Apical 2 chamber: Difference between revisions
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|mainauthor= [[user:Vdbilt|I.A.C. van der Bilt]] | |||
|moderator= [[user:Vdbilt|I.A.C. van der Bilt]] | |||
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==How to Get a Good Apical Two Chamber View== | ==How to Get a Good Apical Two Chamber View== | ||
[[File:Heart apical 2chamber.jpg|thumb|An apical two chamber view of the heart]] | [[File:Heart apical 2chamber.jpg|thumb|An apical two chamber view of the heart]] | ||
The apical two chamber view is found by placing the transducer on the apex of the heart, near the Ictus Cordis. Rotation of the transducer by 35 to 45 degrees counterclockwise and angled toward the right shoulder will allow visualization of the apical two chamber view. This view permits the assessment of the inferior and anterior walls of the left ventricle. You will know that you have acquired a true apical two chamber view when right-sided structures are not seen. The landmark of a true apical two chamber is the coronary sinus, a small circular structure found at the atrioventricular junction. | [[File:Heart apical 2chamber myocadial regions.svg|An apical two chamber view of the heart]] | ||
The apical two chamber view is found by placing the transducer on the apex of the heart, near the Ictus Cordis. Rotation of the transducer by 35 to 45 degrees counterclockwise and angled toward the right shoulder will allow visualization of the apical two chamber view. This view permits the assessment of the inferior and anterior walls of the left ventricle. You will know that you have acquired a true apical two chamber view when right-sided structures are not seen. The landmark of a true apical two chamber is the coronary sinus, a small circular structure found at the atrioventricular junction. | |||
==Purposes of Getting a Good Apical Two Chamber View== | ==Purposes of Getting a Good Apical Two Chamber View== | ||
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==Doppler Imaging in Apical Two Chamber View== | ==Doppler Imaging in Apical Two Chamber View== | ||
Doppler imaging is essentially done in this view to assess flow across the mitral valve. Patients without cardiac pathologies would manifest a flow pattern of two peaks. These are the E (rapid filling in the diastole) and the A (result of atrial contraction) waves. Normally, the A wave is smaller than the E wave. The presence of pathologies and the influence of other factors such as blood pressure and age, however, may cause different patterns. | Doppler imaging is essentially done in this view to assess flow across the mitral valve. Patients without cardiac pathologies would manifest a flow pattern of two peaks. These are the E (rapid filling in the diastole) and the A (result of atrial contraction) waves. Normally, the A wave is smaller than the E wave. The presence of pathologies and the influence of other factors such as blood pressure and age, however, may cause different patterns. | ||
Color Doppler is used to appreciate flow direction and determine velocity and pressure measurements. | Color Doppler is used to appreciate flow direction and to determine velocity and pressure measurements. | ||
==Example of an Apical Two Chamber view== | ==Example of an Apical Two Chamber view== | ||
This a normal heart | This a normal heart | ||
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==Sources== | ==Sources== | ||
<biblio> | <biblio> | ||
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</biblio> | </biblio> | ||
==External links== | |||
* [https://www.techmed.sk/en/echo/view/20/ A2C - Image & video (TECHmED)] | |||