Echocardiogram Basic Step 7

Review the Sample Video Clip (1 hour)

Review TTE1 to TTE6

TTE1: Short axis view of left ventricle with small pericardial effusion and hypovolemia. This patient should be given fluids. The small pericardial effusion should be monitored with serial TTE and perhaps formal TTE.

TTE2: This image depicts a Parasternal Long Axis View with poor contractility. This patient should be evaluated with formal TTE and volume should be limited as the patient has very poor ejection fraction. Inotropes may be helpful and should be considered based on the patients clinical status.

TTE3:This video depicts a cardiac echocardiogram with good windows and normal cardiac function in parasternal long axis. The aortic valve is well visualized and is seen clearly as a trileaflet valve. The mitral valve can be seen between the left ventricle and the left atrium. The mitral valve shows good function with no regurgitation or stenosis.

TTE4:Left Ventricular Short Axis View which reveals a hyperdynamic left ventricle with good contractility. This would be indicative of hypovolemia and fluids may be helpful to his patient. There is also a very small pericardial effusion in this image, which would likely be clinically insignificant.

TTE5: This ultrasound is a parasternal long axis view that reveals an abnormal aortic valve. This would warrant the provider to order a formal echocardiogram for further evaluation and a cardiology consult should be considered for evaluation of aortic valve.

TTE6: LV short axis view witch reveals a hyperdynamic left ventricle, indicative of hypovolemia. This patient may benefit from fluid administration and fluid should be given prior to vasopressor initiation.