3D How To: Parasternal Short Axis View
3D How To: Parasternal Short Axis View
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3D animation demonstrating a Parasternal Short Axis view of the heart.
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<p begin="00:00:07.459" end="00:00:09.119" style="s2">- [Voiceover] A phased array transducer</p>
<p begin="00:00:09.119" end="00:00:11.852" style="s2">with a cardiac exam<br />type is used to perform</p>
<p begin="00:00:11.852" end="00:00:15.084" style="s2">the parasternal short<br />axis view of the heart.</p>
<p begin="00:00:15.084" end="00:00:18.007" style="s2">If possible, place the<br />patient in a left lateral</p>
<p begin="00:00:18.007" end="00:00:21.500" style="s2">decubitus position to<br />reduce any lung artifact</p>
<p begin="00:00:21.500" end="00:00:24.866" style="s2">and to bring the heart closer<br />to the anterior chest wall.</p>
<p begin="00:00:24.866" end="00:00:27.393" style="s2">Place the transducer<br />at the third or fourth</p>
<p begin="00:00:27.393" end="00:00:31.262" style="s2">intercostal space immediately<br />left of the sternum.</p>
<p begin="00:00:31.262" end="00:00:34.455" style="s2">Move between the third and<br />fourth intercostal space</p>
<p begin="00:00:34.455" end="00:00:38.127" style="s2">and slide the transducer toward<br />and away from the sternum</p>
<p begin="00:00:38.127" end="00:00:40.961" style="s2">to identify the optimal scanning window.</p>
<p begin="00:00:40.961" end="00:00:43.757" style="s2">Assuming the short axis of<br />the heart to be positioned</p>
<p begin="00:00:43.757" end="00:00:45.991" style="s2">on a plane from the<br />patient's right shoulder</p>
<p begin="00:00:45.991" end="00:00:47.457" style="s2">to the left hip.</p>
<p begin="00:00:47.457" end="00:00:49.349" style="s2">Rotate the transducer to adjust</p>
<p begin="00:00:49.349" end="00:00:52.084" style="s2">for the body habitus of the patient.</p>
<p begin="00:00:52.084" end="00:00:54.458" style="s2">The orientation marker<br />will be at approximately</p>
<p begin="00:00:54.458" end="00:00:56.443" style="s2">the two o'clock position.</p>
<p begin="00:00:56.443" end="00:00:59.555" style="s2">As an alternative approach,<br />this exam may be performed</p>
<p begin="00:00:59.555" end="00:01:02.883" style="s2">using an abdomen exam type<br />with an orientation marker</p>
<p begin="00:01:02.883" end="00:01:05.400" style="s2">to the patient's left<br />side at approximately</p>
<p begin="00:01:05.400" end="00:01:07.650" style="s2">the eight o'clock position.</p>
<p begin="00:01:11.625" end="00:01:13.778" style="s2">The myocardium will appear gray</p>
<p begin="00:01:13.778" end="00:01:17.599" style="s2">and the blood-filled chambers<br />will appear hypoechoic.</p>
<p begin="00:01:17.599" end="00:01:20.165" style="s2">The left ventricle will<br />appear as a doughnut shape</p>
<p begin="00:01:20.165" end="00:01:21.924" style="s2">in the center of the image.</p>
<p begin="00:01:21.924" end="00:01:25.905" style="s2">The anterior, septal,<br />inferior, and posterior</p>
<p begin="00:01:25.905" end="00:01:29.304" style="s2">lateral walls of the<br />ventricle can be identified.</p>
<p begin="00:01:29.304" end="00:01:32.414" style="s2">The mitral valve will be<br />seen in cross section.</p>
<p begin="00:01:32.414" end="00:01:35.839" style="s2">From this position, the<br />transducer can be tilted upward</p>
<p begin="00:01:35.839" end="00:01:39.756" style="s2">to visualize the aortic<br />valve in cross section.</p>
<p begin="00:01:41.591" end="00:01:44.146" style="s2">End downward to visualize the myocardium</p>
<p begin="00:01:44.146" end="00:01:45.882" style="s2">of the left ventricle.</p>
<p begin="00:01:45.882" end="00:01:48.959" style="s2">Note the wall motion of<br />the myocardial segments</p>
<p begin="00:01:48.959" end="00:01:51.209" style="s2">and function of the valves.</p>
<p begin="00:00:09.119" end="00:00:11.852" style="s2">with a cardiac exam<br />type is used to perform</p>
<p begin="00:00:11.852" end="00:00:15.084" style="s2">the parasternal short<br />axis view of the heart.</p>
<p begin="00:00:15.084" end="00:00:18.007" style="s2">If possible, place the<br />patient in a left lateral</p>
<p begin="00:00:18.007" end="00:00:21.500" style="s2">decubitus position to<br />reduce any lung artifact</p>
<p begin="00:00:21.500" end="00:00:24.866" style="s2">and to bring the heart closer<br />to the anterior chest wall.</p>
<p begin="00:00:24.866" end="00:00:27.393" style="s2">Place the transducer<br />at the third or fourth</p>
<p begin="00:00:27.393" end="00:00:31.262" style="s2">intercostal space immediately<br />left of the sternum.</p>
<p begin="00:00:31.262" end="00:00:34.455" style="s2">Move between the third and<br />fourth intercostal space</p>
<p begin="00:00:34.455" end="00:00:38.127" style="s2">and slide the transducer toward<br />and away from the sternum</p>
<p begin="00:00:38.127" end="00:00:40.961" style="s2">to identify the optimal scanning window.</p>
<p begin="00:00:40.961" end="00:00:43.757" style="s2">Assuming the short axis of<br />the heart to be positioned</p>
<p begin="00:00:43.757" end="00:00:45.991" style="s2">on a plane from the<br />patient's right shoulder</p>
<p begin="00:00:45.991" end="00:00:47.457" style="s2">to the left hip.</p>
<p begin="00:00:47.457" end="00:00:49.349" style="s2">Rotate the transducer to adjust</p>
<p begin="00:00:49.349" end="00:00:52.084" style="s2">for the body habitus of the patient.</p>
<p begin="00:00:52.084" end="00:00:54.458" style="s2">The orientation marker<br />will be at approximately</p>
<p begin="00:00:54.458" end="00:00:56.443" style="s2">the two o'clock position.</p>
<p begin="00:00:56.443" end="00:00:59.555" style="s2">As an alternative approach,<br />this exam may be performed</p>
<p begin="00:00:59.555" end="00:01:02.883" style="s2">using an abdomen exam type<br />with an orientation marker</p>
<p begin="00:01:02.883" end="00:01:05.400" style="s2">to the patient's left<br />side at approximately</p>
<p begin="00:01:05.400" end="00:01:07.650" style="s2">the eight o'clock position.</p>
<p begin="00:01:11.625" end="00:01:13.778" style="s2">The myocardium will appear gray</p>
<p begin="00:01:13.778" end="00:01:17.599" style="s2">and the blood-filled chambers<br />will appear hypoechoic.</p>
<p begin="00:01:17.599" end="00:01:20.165" style="s2">The left ventricle will<br />appear as a doughnut shape</p>
<p begin="00:01:20.165" end="00:01:21.924" style="s2">in the center of the image.</p>
<p begin="00:01:21.924" end="00:01:25.905" style="s2">The anterior, septal,<br />inferior, and posterior</p>
<p begin="00:01:25.905" end="00:01:29.304" style="s2">lateral walls of the<br />ventricle can be identified.</p>
<p begin="00:01:29.304" end="00:01:32.414" style="s2">The mitral valve will be<br />seen in cross section.</p>
<p begin="00:01:32.414" end="00:01:35.839" style="s2">From this position, the<br />transducer can be tilted upward</p>
<p begin="00:01:35.839" end="00:01:39.756" style="s2">to visualize the aortic<br />valve in cross section.</p>
<p begin="00:01:41.591" end="00:01:44.146" style="s2">End downward to visualize the myocardium</p>
<p begin="00:01:44.146" end="00:01:45.882" style="s2">of the left ventricle.</p>
<p begin="00:01:45.882" end="00:01:48.959" style="s2">Note the wall motion of<br />the myocardial segments</p>
<p begin="00:01:48.959" end="00:01:51.209" style="s2">and function of the valves.</p>
Brightcove ID
5752141722001
https://youtube.com/watch?v=EaLuCBXXINg