Dear Dr. Sadatian, I can confidently say you make the best educational videos about echocardiography on TH-cam. The videos are simply comprehensive and right to the point. I do really appreciate it.
Hi great man... Do you know?..your approach is better than other prepaid online courses.... Your explanation is very scintefic and concentrated usefully.... Please do not avoid us from your knowledgements... Keep us with your easy benefitfull lectures.. You are nice teacher who has unique way in teaching
first make sure what is diagnosis ( it is a finding not diagnosis) for example if it is because of hypertrophy cardiomyopathy with correct treatment you will have almost the same survival as other normal people .
Sir you are the legend in echo teaching,the way you put your efforts in transforming difficult topics into simplest pattern is excellent and very appreciable.You always go to beginner level and start every thing from scratch that is very helpful for the beginners who going to start their echocardiography journey.God Bless you.
Sir i am a big fan of your lectures.. I recently joined and subscribed your channel.. One issue is that i cant be able to play all videos?? There is an error saying to join the channel.. Kindly guide me how i should join your channel??
Hi Fatima, Thanks. yes, some videos belong to members. just click on JOIN button then it gives you two option then follow through. welcome to the group
@@masteringEcho-US-cardiology sir where should i find this join button as i have gone through whole of your channel but couldnt find it.. Kindly guide me as your channel is helping alot to learn echo and i want to watch all of your vidoes and learn them by heart.. Kindly guide me.. Thanks in advance
@@fatimanaseer8217 in channel or under clip there is join button if there isn't click on following link th-cam.com/channels/bG7LU-o9zrIXH5wWYKEMYQ.htmljoin if it didn't work try with another web browser let me know if it worked tnx
@@masteringEcho-US-cardiology sir link doesnt opens and if i type the whole link in google it says channel doesnt exist.. Neither using anyother browser gives option to join this channel.. In short it didnt work
@@fatimanaseer8217 sorry to here that , we have this problem with some country and regions, if you give me favor and contact youtube support I am sure they can help you. thanks
It is a fantastic lecture thank you very much. But i wonder if you can elucidate the significance of DT duration and IVCT and IVRT ? What is their clinical significance?
What advice would you have for a sonography student writing their ARDMS and Sonography Canada exams in the next few weeks? Main topics to focus on, etc... Thank you for amazing videos by the way!
Hi Marleiggh, I am not familiar with Canada system but I am sure it will be the same around the world. Reviewing echo registry from SDMS will be the best. On their website (and in ARDMS website too ) there are some mocks test too (you should pay a small ) . Taking those exams give you very good idea what should you focus more (baord exam will be very close to that) but if you review all clips in this channel I am 100% sure you will pass . It will be great to let me know when you passed the exam. you don't need luck, but good luck
Hi Dr. Sadatian, I passed my ARDMS adult echo exam today thanks to your videos. I also wrote the Sonography Canada Cardiac exam today for echocardiography but I won’t get the result of that for a few weeks. I just wanted to say thank you for uploaded such detail videos with excellent examples and descriptions. I truly believe your lectures were the reason I passed. Thank you so much 🙏🏻 Marleigh
A duration depends on age, gender, heart rate .. and it doesn't have normal range. the most important issue with A dur is Ar- A : if it goes over 30 ms it strongly suggests high LVEDP
We do but based on new guideline we don't use it regularly unless in those pts with arrhythmia, sepsis,, on ventilator,... . In these cases beside of other parameters ( IVRT, S', DT, S, D waves ..) we measure A dur & Ar dur too. (check the part 3 lecture in diastolic dysfunction
@@masteringEcho-US-cardiology it's me again, tried to understand the issue even if I'm not a sonographer. It seem unreasonable that the LVOT flow can cause a negative wave(toward the atrium). I know that PW can't pickup fast velocities but being the point of measurement a little higher than the MV plane, maybe it can pick up a slight movement of blood toward the mitral valve caused by regurgitation. Is this possible? For instance this patient had at least mild regurgitation?
Sir me bahut pareshan hu pls mere help kar dijije😭 sir sach me bahut jyada pareshan hu sir maine apne echo test karaya tha usme mera ejection fraction toh 58 percent aaya h pr lvdd present likhkar aaya h dir mujhe ye samaj n aa rha mujhe kis grade ka lvdd h kaise pata kru
Is E' something that can change with various external parameters to the heart or is it something that is intrinsic to the heart itself, like a progressive marker of deterioration? I had diastolic dysfunction diagnosed in 2018 with septal E' of 13 and lateral E' of 18 and an E/A ratio of 0.8 with EF of 65%. In 2020 December I had another echocardiogram with EF of 70%, septal E' of 10.1 and lateral E' not listed. E/A ratio was 0.9. I've had significant exercise intolerance and exertional dyspnea that lasts for quite a while afterward since 2015 that began months following an infection + antibiotics. I have reason to believe ciprofloxacin caused the cardiac dysfunction because a year before that I had cardiac evaluation as an athlete with completely normal function at maximal intensity and a VO2 max of 52. The following year after the antibiotics and infection the VO2 max was 38.
it is important to know other parameters (like myocardium thickness , Left Atrium size , ECG... ) talk to your cardiologist, but those findings are at normal range , specially if you are athletic and don't have any specific problem (like hypertension, ... ).
@@masteringEcho-US-cardiology I was athletic when I was younger but for the last 7 years since I became ill I have been extremely exercise intolerant. If I do something like cycling for more than like 30 seconds or 1 minute I get severely short of breath that lasts for hours and hours and have to go to the hospital. Then when I get there I just have tachycardia that persists for hours but they don't think anything else is wrong and they give me fluids then discharge me after several hours. My LAVI on the last echo was 14 (NR 16-32). thickness and walls are normal as far as I know. LVID IVCD LVIDs all like bottom end of normal range. My TAPSE is also below normal at 1.4 CM and has been that way for years.
Another bizarre thing is that I had that echo at healthy capacity with no problems but then another echo one year after the problems started I had mitral valve regurgitation and in the years since I've seen tricuspid regurgitation, pulmonic regurgitation, and mild aortic leaflet calcification show up
I am a cardiac anesthesiologist TEE certified your lecture is better than MD lecture that is the truth you paid attention to details Thank yo. I am recently retired but still interested in ECHO Thank you
@@masteringEcho-US-cardiology you deserve it thank you. I remember when i took my TEE board my favorite ultrasound physics and its equation was written by a technician. I remember he was from Arizona but was the reason I passed from the 1st time I took it. Honestly doctors take credits for things were done by their helpers that is the truth and I know it and always said I never could do my job without every one of my team Thank you
![[Live] ศึกมหึมันส์มวยไทยสังเวียนเดือด เวทีมวยชั่วคราวสวนสยาม | จันทร์ 30 กันยายน 2567](http://i.ytimg.com/vi/pM1k6f7JXUc/mqdefault.jpg)
Dear Dr. Sadatian, I can confidently say you make the best educational videos about echocardiography on TH-cam. The videos are simply comprehensive and right to the point. I do really appreciate it.
Thanks and you are very welcome
Hi great man...
Do you know?..your approach is better than other prepaid online courses....
Your explanation is very scintefic and concentrated usefully....
Please do not avoid us from your knowledgements...
Keep us with your easy benefitfull lectures..
You are nice teacher who has unique way in teaching
thank you . If I have enough time I'll cover all important topics for sure
You are really great
Your quote at the end is gold. Great lecture.
Very nice lecture on LV diastolic function evaluation. Thankyou.
You are very welcome
Diostolic dysfunction grade 4😢😢 will I survive?
first make sure what is diagnosis ( it is a finding not diagnosis) for example if it is because of hypertrophy cardiomyopathy with correct treatment you will have almost the same survival as other normal people .
Such a great practical training with lllp😅😅ŕ
Sir how can ı adjust sample size??
Depends on machine go to different page of control panel and find sample volume options and change it
@@masteringEcho-US-cardiology thank you
Thank you for very clear and great explanation .
you are welcome
Sir u r just an exceptional teacher.......Thank you so much such amazing job to help us learn these concepts in cardiology....💐💐
you are very welcome
Very nice explanations. Congrts
Thank you!
You are welcome
thanks a lot
You are very welcome
Sir you are the legend in echo teaching,the way you put your efforts in transforming difficult topics into simplest pattern is excellent and very appreciable.You always go to beginner level and start every thing from scratch that is very helpful for the beginners who going to start their echocardiography journey.God Bless you.
Thank you .
Sir my suffering DD In heart. Please is it Clear problem sir please reply me
your cardiologist is the best source for info. if you have any specific question let me know
Thank you so much! I've just started to learn echo and was having a really hard time with this topic but your video helped a lot.
Glad it helped!
Thank you so much!
Sir i am a big fan of your lectures.. I recently joined and subscribed your channel.. One issue is that i cant be able to play all videos?? There is an error saying to join the channel.. Kindly guide me how i should join your channel??
Hi Fatima, Thanks.
yes, some videos belong to members. just click on JOIN button then it gives you two option then follow through.
welcome to the group
@@masteringEcho-US-cardiology sir where should i find this join button as i have gone through whole of your channel but couldnt find it.. Kindly guide me as your channel is helping alot to learn echo and i want to watch all of your vidoes and learn them by heart.. Kindly guide me.. Thanks in advance
@@fatimanaseer8217 in channel or under clip there is join button if there isn't click on following link
th-cam.com/channels/bG7LU-o9zrIXH5wWYKEMYQ.htmljoin
if it didn't work try with another web browser
let me know if it worked
tnx
@@masteringEcho-US-cardiology sir link doesnt opens and if i type the whole link in google it says channel doesnt exist.. Neither using anyother browser gives option to join this channel.. In short it didnt work
@@fatimanaseer8217 sorry to here that , we have this problem with some country and regions, if you give me favor and contact youtube support I am sure they can help you.
thanks
Thank you for sharing this video and explaining so well!🙌 I am a Cardiovascular sonographer and this has been very enlightening!🙏
you are welcome. check other clips I am sure there are some that will be useful in your practice
@@masteringEcho-US-cardiology Thank you!😊🙏
so many useful Prof.
Great teaching
عالی بود. بسیار سپاسگزارم. ای کاش زودتر از این با کانال شما آشنا می شدم.
@@moza2385 ممنون.
خوش اومدید.
هنوز هم دیر نشده بیشتر از ۵۰۰ تا کلیپهای کاربردی تو کانال هستش
Good luck.
Thanks
watch at 1.25 speed.
thanks
Thank you very much
you are very welcome
Thank you so much sir❤
you are welcome
Excellent teaching 👏👏
thank you
Great explanation
Thanks
Thank you very much !!! ❤
You are welcome
How can i join the community
In channel click on join button (under any clips or at top) then follow it .
Welcome to the group
Thank you so much ,i am cardiac sonoghrapher student .it is really usefule and helpeful .Thanks again .
you are very welcome
Great sir
thanks
How to joint the channel
Hi. Just in the channel click on Join button, here is:
th-cam.com/video/H0JVDsxQnnI/w-d-xo.html
welcome to the group
Great lecture!
very clear! loved the final thought... thanks!
You are welcome
M cardiology resident,,,really learn alot from ur knowledge
Thank you Dr.
thank you very much it is very nice and useful ...thanks alot
you are very welcome
thank you sir
you are welcome
Thank you so very much for this lecture as it has helped me tremendously understand and to prepare for my Echo test this week!😀
you are very welcome
I am glad it is helpful.
don't forget review those board reviews & SDMS
good luck
thank you for the clear expanation.
you are welcome
A wonderful lecture and elaborate teaching of echo diastolic measurements. Thank you.
you are welcome
It is a fantastic lecture thank you very much. But i wonder if you can elucidate the significance of DT duration and IVCT and IVRT ? What is their clinical significance?
thank you. based on new guideline they are used in other unusual cases like Afib... that I am going to explain them in different presentation
Thank you so much sir, very useful lecture 🙏🙏🌹🌹
Most welcome
Very educative, and you have simplified the issues at hand, many thanks Sir
you are very welcome
Excellent presentation
What advice would you have for a sonography student writing their ARDMS and Sonography Canada exams in the next few weeks? Main topics to focus on, etc... Thank you for amazing videos by the way!
Hi Marleiggh, I am not familiar with Canada system but I am sure it will be the same around the world. Reviewing echo registry from SDMS will be the best. On their website (and in ARDMS website too ) there are some mocks test too (you should pay a small ) . Taking those exams give you very good idea what should you focus more (baord exam will be very close to that) but if you review all clips in this channel I am 100% sure you will pass . It will be great to let me know when you passed the exam. you don't need luck, but good luck
I forgot to mention that those review exams in this channel are very close to board exam too
Hi Dr. Sadatian, I passed my ARDMS adult echo exam today thanks to your videos. I also wrote the Sonography Canada Cardiac exam today for echocardiography but I won’t get the result of that for a few weeks. I just wanted to say thank you for uploaded such detail videos with excellent examples and descriptions. I truly believe your lectures were the reason I passed. Thank you so much 🙏🏻
Marleigh
@@marleighconnolly2777 Hi,
Congratulation!. great job.
You are very welcome .
Welcome to the club.
Thank you! Complicated topic explained in a simple manner. This has been very useful.
you are welcome
Sir what is normal A duration value?
A duration depends on age, gender, heart rate .. and it doesn't have normal range. the most important issue with A dur is Ar- A : if it goes over 30 ms it strongly suggests high LVEDP
Sir so we can't calculate A duration in LVDD like other parameters E velocity,A velocity,E/A ratio , IVRT,DT etc right?
We do but based on new guideline we don't use it regularly unless in those pts with arrhythmia, sepsis,, on ventilator,... . In these cases beside of other parameters ( IVRT, S', DT, S, D waves ..) we measure A dur & Ar dur too. (check the part 3 lecture in diastolic dysfunction
Okk thank you sir
@@kishankotadiya3879 any time
Thank you.
Thank you very much
you are welcome
Thanks sir, explained well.
you are welcome
Always on point Sir! Thank you
thank you
Thank you very much again, this was very useful =)!
Glad to hear that!
Thanks sir...
you are welcome
Great lecture from a Great teacher
thank you
Thank you very much for your videos!
you are welcome
excellent teaching
thanks
Excellent, waiting for the next part. Thanks.
thanks. there is second parts and other useful topic. check them out in channel.
Thank you sir
you are welcome
After the A wave I guess there's the mitral regurgitation, right? Thanks.
we don't judge based on PW for regurgitation even though in significant MR it can pick up some
@@masteringEcho-US-cardiology can I ask what is that negative wave then? Thank you
@@andreac5152 partially LVOT flow
Even sv is a little far from LVOT
@@masteringEcho-US-cardiology it's me again, tried to understand the issue even if I'm not a sonographer. It seem unreasonable that the LVOT flow can cause a negative wave(toward the atrium). I know that PW can't pickup fast velocities but being the point of measurement a little higher than the MV plane, maybe it can pick up a slight movement of blood toward the mitral valve caused by regurgitation. Is this possible? For instance this patient had at least mild regurgitation?
Excellent teaching
thank you
Sir me bahut pareshan hu pls mere help kar dijije😭 sir sach me bahut jyada pareshan hu sir maine apne echo test karaya tha usme mera ejection fraction toh 58 percent aaya h pr lvdd present likhkar aaya h dir mujhe ye samaj n aa rha mujhe kis grade ka lvdd h kaise pata kru
your ejection fraction is normal, how much was LVDD?
@@masteringEcho-US-cardiology sir bs lvdd present likha hai kitna h ye nhi likha n hi grade likha h
@@VarunvarshaYadav so why you are worry.
I don't see anything that makes you feel like that. even why don't you ask your Dr?
@@masteringEcho-US-cardiology sir app report dekh lenge
Sir unhone kuch bola hi nhi
Is E' something that can change with various external parameters to the heart or is it something that is intrinsic to the heart itself, like a progressive marker of deterioration?
I had diastolic dysfunction diagnosed in 2018 with septal E' of 13 and lateral E' of 18 and an E/A ratio of 0.8 with EF of 65%.
In 2020 December I had another echocardiogram with EF of 70%, septal E' of 10.1 and lateral E' not listed. E/A ratio was 0.9.
I've had significant exercise intolerance and exertional dyspnea that lasts for quite a while afterward since 2015 that began months following an infection + antibiotics. I have reason to believe ciprofloxacin caused the cardiac dysfunction because a year before that I had cardiac evaluation as an athlete with completely normal function at maximal intensity and a VO2 max of 52. The following year after the antibiotics and infection the VO2 max was 38.
it is important to know other parameters (like myocardium thickness , Left Atrium size , ECG... ) talk to your cardiologist, but those findings are at normal range , specially if you are athletic and don't have any specific problem (like hypertension, ... ).
@@masteringEcho-US-cardiology I was athletic when I was younger but for the last 7 years since I became ill I have been extremely exercise intolerant. If I do something like cycling for more than like 30 seconds or 1 minute I get severely short of breath that lasts for hours and hours and have to go to the hospital. Then when I get there I just have tachycardia that persists for hours but they don't think anything else is wrong and they give me fluids then discharge me after several hours.
My LAVI on the last echo was 14 (NR 16-32). thickness and walls are normal as far as I know. LVID IVCD LVIDs all like bottom end of normal range. My TAPSE is also below normal at 1.4 CM and has been that way for years.
Another bizarre thing is that I had that echo at healthy capacity with no problems but then another echo one year after the problems started I had mitral valve regurgitation and in the years since I've seen tricuspid regurgitation, pulmonic regurgitation, and mild aortic leaflet calcification show up
My E/A was > 1 up to 1.5 the first couple of years since being sick and now it is always < 1 now
@@matt566 there are common almost majority of people have mild form of those. don't be obsessive with them unless they are moderate to severe
God bless u
thanks
excellent
Thanks
HFrEF criteria is EF
BAsed on 2017 ACC/AHA/HFSA CRITERIA FOR EF IS
@@masteringEcho-US-cardiology i did, not find a change in the definition of heart failure in acc guideline 2017. Can you give me your source?
@@emessawmte4613 CHECK OUT THESE:
www.acc.org/latest-in-cardiology/ten-points-to-remember/2017/04/27/15/50/2017-acc-aha-hfsa-focused-update-of-hf-guideline
www.heart.org/-/media/files/affiliates/swa/qi-files/guidelines-for-prevention--management-of-heart-failure.pdf?la=en&hash=23BC75960E457B587BE0B7452D6FB1BD68BA20BE
www.acoi.org/sites/default/files/uploads/LinkCHF.pdf
@@masteringEcho-US-cardiology this data were for update in management of heart failure, not for definition. Data are limited for Mid range Ef 40-50%
@@emessawmte4613 THAT'S RIGHT
I am a cardiac anesthesiologist TEE certified your lecture is better than MD lecture that is the truth you paid attention to details Thank yo. I am recently retired but still interested in ECHO Thank you
Hi Dr. Thank you for your feedback.
@@masteringEcho-US-cardiology you deserve it thank you. I remember when i took my TEE board my favorite ultrasound physics and its equation was written by a technician. I remember he was from Arizona but was the reason I passed from the 1st time I took it. Honestly doctors take credits for things were done by their helpers that is the truth and I know it and always said I never could do my job without every one of my team Thank you