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TEHNICA EXAMENULUI

ECOCARDIOGRAFIC

CURS DE ECOCARDIOGRAFIE

1 B

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Pregtirea pacientului

Poziia pacientului

Monitorizare ECG

Ecogenitatea (obezi, emfizematoi, deformri

ale cutiei toracice, insuficien respiratorie)

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Poziii de examinare

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EXAMENUL ECOCARDIOGRAFIC 2D

modalitate fundamental de examinare

analiza morfologic

ghidajul analizei modul Mghidajul analizei Doppler spectral

suport pentru analiza Doppler color

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FERESTRE I INCIDENE

ECOCARDIOGRAFICE

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Ferestre i incidene

Convenie:

- imagine rsturnat

- semnul transducerului spre capul i stngapacientului

- examinarea copilului

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Ferestre ecocardiografice

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Fereastr parasternal

inciden: ax lung

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Fereastr parasternal

inciden: ax lung

Ao, sigmoidele Ao VS VDAS (perete post) SIV Pericard

VM (telediastolic) PPVS Apex = 0

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Fereastr parasternal

modul M

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Fereastr parasternal

inciden: ax scurt

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Fereastr parasternal

inciden: ax scurt transaortic

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Fereastr parasternal

inciden: ax scurt transaortic

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Fereastr parasternal

inciden: ax scurt transaortic

analiz modul M

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Fereastr parasternal

inciden: ax scurt transaortic

analiz modul M transpulmonar

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Fereastr parasternal

inciden: ax scurt - VS

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Fereastr parasternal

inciden: ax scurt - VS

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Fereastr parasternal

inciden: ax scurt - VS

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Fereastr parasternal

inciden: ax scurt

analiz modul M - transmitral

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Fereastr parasternal

inciden: ax scurt

analiz modul M la nivelul pilierilor

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Fereastr parasternal

inciden: ax lungorientare spre apex VS

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Fereastr parasternal

inciden: ax lung transtricuspidian

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Fereastr apical

inciden: 4 camere

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Fereastr apical

inciden: 4 camere

Caviti drepte caviti stngi

- inseria valvelor

- grosimea miocardului VS

- SIV se mic sinergic cu

miocardul VS

- banda moderatoare VD

- trabecularizarea VD

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Fereastr apical

inciden: 4 camere

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Fereastr apical

inciden: 4 camere + Ao (5 camere)

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Fereastr apical

inciden: 2 camere

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Fereastr apical

inciden: 2 camere + Ao (3 camere)

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Fereastr subcostal

inciden: 4 camere

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Fereastr subcostal

inciden: ax scurt transaortic

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Fereastr subcostal

inciden: ax scurt VS

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Fereastr subcostal

la nivelul venei cave inferioare (IVC)

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Fereastr suprasternal

inciden: ax lung

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Fereastr suprasternal

inciden: ax scurt

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Aspecte normale observate

- banda moderatoare (VD)

- structuri filamentoase VS (false tendoane)- valva Eustachio proeminent (AD)

- retea Chiari (AD)

- sept sigmoid

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Corelaii ntre diferitele incidene

transtoracice

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Aorta descendent

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Sinusul coronar

+ incidente apicale