Echocardiography Assessment of Cardiac Wall Motion and Diastolic Function

Sonography Fundamentals

Materials Included

Text
Video
Anatomy
Simulation
Quiz

This module teaches you how to how to assess cardiac wall motion and diastolic function.

This module teaches you how to how to assess cardiac wall motion and diastolic function. The interactive simulator provides three different scenarios that test your ability to evaluate various aspects of diastolic function. Online simulations enable students and practitioners to build or refresh knowledge and cognitive skills, and offer a safe practice environment so you can prepare for the real clinical world. Simulations also give you the opportunity to try out procedures that you might not otherwise experience. This module is ideal if you are studying for the American Registry for Diagnostic Medical Sonography (ARDMS) registry exams.

You’ll learn

to better visualize and understand the anatomy and physiology of the heart and major vessels, with our 3D model and illustrations
the use of scanning planes and transducer positions to obtain optimal images
to calculate linear and volume measurements of the cardiac chambers
to evaluate the wall motion of the left ventricle and quantify abnormalities
to identify pathology that may affect the cardiac chambers
to obtain special measurements used in echocardiography
much more (see “Content Details” for more specific information).

Introduction

Step 1 - Preparation

Step 1.1 - Equipment preparation

Step 1.2 - Patient preparation

Step 1.2.1 - Position the patient

Step 1.2.2 - Apply ECG electrodes

Step 1.3 - Operator preparation

Step 2 - Select the transducer and apply the gel

Step 3 - Obtain the parasternal long axis view in 2D

Step 3.1 - Scan the aorta

Step 3.2 - Scan the left ventricle and myocardium

Step 3.3 - Scan the left ventricle in M-mode

Step 3.4 - Scan the aortic root and left atrium in M-mode

Step 4 - Obtain the parasternal short axis view in 2D

Step 4.1 - Evaluate the basal left ventricle

Step 4.2 - Evaluate the mid left ventricle

Step 4.3 - Evaluate the left ventricular mass

Step 4.3.1 - Left ventricular mass measurements

Step 4.4 - Evaluate the apical left ventricle

Step 5 - Obtain the apical four-chamber view in 2D

Step 5.1 - Scan the ventricles and atria

Step 5.2 - Scan the mitral valve, using pulsed wave Doppler

Step 5.3 - Scan the mitral valve, using color M-mode Doppler

Step 5.3.1 - Color M-mode flow propagation velocity measurements

Step 5.4 - Perform tissue Doppler imaging of the lateral mitral annulus, using pulsed wave Doppler

Step 5.5 - Perform tissue Doppler imaging of the septal mitral annulus, using pulsed wave Doppler

Step 5.6 - Scan the pulmonary vein, using pulsed wave Doppler

Step 5.7 - Scan the left ventricle and obtain the volume

Step 5.7.1 - Biplane Simpson’s method for left ventricle volume measurement

Step 5.8 - Scan the left atrium and obtain the volume

Step 5.8.1 - Biplane area-length measurements of the left atrium

Step 5.9 - Scan the right ventricle for dimension

Step 5.9.1 - Right ventricle basal diameter measurement

Step 5.10 - Scan the right atrium and obtain the volume

Step 5.10.1 - Biplane area-length of the right atrium

Step 6 - Obtain the apical two-chamber view

Step 6.1 - Scan the left ventricle to evaluate the myocardium

Step 6.2 - Scan the left ventricle to obtain the volume

Step 6.2.1 - Biplane Simpson’s method for measuring left ventricle volume

Step 7 - Obtain the apical long axis view

Step 7.1 - Scan the left ventricle in apical long axis to evaluate the myocardium

Step 8 - Complete the procedure

Review cardiac anatomy.
Describe the pathologies that may affect the cardiac chambers.
Calculate linear and volume measurements of the cardiac chambers.
Evaluate the wall motion of the left ventricle.
Describe and demonstrate special measurements used in echocardiography.
Define and use related medical terminology.
Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

an online simulation (available in Learn and Test modes)
descriptive text, which explains exactly how to perform that particular procedure including key terms and hyperlinks to references
2D images and a 3D model of applied anatomy for that particular topic
a step by step video demonstration by an expert
a quiz
a personal logbook that keeps track of all the modules the learner has studied and how long