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Dr.S.Venkatesan MD
Expressions in cardiology
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5/12/13
(http://drsvenkatesan.files.wordpress.com/2010/08/tricuspid-annular-displacement-m-mode-oftricuspid-valve-rv-dysfunction.jpg) (http://drsvenkatesan.files.wordpress.com/2010/08/tricuspid-annular-motion-rv-functionassesment.ppt) This is a simple m-mode derived parameter ( much ridiculed by modern day echo-cardiographer !) M-mode echo in apical 4 chamber view across lateral tricuspid annulus . Normal displacement >2 cm RV dysfunction < 1.5cm Borderline RVD between 1.5 to 1.75 cm The other parameter to measure tricuspid motion is Tricuspid Annulus peak Systolic velocity (TAPSV)* This , in-fact linearly correlate with TAD. Normal TAPSV is > 10cm/sec Anything less than 8cm/sec is usually associated with RV dysfunction. TAPSV http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8175.2006.00305.x/abstract (http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8175.2006.00305.x/abstract) * One need not be depressed if tissue Doppler is not availablein their echo machine , TVD by M mode is good enough in most situations. Situations where RV function is impaired include
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Severe forms of dilated cardiomyopathy. Primary (or secondary ) pulmonary hypertension RV infarction COPD -terminal stages ARVD RV dysfunction with VVI pacing Following CRT Final message It is often said there will always be a simple solution for any complex problem . But, it is recognised late. In our quest for ideal RV functional parameter , we were entangled in the complexities for decades , only to realise an obscure M -mode parameter in apical 4 chamber , could be an accurate way to exclude significant RV dysfunction. Posted in echocardiography, Uncategorized | Tagged About m mode theseof ads tricuspid (http://en.wordpress.com/aboutvalve, rv dysfunction, rv ef, rv function assessment, tad 2cm, tdi of tricuspid annulus, these-ads/) tricuspid annular displacement, tricuspid annular motion, tricuspid annular peak velocity | Leave a Comment Comments RSS
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