Chapter 5: Quantitative Echocardiography

Quantitative echocardiographic methods in 2D and 3D, including Doppler-based assessments, are discussed. The chapter emphasizes chamber sizing, valvular assessment, and their applications in clinical decision-making. Multimedia content will demonstrate measurement techniques and clinical interpretation.

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Figures

Pitfall in RV basal diameter measurement. (A) TG basal SAX view showing ME RV 4C views at 3 different positions: (B, C) inflow or position#1 (D, E) middle or position #2 and (F, G) and RV outflow tract or position #3. Although there is a similarity in those positions, the RVD will vary depending on its location in the basal RV. The largest RVD at the level of the TVAL (position #2)) should be selected for measurement.<em> Abbreviations</em>: 4C, four-chamber; LA, left atrium; LV, left ventricle; ME, mid-esophageal; RA, right atrium; RV, right ventricular; RVD, right ventricular diameter; SAX, short-axis; TG, transgastric; TVAL, tricuspid valve anterior leaflet; TVPL, tricuspid valve posterior leaflet; TVSL, tricuspid valve septal leaflet. Adapted from Rudski <sup>41</sup> and Lang et al.<sup>6</sup> <i class='fa fa-video-camera' aria-hidden='true'></i>

eFigure 5.4

Pitfall in RV basal diameter measurement. (A) TG basal SAX view showing ME RV 4C views at 3 different positions: (B, C) inflow or position#1 (D, E) middle or position #2 and (F, G) and RV outflow tract or position #3. Although there is a similarity in those positions, the RVD will vary depending on its location in the basal RV. The largest RVD at the level of the TVAL (position #2)) should be selected for measurement. Abbreviations: 4C, four-chamber; LA, left atrium; LV, left ventricle; ME, mid-esophageal; RA, right atrium; RV, right ventricular; RVD, right ventricular diameter; SAX, short-axis; TG, transgastric; TVAL, tricuspid valve anterior leaflet; TVPL, tricuspid valve posterior leaflet; TVSL, tricuspid valve septal leaflet. Adapted from Rudski 41 and Lang et al.6

RV systolic strain. ME 4C analyzed with speckle tracking echocardiography shows the RVFWLS averaging the three segments of the free wall using (A, B) Philips and (C, D) GE software.<em> Abbreviations</em>: 4C, four-chambers; ME, mid-esophageal; RV, right ventricular; RVFWLS, right ventricular free wall longitudinal strain. <i class='fa fa-video-camera' aria-hidden='true'></i>

eFigure 5.18

RV systolic strain. ME 4C analyzed with speckle tracking echocardiography shows the RVFWLS averaging the three segments of the free wall using (A, B) Philips and (C, D) GE software. Abbreviations: 4C, four-chambers; ME, mid-esophageal; RV, right ventricular; RVFWLS, right ventricular free wall longitudinal strain.

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Videos

Chapter 05 Fig01A

Chapter 05 Fig03A

Chapter 05 Fig04CEG

Chapter 05 Fig05AB

Chapter 05 Fig06E

Chapter 05 Fig07AC

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Tables

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