left ventricular Diastolic function

What about a little bit of theory before beginning simulation? >>>

PRACTICE IN THE SIMULATOR

How to perform this examination

1. Run the Echocardiography Online Simulator

From the beginning, the user needs to Calculate LV Ejection Fraction (EF%). Calculations are different in patients with normal EF% than in patients with depressed EF%. See EF% Calculation >>

After Calculating EF% user can start Evaluation of Left Ventricular Diastolic Function:

1. From the List <<Patients>> Choose Patient 9 (User can Choose other patients as well).
2. Choose 4 chamber position from the List <<Positions>> or find 4 chamber position with 3D Transducer.
3. Click Button <<Calculations>> Click Tab <<LV>> Find Panel "Diastolic Function" and Click Radio Button <<E m/s >>
4. Click the button <<PW>> to start Pulse Wave doppler examination. Place Control Volume Beetwen Mitral Valve Leaflets and Click.
5. For Mitral Inflow "E" point velocity measurement, click the button <<Line>>. Put first point on the maximum point of the spectrogram. Put another point on baseline.
6. Click the button <<Enter>>

* If EF% is depressed, we need to Measure "A" point Velocity as well.

Click image to enlarge

Measurement of the Maximal velocity of trans mitral diastolic flow.

PRACTICE IN THE SIMULATOR

1. In the Tab <<LV>> Find Panel "Diastolic Function" and Click Radio Button <<Septal e' m/s >>
2. Click The button <<2D>> to move to 2D examination.
3. Click the button <<TDI>> to start Tissue doppler examination. Place Control Volume in the septal side of the mitral annulus and Click.

Click image to enlarge

Apical 4 chamber view. Control Volume position for the Septal TDI.

PRACTICE IN THE SIMULATOR

1. Click the button <<Line>>. Put first point on the maximum point of the e' vawe. Put another point on Baseline.
2. Click the button <<Enter>>

Click image to enlarge

Tissue Doppler (TDI). Measuremen of Septal e' (V max).

PRACTICE IN THE SIMULATOR

1. In the Tab <<LV>> Find Panel "Diastolic Function" and Click Radio Button <<Septal e' m/s >>
2. Click The button <<2D>> to move to 2D examination.
3. Click the button <<TDI>> to start Tissue doppler examination. Place Control Volume in the lateral side of the mitral annulus and Click.

Click image to enlarge

Apical 4 chamber view. Control Volume position for the Lateral TDI.

PRACTICE IN THE SIMULATOR

1. Click the button <<Line>>. Put first point on the maximum point of the e' vawe. Put another point on Baseline.
2. Click the button <<Enter>>

Click image to enlarge

Tissue Doppler (TDI). Measuremen of the Lateral e' (V max).

PRACTICE IN THE SIMULATOR

1. Click the button <<PW>> to start Pulse Wave doppler examination. Place Control Volume beetwen Tricuspid Valve Leaflets and Click.
2. Click the button <<Curve>>. Put points around tricuspid regurgitation jet.
3. Click the button <<Enter>>

Click image to enlarge

Measurement of the Tricuspid regurgitation velosity.

PRACTICE IN THE SIMULATOR

1. In the Tab <<LV>>, Find Panel "Diastolic Function" and Click Radio Button <<LA Volume (ml) >>
2. Click The button <<2D>> to move to 2D examination.
3. Click the button <<Freeze>> to freeze the image. Using Slider find best position for LA Volme measurement.
4. Click the button <<Curve>> and trace around inner side of the LA endocardium.
5. Click the button <<Enter>>

Click image to enlarge

Left Atrium (LA) Volume measurement.

Click image to enlarge

Evaluation of Left Ventricular Diastolic Function with Echocardiography Online Simulator.

Simulation By Echocardiography Online Simulator MyEchocardiography.com