Added: 2 years ago
From: yapper69
Views: 19,832
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  • question remains.. anyone ? 

  • Comment removed

  • What if there was no tricuspid regurgitation what would be the alternative method for calculate RVSP?

  • excellent video. one quesiton.

    RVSP / SPAP > 70 mmHg ... you showed this toward the end of video

    RVSP i get it, its about 111+20 =>130

    SPAP (systolic pulmonary artery pressure), how you get this number ?

    velocity of PA blood flow ?

  • @fchen7 Good question, these are equivalent. RVSP = SPAP

  • excellent video. one quesiton.

    RVSP / SPAP > 70 mmHg ... you showed this toward the end of video

    RVSP i get it, its about 111+20 =>130

    SPAP (systolic pulmonary artery pressure), how you get this number ?

    velocity of PA blood flow ?

  • @fchen7 SPAP 4(Vtr-jet velocity)^2 + RAP (estimated from IVC collapse)

    RVSP = SPAP unless there is pulmonary stenosis .

  • with no music and some additional comments to the videos would be perfect at all

  • I wonder if i have that, i have excessive veins in my lung x-rays, shortness of breath, and when i lay down pain like angina at times, i also developed A-fib irregular heart rhythm. Ive been in the er for my a-fib and been on the o2 monitor, and when i feel my chest get tight, watched the o2 level drop 6 numbers in a matter of seconds, then when the squeezing goes away, it return to normal 98 or 99 to 100 again.

  • Excellent video. I'd like to add that the presence of pericardial effusion is an ominous prognostic sign in these cases. Muchas gracias, amigo. Greetings from Spain.

  • @pittelviejo31 Thanks for your comments.

  • Amazing video! and great soundtrack! :)

  • @njsweetz  Thanks I will try and get some more cases up soon.

  • Awesome video, I teach echo in Atlanta and always searching for good stuff to show in the classroom. Thanks.

  • Thanks I will be posting more soon.

  • Thank you for sharing this video. I am an adult echo tech of 3 years and my daughter has a PFO. Took her to a pediatric cardiologist 2 days ago and he stated that a PFO is no concern and does not cause Pulmonary Hypertension. Surely, with even intermittent L to R shunting as is with PFO's, it can lead to Pulmonary Hypertension! Have seen many adult echo patients with PHT and PFO and several with Eisenmenger's syndrome.

  • Thanks very much for your comment. You are the first person to post a comment since I posted this video three months ago. I will be putting out some more interesting cases in the future. Stay tuned.

  • This is one if the most sever cases of PHT I have ever seen. Let me know what you think.

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