Step By Step: EF Measuring by Simpson

Complementary:
1) we have to measure EF in A2C too. The same technique &rules
2) Most important landmark for correct Apical view is that apex (endocardium part) doesn't move down more than few mm in systole
3) In cases of LV enlargement or WMA most of the time we need adjust our tracing
4) for tracing endocardium without using Simpson disk pattern you can check this clip:
• Ejection fraction meas...
5) if you don't have clear endocardium, use contrast then measure. It is an indication for contrast study.
BY: Seyed A Sadatian MD. RDCS, RDMS. RVT
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[@elainefranco725]

Thank you for helping me get through my Echocardiogram Technician school. My classmates and I appreciate you.
Peace

[@masteringEcho-US-cardiology]

You are very welcome.
You did great choice

[@elainefranco725]

@@masteringEcho-US-cardiology thank you sir. I am 50 years, starting my life over.

[@KPSinghCardiosonologist]

Good, Delhi,Dwarka

[@painsrides3616]

Vital information. Thank you

[@masteringEcho-US-cardiology]

thanks

[@dr.niamatullahwaziri5340]

Thank you sir for ur best demonstration.. sir what if we put the cursor on one edge of MV and go through all the LV and finish it on the other edge of MV . Both for 4 chamber and 2 chamber and then conclude with final percentage ??

[@masteringEcho-US-cardiology]

Thanks Dr waziri. if we don't use Simpson from cal, we should do that way you said but it takes more time (I explained it in another clip here: th-cam.com/video/hrsuDyOvKqM/w-d-xo.html&t) . and yes EF will be evaluated by both A4C & A2C

[@samahm875]

Please advice on how to get a perfect A3C

[@masteringEcho-US-cardiology]

check these:
th-cam.com/video/FEnmMzeC_iE/w-d-xo.html
th-cam.com/video/FbZ7TbWwePA/w-d-xo.html
th-cam.com/video/lks6bOaw1Bw/w-d-xo.html

[@sonographystudent9547]

Thank you for your time making this videos

[@masteringEcho-US-cardiology]

you are welcome

[@babulalburi4283]

Good

[@drgadham]

[@abdulraufdaqdouq6211]

Thanks 🙏🙏

[@masteringEcho-US-cardiology]

you are welcome

[@saraali-ho8fx]

How measure EF by m. Mode?
Would be greatful if do a vedio

[@masteringEcho-US-cardiology]

hey sara !as you know this one done by teicholz tech that by measuring LVID in diastole & systole machine calculate EF . and for many reason is reliable. maybe I'll prepare a short clip for it

[@saraali-ho8fx]

@@masteringEcho-US-cardiology thanks so much

[@masteringEcho-US-cardiology]

Here you are :
th-cam.com/video/cYQMrPrN36k/w-d-xo.htmlsi=CvkB6VOi_ASARzv2

[@yvessaint5936]

Well it is easy to make Simpson when you have clear echo view like that

[@masteringEcho-US-cardiology]

yes. check this clip for those tips and tricks in cases that don't have clear images: th-cam.com/video/hrsuDyOvKqM/w-d-xo.html&t
and if you don't have enough border don't do simpson, go with contrast , very easy. That is one reason we use contrast study 🙂

[@นฤมลศรีผ่อง-ม4ว]

สวัสดีค่ะ

[@1945erde]

Excuse me, BUT this heart has an EXCELENT contractility and the EF cannot be less than 60% (i, personally, would estamate the EF in this patient at ≈ 65%). How can the EF be 51% and the heart with an excellent contractility have a mild systolic disfunction ????????

[@masteringEcho-US-cardiology]

look at base and mid of the LV how much it squeeizes. check this clip:
th-cam.com/video/vnJgsaavr0o/w-d-xo.html

[@นฤมลศรีผ่อง-ม4ว]

สวัสดีค่ะ

[@masteringEcho-US-cardiology]

Hi