All about TAPSE! (Echocardiography)

Рет қаралды 152,984

4 жыл бұрын

Hello guys, in this video im talking about TAPSE! What it is? and how to measure it?. This is a parameter we use to assess the right ventricular systolic function.
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Пікірлер: 127

@Falaxuper 2 жыл бұрын

Super easy, and super clearly explained! Thanks so much for this video!

@the_echo_lady 2 жыл бұрын

Thank you! Have a nice Christmas

@Falaxuper 2 жыл бұрын

@@the_echo_lady Thank you very much, and best of everything for Christmas and the New Year for you!

@polycarpfrance6521 2 жыл бұрын

Thank you so much for clear explanation, its really straight forward

@the_echo_lady 2 жыл бұрын

Thank you!!! 🥰🥰🥰

@dancu9271 Жыл бұрын

A lot of thanks for making and sharing your video!!

@the_echo_lady Жыл бұрын

Thank you Dan!

@joesuarez1983 4 жыл бұрын

Great explanation! Thank you 🙏🏽

@the_echo_lady 4 жыл бұрын

Thank you!! 😍

@FacundoMD 2 жыл бұрын

ER doc here !!! Love the voice/accent ! I was on my critical care shift and forgot to measure that Haha so here I am. Stay Safe Everyone !

@the_echo_lady 2 жыл бұрын

Hello doc! Welcome... Haha thank you! Stay safe!!!

@mohamadalneel4443 3 жыл бұрын

Thank you very much for such prcise and concise explanation.

@the_echo_lady 3 жыл бұрын

Thank you!

@kamalsalami Жыл бұрын

Thank you so much for clear explanation

@the_echo_lady Жыл бұрын

Thank you Kamal 🫀

@snaps1194 Жыл бұрын

Thank you for your brilliant illustration

@the_echo_lady Жыл бұрын

🤍🤍👑

@imre2784 2 жыл бұрын

Thank you very much. Very nice presentation.

@the_echo_lady 2 жыл бұрын

Thank you! You are very kind

@hsbae2388 4 жыл бұрын

So cool! thanks

@the_echo_lady 4 жыл бұрын

Thanks to you🖤

@Imrancool0 2 жыл бұрын

Nice explanation with point to point ... 👌🙏

@the_echo_lady 2 жыл бұрын

Thank you.

@carolinamoreira7766 2 жыл бұрын

Amazing Chanel ! Go ahead! 😘

@the_echo_lady 2 жыл бұрын

Thank you!!! ✨🎄❤️

@Fazliddinsobirov 2 жыл бұрын

Super! Danke dir!

@the_echo_lady 2 жыл бұрын

keine Ursache! 🙃❤️

@mirtsakalbazidou527 Жыл бұрын

Excellent explanation, simple and analytical at the same time!

@the_echo_lady Жыл бұрын

Thank youuu

@ivyrodriguez8272 Жыл бұрын

@@the_echo_lady hola Tia

@the_echo_lady Жыл бұрын

@@ivyrodriguez8272 hola mi reina te amo

@user-ez3ip4pb8b 3 жыл бұрын

Great presentation

@the_echo_lady 3 жыл бұрын

Thank you!!!

@edenn.6168 3 жыл бұрын

very useful! Thank you

@the_echo_lady 3 жыл бұрын

Your welcome 💪🏻

@phyllismok6033 3 жыл бұрын

Thank you for sharing

@the_echo_lady 3 жыл бұрын

Thank you

@TheIkpeng 4 жыл бұрын

Cool!

@the_echo_lady 4 жыл бұрын

Thanks!!! ❤️

@Duonghm98 2 ай бұрын

Thanks for sharing. this video is very useful

@the_echo_lady 4 күн бұрын

Thanks :)

@MahmudulHasan-rk6ze 11 ай бұрын

Thanks a lot.Would you tell the the cut off value of mild,moderate,severe RV systolic function? Already you told

@the_echo_lady 11 ай бұрын

Hello, with this value is just nornal or impaired... We don't use gradings

@infodiff 2 жыл бұрын

Thank you.

@the_echo_lady 2 жыл бұрын

❤️❤️❤️❤️🥰

@krishnaveni24. Жыл бұрын

Thank you so much sister 😘

@the_echo_lady Жыл бұрын

My pleasure 🫀🫀🫀

@emanali9789 5 ай бұрын

Thank you very much ❤

@the_echo_lady 5 ай бұрын

🥰🥰🫀🫀🫀🫀

@dr.khan.dr.khan.7020 3 жыл бұрын

Thanks I like ur voice ad explain sound .....

@the_echo_lady 3 жыл бұрын

Thank you 🫀

@WaqarGMR8 2 жыл бұрын

Great

@the_echo_lady 2 жыл бұрын

🙏🏻🙏🏻🙏🏻🙏🏻

@د.خليل 3 жыл бұрын

Good thank you

@the_echo_lady 3 жыл бұрын

🫀🤗

@user-cc4kq6hl4c 2 жыл бұрын

Thanks.. Can you show more details about tricuspid annulus.. How to exactly find it on echo because its easy to misplace the cursor

@the_echo_lady 2 жыл бұрын

Yes, the best view due to the angle it's the apical 4 chamber view. I have a video on how to obtain this view already on my channel

@paanmelaka 29 күн бұрын

thank you

@the_echo_lady 4 күн бұрын

Thanks to you :)

@neilggala 2 жыл бұрын

So I watched your MAPSE video as well, is there any reason for TAPSE we only measure the lateral excursion and not the septal?

@the_echo_lady 2 жыл бұрын

The septum is considered part of the LV longitudinal function. To assess RV we just measure the free wall. To assess LV we can measure septal and lateral MAPSE

@alemayehuabebe9704 Жыл бұрын

please do a video on PW,CW, Color doppler with specific example thank you

@the_echo_lady Жыл бұрын

I will 😊

@Tdhdoc Жыл бұрын

thanks!

@the_echo_lady Жыл бұрын

🫶🏻

@domenicogiannattasio9037 5 ай бұрын

many thanks for explication very clear so TAPSE is all the long distance between lowest and highest point in M Mode or vertucal distance between ?

@the_echo_lady 5 ай бұрын

You can measure it either way and it's the same...

@domenicogiannattasio9037 5 ай бұрын

@@the_echo_lady many many thanks

@rustynail2310 Жыл бұрын

EXCELENT¡ 😍😍😍

@the_echo_lady Жыл бұрын

Thank you.

@daoanhtuan36 Жыл бұрын

Thanks

@the_echo_lady Жыл бұрын

🫀🫀🫀

@jhinukpal6467 4 жыл бұрын

My mother is a patient of viral myocarditis...About 2 months ago she was admitted in hospital and treated.. echocardiograpy report on 8.6.20- TAPSE 25mm..But 14.7.20 echocardiography report TAPSE 15mm..Is it dangerous?Or life threatening?

@the_echo_lady 4 жыл бұрын

Hello, a single measurement by itself doesn't mean anything... The echocardiogram should be analysed as a whole, if you have any concerns please ask to your mother's cardiologist.

@user-cc4kq6hl4c 2 жыл бұрын

How to find the tricuspid annulus.. Can you point out where to place the cursor exactly

@the_echo_lady 2 жыл бұрын

I will do more videos about it then

@doorknob9027 3 жыл бұрын

Thanx

@the_echo_lady 3 жыл бұрын

🖤✨

@srinivasaraosirasapalli5104 7 ай бұрын

So nice madam

@the_echo_lady 7 ай бұрын

Thank you 🫶🏻

@Mike51689 4 жыл бұрын

Question - Why do you measure the length of the sloped line, as opposed to the vertical distance between the peak and trough? My understanding is that TAPSE is a distance measurement - ie how much the triscuspid annulus moves towards and then away from your probe. In M mode, the Y axis is distance, and X axis is time. Therefore, measuring the length of the sloped line would be affected by the X axis ie time parameter. Would it not make more sense to simply measure the Y axis distance - ie, the length of the *vertical* line between the peak and trough? I have asked several cardiologists, most are telling me to measure the vertical distance.

@the_echo_lady 4 жыл бұрын

Is the same, I'm just placing the Lowe's point and the highest point and the result I'm obtaining is the vertical distance. Depends on the machine it will look like this or it will show you a vertical line.

@the_echo_lady 4 жыл бұрын

Also this is M-Mode, is not 2D and it doesn't matter if you measure something diagonal, is always going to give you the distance between those 2 points. Try it and you would get the same value and depends on the machine I have to do it diagonally to make sure I'm in the correct position because the system doesn't show you a guide line along your measurement. I hope I explained myself properly... ❣️

@Mike51689 4 жыл бұрын

The Echo Lady - So my understanding now from speaking with colleagues (PCCM) is that the echo machines will automatically correct the hypotenuse to the vertical side, as the machine is programmed that way. Said another way, the computer on the machine automatically knows that you want a distance measurement, and so calculates just the Y-axis (distance) component and eliminates the X-axis (time) component for you. So you should technically get the same answer if you measured the distance down the length of the sloped curve or if you measure vertically from peak to trough. Measuring down the slope may be slightly more precise, as you are placing the caliper exactly at the trough point, as opposed to ‘eyeballing’ where the trough point is when going vertically - however you should technically get the same measurement.

@anaghamv2745 15 күн бұрын

Tapse abnormal but no ra rv dilatation ..can we telll it as rv dysfunction?

@the_echo_lady 4 күн бұрын

What about the S wave? Fractional area change? you could confirm with other parameters.

@doorknob9027 3 жыл бұрын

Is there a measurement in the m mode package or do u just measure the distance?

@the_echo_lady 3 жыл бұрын

Most of the machines have this measurements included in the calcs... If not, just measure the diameter with caliper

@doorknob9027 3 жыл бұрын

@@the_echo_lady ..I found the TAPSE measurement..thanx

@the_echo_lady 3 жыл бұрын

@@doorknob9027 that's awesomeeeee! I'm glad :)

@mariateresaguerra3027 Жыл бұрын

Exacto

@the_echo_lady Жыл бұрын

correcto

@ilynpayne7491 Жыл бұрын

Which annulus do we use is it medial or septa

@the_echo_lady Жыл бұрын

For tapse is the free RV wall annulus...

@aaqiffmohideen4141 5 ай бұрын

For TAPSE you should get Mmode from apex to tricuspid annulus.

@the_echo_lady 3 ай бұрын

Nooooo... you can measure it either way, try it.

@aaqiffmohideen4141 3 ай бұрын

If you measure in any direction you will get false value

@vthejasri5266 3 жыл бұрын

If tapse is 1.80cm what is results of heart condition. Is it any serious. If so what is solution to make 2 CM.

@the_echo_lady 3 жыл бұрын

A TAPSE >1.6cm is normal

@francescodifoggia2373 3 жыл бұрын

GReat!

@the_echo_lady 3 жыл бұрын

Thank you !!! 🤗✨

@francescodifoggia2373 3 жыл бұрын

@@the_echo_lady Which one is your preferred Ultrasound machine?

@the_echo_lady 3 жыл бұрын

@@francescodifoggia2373 I really like the Philips Epic and the GE E95

@heartcare6038 3 жыл бұрын

If it is less than 17 than what we cal it

@the_echo_lady 3 жыл бұрын

We can't rely on just 1 single measurement to conclude something, however if TAPSE is reduced as well as other measurements to assess RV systolic function... We can say that the RV longitudinal (or radial) function is impaired. Correlate TAPSE with S wave, FAC or visually.

@spacefed101 Жыл бұрын

hello ECHO GODDESS XD! . Nice video as always. I just wanted to clarify. In the measurement of TAPSE, should we measure the diagonal distance from the baseline to the peak of the tricuspid annulus (as shown in your video above)? or should we measure the vertical distance from the baseline to the peak of the tricuspid annulus?

@the_echo_lady Жыл бұрын

Hello! You can measure it diagonal from left to right, diagonal from right to left or vertical... It's all the same! Always from base to peak... Try it and you will see it doesn't matter which method do you use because you are measuring "distance".

@aaspaas11 3 жыл бұрын

Mam please make a video On Vena Contracta And MR PISA

@the_echo_lady 3 жыл бұрын

Yes absolutely!

@vikasshenoy729 3 жыл бұрын

My current tapse is 18 mm ,is it normal

@the_echo_lady 3 жыл бұрын

Yes

@danladking9788 2 жыл бұрын

@@the_echo_lady mine is 24 which is said to be high, no idea what that means!!!

@the_echo_lady 2 жыл бұрын

@@danladking9788 is normal

@danladking9788 2 жыл бұрын

@@the_echo_lady thanks echo lady, my ECG report is saying only 16 or under is normal, made me feel better hearing you say this!!

@alainfernandez9254 Жыл бұрын

TAPSE measures the maximum annulus depression towards the right atrium in systole to have an idea of the right ventricular systolic function. I have seen this slope measurement in so many places which tends to underestimate the presence of disease. This should be the right way to go: kzfaq.info/get/bejne/icd5rbd6vN-2goU.html

@the_echo_lady Жыл бұрын

It's still measuring the diameter... Gives you the same value it doesn't matter if you measure it from right to left, left to right, bottom to top or top to bottom...