ECHO 2013 / Hemodynamics III Echo-Based Clinical Decision-Making Cases

Velocity across PFO

PFO velocity2 x 4 = LAP - RAP

©2012 MFMER | 3225607-31

Heart Failure with Preserved EF

©2012 MFMER | 3225607-32

Cardiac Amyloidosis

©2012 MFMER | 3225607-33

Normal and abnormal septum

Septal-Aorta angle

©2012 MFMER | 3225607-34

SAM, Dynamic LVOT obstruction, MR

©2012 MFMER | 3225607-35

LVOT and MR velocity

Echo Hemodynamics

•BP = 131 /56 mmHg

•LVOT Grad = 65

•LV SP = 131 + 65 = 196 mmHg

•LA pressure =

196151= 45 mmHg

©2012 MFMER | 3225607-36

Challenging Echocardiogram

•Small LV cavity and low normal EF

•Basal septal hypertrophy and septal hypokinesis

•Systolic anterior motion of mitral valve

LV Diastolic function

©2012 MFMER | 3225607-38

RV wall is thick

Hypertrophic cardiomyopathy vs Hypertensive heart disease

©2012 MFMER | 3225607-39

Recognition of Doppler signal

©2012 MFMER | 3225607-40