By Albert C. Perrino Jr. MD, Scott T. Reeves MD MBA FACC
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Additional info for A practical approach to transesophageal echocardiography
The area of the LV cavity is measured at end systole (LVAs) and at end diastole (LVAd) and used to calculate fractional area change (FAC). Most commonly these measurements are made from the TG mid-SAX view of the LV, but when this view is suboptimal long-axis views can be substituted. The endocardium is manually traced around the LV cavity ignoring the papillary muscles. Alternatively, automated border detection obviates the need to manually trace cavity area and provides real time, beat-to-beat measures of LVAd, LVAs, and FAC (Fig.
Indd 50 18. Thrombus in the left atrial appendage is best seen in which view? a. ME bicaval b. ME two-chamber c. TG two-chamber d. ME four-chamber 19. Which of the following views are not useful for spectral Doppler interrogation of the aortic valve? a. ME AV long axis b. TG long axis c. Deep TG long axis 20. Left ventricular papillary muscles are visible in each of the following views EXCEPT: a. TG basal short axis b. TG midshort axis c. TG two-chamber d. ME four-chamber 14/06/13 11:36 AM 3 Left Ventricular Systolic Performance and Pathology Shahnaz Punjani and Susan Garwood Of all the indications for echocardiography, the evaluation of left ventricular (LV) systolic function is perhaps the most common; in part because it is not only the best understood parameter of cardiac function but also because it has consistently been shown to be a predictor of morbidity and mortality.
Indd 24 14/06/13 11:35 AM 2. 6 The top figure is a schematic representation of a transesophageal echocardiography (TEE) probe obtaining a transgastric (TG) midshort-axis view. The probe is advanced into the stomach and anteflexed until solid contact is made with the gastric wall. The imaging plane is projected from the probe at 0 degrees. The image on the monitor is generated from scan lines going back and forth from the green edge (right side of monitor) to the red edge (left side of monitor).