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Investigation of Increased LV Wall Thickness with 2D Speckle Strain
One of the best uses of strain imaging is when the patient has thick left ventricular (LV) walls, or so called left ventricular hypertrophy (LVH). It is important to remember though that not all thickened LV walls are due to true hypertrophy. Infiltrative diseases, invasive tumors and hypovolumia can all cause ... read more
Important hemodynamic concepts and terminology for the echocardiographer in 2024
Like all things in medicine, resuscitation paradigms change. From early one-size-fits-all approaches, medicine has shifted towards personalized resuscitation integrating evidence and physiology for the individual patient. This has led to the popularization of several concepts that need to be clearly understood by the echocardiographer involved in hemodynamically phenotyping critically ill ... read more
Dealing with the wait list
We have all been there… It’s another day of a growing number of referrals and fewer staff to get the work done. We are already working through lunch, and squeezing in the extra inpatient that the wards are screaming for. Despite this, we just aren’t winning – more tests are ... read more
“Hello my name is Miriam, and I am a Cardiac Physiologist”.
When I first heard about the #HelloMyNameIs campaign about 12 months ago, I thought it had to be a joke. Surely healthcare workers weren't actually treating patients or performing tests on patients without even introducing themselves! As cardiac sonographers, had we become so focused on completing the work-list or running ... read more
Are thick LV walls the same as LV hypertrophy??
Measuring left ventricular size and wall thickness is a standard part of the routine echo examination. There are normative values for LV wall thickness, and the trainee sonographer is taught basic pattern-recognition in the early phases of training to identify patients with left ventricular hypertrophy. It is often assumed that ... read more