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CHECKLIST OF CARDIAC ULTRASOUND IMAGES TO OBTAIN

2011 IDEXX Laboratories, Inc. All rights reserved. The IDEXX Privacy Policy is available at CHECKLIST OF CARDIAC ULTRASOUND IMAGES TO OBTAIN Two Dimensional and M-mode Imaging Planes Right Parasternal Long Axis Four Chamber Description Anatomic Structures Visualized Obtained from the right side. left and right ventricles (LV / RV) Displays the relative proportions of all four chambers. left and right atria (LA / RA) Displays the geometry of the left ventricle. Mitral valve anterior and posterior leaflets Subjective assessment of left ventricular function. Tricuspid valve Evaluate mitral valve morphology.

Description Anatomic Structures Visualized Obtained from the right side. Right ventricle (RV) Evaluate left atrial size. Left atrium (LA) Evaluate aortic valve morphology and

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Transcription of CHECKLIST OF CARDIAC ULTRASOUND IMAGES TO OBTAIN

1 2011 IDEXX Laboratories, Inc. All rights reserved. The IDEXX Privacy Policy is available at CHECKLIST OF CARDIAC ULTRASOUND IMAGES TO OBTAIN Two Dimensional and M-mode Imaging Planes Right Parasternal Long Axis Four Chamber Description Anatomic Structures Visualized Obtained from the right side. left and right ventricles (LV / RV) Displays the relative proportions of all four chambers. left and right atria (LA / RA) Displays the geometry of the left ventricle. Mitral valve anterior and posterior leaflets Subjective assessment of left ventricular function. Tricuspid valve Evaluate mitral valve morphology.

2 Pericardium If perpendicular to the screen can be used for m-mode evaluation. Right pulmonary vein Two dimensional measurement of the left atrium . Visualize interventicular and interatrial septum 2011 IDEXX Laboratories, Inc. All rights reserved. The IDEXX Privacy Policy is available at Right Parasternal Long Axis Inflow / Outflow Description Anatomic Structures Visualized Obtained from the right side. left ventricle (LV) left ventricular inflow and outflow tract morphology Mitral valve leaflets anterior and poster leaflets Subjective assessment of left ventricular function. left atrium (LA) Evaluate for systolic anterior mitral valve movement (SAM) Visualize chordae tendinae of the mitral valve left ventricular outflow tract lesions (subaortic, aortic, supraortic) left ventricular outflow tract and aortic valve (AO) Aortic valve movement.

3 Right main pulmonary artery (RPA) Variable right ventricle and right atrial views (angle dependent) (RA/RV) 2011 IDEXX Laboratories, Inc. All rights reserved. The IDEXX Privacy Policy is available at Right Parasternal Short Axis Papillary Muscle Level Description Anatomic Structures Visualized Obtained from the right side. Right ventricle (RV) Evaluate left ventricular wall thickness. left ventricle (LV) Evaluate left ventricular wall motion. left ventricular papillary muscles anterior (APM) and posterior (PPM) Evaluate papillary muscle size and position. Pericardium Standard position for m-mode evaluation of the left ventricle.

4 Estimate right ventricular size and function. 2011 IDEXX Laboratories, Inc. All rights reserved. The IDEXX Privacy Policy is available at Right Parasternal Short Axis Mitral Valve Level Description Anatomic Structures Visualized Obtained from the right side. Right ventricular outflow tract (RVO) Evaluate left ventricular wall thickness. left ventricle Evaluate left ventricular wall motion. left ventricular outflow tract (LVO) Evaluate mitral valve morphology and movement. Mitral valve anterior leaflet (AMV) and posterior leaflet (PMV) Standard position for m-mode evaluation of the mitral valve.

5 Pericardium 2011 IDEXX Laboratories, Inc. All rights reserved. The IDEXX Privacy Policy is available at Right Parasternal Short Axis left atrium / Aorta Description Anatomic Structures Visualized Obtained from the right side. Right ventricle (RV) Evaluate left atrial size. left atrium (LA) Evaluate aortic valve morphology and movement. Aortic aorta Evaluate tricuspid valve and right ventricular outflow tract. Aortic valve cusps NC, LC, RC Standard position for m-mode and two dimensional measurement of the left atrium and aorta (LA/AO) Pulmonic valve (PV) Tricuspid valve (TV) Pericardium 2011 IDEXX Laboratories, Inc.

6 All rights reserved. The IDEXX Privacy Policy is available at Right Parasternal Short Axis Right Ventricular Outfow Tract Description Anatomic Structures Visualized Obtained from the right side. Right ventricle (RV) Evaluate the right ventricular outflow tract, including Doppler evaluation. Right atrium (RA) Evaluate the right atrium and tricuspid valve. Tricuspid valve (TV) Minimizes the left atrium . Pulmonary artery (PA) Identify any pulmonary artery abnormalities. Pulmonic valve (PV) Evaluate the pulmonic valve morphology and movement. Aorta Visualize heartworms if present. left atrium (minimized) 2011 IDEXX Laboratories, Inc.

7 All rights reserved. The IDEXX Privacy Policy is available at left Apical Four Chamber Description Anatomic Structures Visualized Obtained from the left side. Right ventricle (RV) and right atrium (RA) Relative comparison of the left and right heart to subjectively evaluate size and function. left ventricle (LV) and left atrium (LA) Evaluate mitral valve morphology and motion. Mitral valve anterior and posterior leaflets Evaluate tricuspid valve morphology and motion. Tricuspid valve septal and free wall leaflets. Doppler evaluation for atrioventricular valve regurgitation (color and spectral) Pulmonary veins.

8 Doppler evaluation of ventricular filling used to estimate ventricular diastolic function. Evaluate pulmonary veins and flow. 2011 IDEXX Laboratories, Inc. All rights reserved. The IDEXX Privacy Policy is available at left Apical Five Chamber Description Anatomic Structures Visualized Obtained from the left side. Right ventricle (RV) and right atrium (RA) Evaluation of the left ventricular inlet and outflow. left ventricle (LV) and left atrium (LA) Evaluate mitral valve morphology and motion. Mitral valve anterior and posterior leaflets Doppler evaluation for mitral valve regurgitation (color and spectral) Aorta and left ventricular outflow tract (AO) Doppler evaluation of the left ventricular outflow tract (color and spectral) 2011 IDEXX Laboratories, Inc.

9 All rights reserved. The IDEXX Privacy Policy is available at Standard M-mode Echocardiographic Views M-mode - left Ventricular Papillary Muscle Level Description Anatomic Structures Visualized Obtained from the right sided short axis or long axis views. left ventricular walls left ventricular free wall and interventricular septum. Evaluate left ventricular wall thickness and systolic function. left ventricular internal dimensions. Evaluate right ventricular size and wall motion. Right ventricular internal dimension. 2011 IDEXX Laboratories, Inc. All rights reserved. The IDEXX Privacy Policy is available at M-mode Mitral Valve Level Description Anatomic Structures Visualized Obtained from the right sided short axis or long axis outflow tract view.

10 Anterior mitral valve leaflet (AML) Evaluate mitral valve motion throughout the CARDIAC cycle. Posterior mitral valve leaflet (PML) Evaluate for systolic anterior mitral valve motion. left ventricular walls. 2011 IDEXX Laboratories, Inc. All rights reserved. The IDEXX Privacy Policy is available at M-mode left atrium / Aorta Level Description Anatomic Structures Visualized Obtained from the right sided short axis or long axis outflow tract view. Aorta Evaluate the opening of the aortic valve and dimensions of the aorta. Aortic valve systole and diastole Evaluate left atrial size more accurate in cats with this method and should not be used in dogs.


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