Thank you! I'm glad you enjoy them ... Any suggestions are welcomed!!!

Thank you very much Dr!

Oh sorry o don't understand

Thank youuuuuu :)

Thank you! 🫀

You're welcome 😊

Thank you! 🖤

Gracias!

Thank you! ❤️

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Hello! The guidelines are a bit different in every country, so always check your guidelines to perform the correct measurements... 🫶🏻🥰🫀

@Diego yes, I work under the British society of Echocardiography guidelines... All guidelines are different so thank you for sharing the difference between them 👍🏻💜

22-34mm for females 24-39mm for males Also you can index this by height according to the latest BSE guidelines. However Check the guidelines used in your country.

@@the_echo_lady thank you!

Normally the sinus of valsalva if often referred as the aortic root... So it's the same. Most of the machines have the aortic root option but is not called sinus of valsalva. So you can measure the annulus, then the sinus of valsalva (also named aortic root), STJ and ascending aorta.

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Some guidelines suggest to measure the LVOT at the annulus and some others up to 1cm from the annulus so depends on the guidelines you use.

It shouldn't make any difference so just measure in the part of the cycle where you can properly see the whole "bulb"

I was taught diastole, because you want the Aorta relaxed when getting your measurements.

It shall be measured in Diastole, In systole, you will over measure

Depends on your height or BSA... aortic diameters need to be indexed...

@@the_echo_lady can you give me some ranges

Where you can visualise it better... The hinge points properly

They typically do surgery when the ascending aorta is greater than 45 mm. 37 mm or greater is considered dilated and should be monitored. The ascending aorta can easily be measured on TTE.

@@jhonen32629 My aorta 4.6 and subsequently my research shows that the need for surgery is 4.4 yet the aorta has not been observed for more than one time and it is predicted to expand by 1.0cm per year. I am a-symptomatic on the stenosis and have put off the surgery for a period of six months in order to procure another opinion. will i survive? The doctor has given me two years without surgery which I (literally) feel hard to believe.

@@shoomapadoo1141 Oh ok. But definitely have someone keep an eye on it, which sounds like that’s what you’re doing.

The numbers are different in every country and they must also be indexed by sex and BSA or height... So check the values on your country guidelines

PAA?

The aortic diameter should be measured everytime... Not only in cases of AR, but sometimes aortic dilatation it's the reason of the AR

Hello, the guidelines are very similar but I use BSE guidelines...

Thank you for your observation but this measurements are different in every country and even cardiac labs. I work under the British Society of echocardiography and they recommend inner edge to inner edge... Please check your guidelines.

@@the_echo_lady Do you know the reasoning behind why it is inner to inner?

@@davidflerlage2463 The purpose for this is accuracy in measurements, however some studies found that there isn't that much discrepancies between both methods so I just guess is a Society preference and also a way of making everyone to do the same all the time... To standardise the echo practice.

She is following BSE. We and world over follow ASE. as you stated ASE says, leading edge to leading edge @ end diastole and LVOTO in mid systole

@@DrBharatSinghSambyal yes LVOT when the valve is open root when is closed