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Fetal echo measurments
- 1. ♥ Fetal Echo Measurements Where and how to measure fetal cardiovascular structures and flow patterns Dennis C. Wood, BA, RDMS, RDCS, RCPT Volunteer Faculty Fetal Cardiology, Division of Maternal Fetal Medicine Departments of Obstetrics & Gynecology, Radiology and Pediatrics: Cardiology and Neonatology Thomas Jefferson University Philadelphia, Pennsylvania, USA Jefferson Fetal Heart Course Lecture 10a
- 2. ♥ Fetal Echo Measurements Right Left Breech Position Abdominal Situs
- 3. ♥ Fetal Echo Measurements 4 Chambers showing location of thoracic aorta
- 4. ♥ Fetal Echo Measurements CC/TC ratio & Cardiac Axis angle
- 5. ♥ Fetal Echo Measurements Measuring the Tricuspid and Mitral Valve Annuli
- 6. ♥ Fetal Echo Measurements Measuring the Aortic Valve Annulus
- 7. ♥ Fetal Echo Measurements Measure the Aortic Valve Annulus at #1 location
- 8. ♥ Fetal Echo Measurements All 4 valvular annular seats or rings should be the same dimension in both systole and diastole Systole Diastole
- 9. ♥ Fetal Echo Measurements Pul Valve 0.45 cm Measuring the Pulmonary Valve Annulus
- 10. ♥ Fetal Echo Measurements The IVC and SVC should be about the same dimensions
- 11. ♥ Fetal Echo Measurements The LV freewall should not include the papillary muscle
- 12. ♥ Fetal Echo Measurements M-mode LV SF should be > 30%
- 13. ♥ Fetal Echo Measurements The LV freewall should not include the papillary muscle
- 14. ♥ Fetal Echo Measurements Measure the MCA in line with the flow
- 15. ♥ Fetal Echo Measurements Measure the UA very soon after the MCA
- 16. ♥ Fetal Echo Measurements Look for deep pulsations in the IAUV
- 17. ♥ Fetal Echo Measurements Make sure you measure the DV without the Hep Vein
- 18. ♥ Fetal Echo Measurements Measure the E and A wave averages and the A period
- 19. ♥ Fetal Echo Measurements Measure the Pulmonary Valve Ejection time as the B period
- 20. ♥ Fetal Echo Measurements The Ductus Arterioles should have minimal diastolic flow
- 21. ♥ Fetal Echo Measurements Ductal velocity < 160 cm/sec, coactation flow pattern, TR
- 22. ♥ Fetal Echo Measurements Myocardial Performance (Tei) Index ICT + IRT / ET (A - B / B) A B
- 24. ♥ Fetal Echo Measurements Tei measurements for assessment of global cardiac function 308 lbs.
- 25. ♥ Fetal Echo Measurements The Myocardial Performance Index A E V