View source for TTE Protocol Pre imaging & S/P TAVR assessment

==Setup==

*Obtain height, weight, blood pressure on all patients
*Obtain ECG tracing
**3 beat loop
***If HR > 100 bpm increase number of loops to 4 beats
***If HR > 120 bpm increase number of loops to 5 beats

{{Warn|DO NOT ACQUIRE IMAGES WITHOUT AN ADEQUATE ECG TRACING }}

{| class="wikitable"
|-
!View !! Modality !! Image !! #beats
|-
| 1 Patient information page ||  ||  || 
|-
|  ||  || '''PARASTERNAL LONG AXIS'''||
|-
| 2 || 2D || PLAX depth 5 cm (adequate to visualize pericardial/pleural effusion or || 3
|-
| 3 || 2D || PLAX depth 2 cm (on axis for LV measurements || 3
|-
| 4 || Color || Mitral and aortic valve || 3
|-
| 5 || 2D || AoV (Zoom; optimize for LVOT measurement; should include both Ao root sinuses) || 3 x2
|-
| 6 || 2D || Asc Ao measurement || 3
|-
| 7 || Color || Asc Ao || 3
|-
| 8 || 3D || X-plane through AV leaflet tips || 3
|-
| 9 || 3D color || X-plane with color AV leaflet tips || 3
|-
| 10 || 2D || RV inflow- TV || 3
|-
| 11 || Color || RV inflow- TV with color || 3
|-
| 12 || CW || RV inflow- TR jet || 3
|-
| 13 || 2D || RV outflow PV || 3
|-
| 14 || Color || RV outflow PV (focus on RVOT) || 3
|-
|  ||  ||  || 
|-
|  ||  || '''PARASTERNAL SHORT AXIS'''||
|-
| 15 || 2D || AoV level, show TV, PV and left atrium || 3
|-
| 16 || 2D || Zoom AoV-show leaflet morphology || 3
|-
| 17 || Color || Zoom AoV || 
|-
| 18 || 2D || Tricuspid valve || 3
|-
| 19 || Color || TV, TR jet || 3
|-
| 20 || CW || TR jet || 3
|-
| 21 || 2D || Pulmonic valve || 3
|-
| 22 || Color || PV, RVOT, PR jet || 3
|-
| 23 || 2D || Mitral valve || 3
|-
| 24 || Color || Mitral valve color || 3
|-
| 25 || 2 || Mid LV (papillary muscle level) || 3
|-
| 26 || 2D || Apical LV || 
|-
|  ||  ||  || 
|-
|  ||  || '''Apical 4-Chamber View'''||
|-
| 27 || 2D || Apical 4-Chamber (all 4 chambers) || 3
|-
| 28 || 2D || Apical 4-Chamber (LV focused- for biplane Simpson’s & RWMA) || 3 x2
|-
| 29 || 2D || Apical 4-Chamber Simpsons measurement || 
|-
| 30 || 2D || Apical 4-Chamber (MV focused) || 3
|-
| 31 || 2D || Apical 4-Chamber (LA focused) || 3
|-
| 32 || Color || MV inflow || 3
|-
| 33 || 2D || Apical 4 Chamber (LAA focused) || 3
|-
| 34 || 2D || RV focused View || 3
|-
| 35 || Color || RV focused (TV and TR jet) || 3
|-
| 36 || CW || RV focused (TV and TR jet) || 3
|-
|  ||  ||  || 
|-
|  ||  || '''Apical 5-Chamber View'''||
|-
| 37 || 2D || Apical 5-Chamber (all 5 chambers) || 3
|-
| 38 || Color || Apical 5-Chamber (color box to display complete AR jet) || 3
|-
| 39 || 2D || Apical 5-Chamber (Zoom AoV) || 3
|-
| 40 || 2D || Apical 5-Chamber (Zoom AoV Color sweep) || 5
|-
| 41 || PW || Apical 5-Chamber PW of LVOT, optimize baseline || 3 x2
|-
| 42 || CW || Apical 5-Chamber AV CW || 3 x2
|-
|  ||  ||  || 
|-
|  ||  || '''Apical 2-Chamber View'''||
|-
| 43 || 2D || Apical 2-Chamber || 3 x2
|-
| 44 || 2D || Apical 2-Chamber Simpsons measurement || 
|-
| 45 || 2D || Apical 2-Chamber focus on (focus on LA) || 3
|-
| 46 || Color || Apical 2-Chamber focus on MV || 3
|-
| 47 || CW || Apical 2-Chamber (focus on MV, MR jet and MV inflow || 3
|-
|  ||  ||  || 
|-
|  ||  || '''Apical 3-Chamber View'''||
|-
| 48 || 2D || Apical 3-Chamber (all 3 chambers) || 3
|-
| 49 || Color || Apical 3-Chamber (color box to display complete AR jet) || 3
|-
| 50 || 2D || Apical 3-Chamber (Zoom AoV) || 
|-
| 51 || Color || Apical 3-Chamber (Zoom AoV) sweep || 5
|-
| 52 || PW || Apical 3-Chamber PW of LVOT || 3 x2
|-
| 53 || CW || Apical 3-Chamber AV CW (optimize baseline to both AS and AR if needed || 3 x2
|-
|  ||  ||  || 
|-
|  ||  || '''Subcostal'''||
|-
| 54 || 2D || Subcostal, 4-chamber || 
|-
| 55 || Color || Subcostal, 4-chamber, focused MV and TV || 
|-
| 56 || 2D || Interatrial septum (zoom) || 
|-
| 57 || Color || Interatrial septum (zoom) Color Nyquist <50 cm/s || 
|-
| 58 || 2D || IVC || 
|-
| 59 || Color || IVC and hepatic vein || 
|-
| 60 || 2D || Descending/abdominal aorta || 
|-
| 61 || PW || *Descending/abdominal aorta if moderate or greater AR || 
|-
|  ||  || PISA- please consider for moderate or greater regurgitation; aliasing velocity 30-38 cm/s || 
|-
|  ||  || 3D & 3D color- feel free to acquire; single beat and multi-beat acquisitions || 
|-
|  ||  || Right parasternal border-for AS patients; please obtain if possible || 
|-
|  ||  || Anything more than mild valve disease interrogate || 
|-
|  ||  ||  || 
|-
|  ||  ||  || 
|-
|  ||  ||  || 
|-
|  ||  ||  || 
|-
|  ||  ||  || 
|}
[[Category:Echo Protocol]]