Ultrasound Training Videos TTE

  • 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.

 

 

  • TTE7: Parasternal Long Axis with dilated right ventricle, which should be correlated clinically for volume overload or possible pulmonary embolism. A formal evaluation of right heart function may be clinically indicated for further evaluation.

 

  • TTE8:  This image depicts a parasternal long axis view with a large clot in the left atrium, that intermittently lapses through the mitral valve into the left ventricle. This would warrant anticoagulation and a cardiac evaluation by the cardiology service.

 

 

  • TTE9:  This view depicts the inferior vena cava. As you can see, the IVC collapses greater than 50% (nearly 100% in this particular image), which is indicative of hypovolemia and the need for volume resuscitation.

 

  • TTE10:  This view depicts a LV short axis with a dilated right ventricle, which is causing a D sign of the left ventricle. This may be indicative of pulmonary embolism or poor right heart function. Formal echocardiogram should be considered in the evaluation of right heart dilation.

 

  • TTE11:  This view depicts a parasternal long axis view with a large clot in the left ventricle. This would warrant emergent anticoagulation and an emergent cardiovascular evaluation.

 

  • TTE12: Parasternal long axis with moderate pericardial effusion.

 

  • TTE13: This image depicts an LV short axis view that shows right ventricular dilation with D sign.

 

  • TTE14:  This depicts a normal 4-chamber subcostal view.

 

  • TTE 15:This view depicts a dilated right atrium and D sign that is noted in the left ventricle. THe left ventricle is depicted at the level of the papillary muscles.

 

  • TTE16: This view depicts a great subcostal view of the left ventricle. This image was taken with the abdominal settings on the ultrasound device.

 

  • TTE17: This view depicts a parasternal long axis with adequate images. This should be the image that you are looking for when obtaining this view. This patient depicts adequate LV function. You can see the Aortic Valve on the right side of the screen and the right ventricle is visible superior to the left ventricle.

 

  • TTE18:  This view is a LV short axis view that depicts an excellent image of the aortic valve. As you can see in the video, the aortic valve is tri-leaflet and has the appearance of the Mercedes Benz symbol.

 

  • TTE19: This is a LV short axis view that reveals an excellent image of the left ventricle at the papillary muscle level. This image reveals a left ventricle with good contractility and adequate volume resuscitation.

 

  • TTE20: This is a still image of the use of M-mode in evaluation of the mitral valve. This image depicts adequate motion of the Mitral Valve.TTE20-M-Mode-Mitral-Valve

 

  • TTE21:This image depicts a parasternal short axis with good imaging technique of the left ventricle. IN this image you can visualize the papillary muscles. You can also see the right ventricle in the superior portion of the image.

 

  • TTE22: This image shows a parasternal short axis with a small pericardial effusion, this would warrant further evaluation with formal echocardiogram. Serial point of care ultrasound can also be utilized to monitor the size of the pericardial effusion.

 

  • TTE23: Often poor images are obtained in the intensive care population. This image is a poor image, however, it does reveal a moderate pericardial effusion which can be seen at the superior portion of the screen. Imaging of the ventricles is poor in this image. It is important to evaluate as much as possible in the patient who has poor windows. Subsequently, a formal echocardiogram or evaluation by a more experienced ultrasonographer would be useful.

 

  • TTE24: This is a still image of the use of M-mode to evaluate the contractility of the left ventricle. This image depicts poor motion of the left ventricle and poor ejection fraction. This would indicate need for further evaluation and in the hypotensive patient, one may use at inotrope to augment cardiac contractility.TTE24-M-Mode-Poor-Contractility

 

  • TTE25: This is a parasternal short axis view that depicts poor contractility of the left ventricle. This image would warrant formal evaluation and in the hypotensive patient one may use an inotrope to augment cardiac contractility.

 

  • TTE26: This image depicts an apical view of the heart with good images. The left ventricle in this video has poor contractility. This would warrant further evaluation with formal echocardiography. One may use an inotrope in this patient to augment cardiac contractility.