ و راست و بالا و پایین تصویر و چجوری حرکت کردن در محور های مختلف تصویر رو متوجه بشم

[@masteringEcho-US-cardiology]

@@hivaghassempouri9442 خوش اومدید. بهم زنگ بنید توضیح بدم به من ای میل بزنید شماره مو میدم بعد بهتون بهتر توضیح میدم sasadatian@gmail

[@masteringEcho-US-cardiology]

here you are: kzbin.info/www/bejne/n32qqnyAoNN5mqMsi=Wd8S-0I64CvtABRs

[@anushkamadhushan7404]

how log is the validity of echocardiography

[@masteringEcho-US-cardiology]

what do you mean?

[@hamidrezaalborz248]

We have no credit card Dr

[@masteringEcho-US-cardiology]

Send your Gmail with real full name , I'll invite you to have some clips in private section

[@trendingvideos6915]

For me left ventricle is always oblique

[@skrillexluvr]

46:20

[@rajendrasingh-ln2gh]

Nor satisfactory according to new comments uthe position is not very clear , another thing Pt should be od the person performing it , so please make it more simple and in short , as we all KNOW the basics , so don't make the VDO unnecessary time consuming Many thanks GOD bless you

[@drsyndroman805]

Thanks highly good

[@masteringEcho-US-cardiology]

you are welcome