Kelly and Suzanne,
I think this is the document you were looking for.
I hope this helps. I did not know how to attach a .pdf so I am posting it here and I will e mail Kelly the .pdf document for anyone that is intereste. I hope this helps for a reference. Maybe Peter can correct any mistakes.
L Atrium:
Too large:
1. L ventricular systolic dysfunction (e.g. DCM)
2. Left ventricular diastolic dysfunction (e.g. HCM)
Kelly and Suzanne,
I think this is the document you were looking for.
I hope this helps. I did not know how to attach a .pdf so I am posting it here and I will e mail Kelly the .pdf document for anyone that is intereste. I hope this helps for a reference. Maybe Peter can correct any mistakes.
L Atrium:
Too large:
1. L ventricular systolic dysfunction (e.g. DCM)
2. Left ventricular diastolic dysfunction (e.g. HCM)
3. Mitral valvular disease (e.g. endocardiosis)
4. L to R shunting
5. Iatrogenic (e.g. fluid overload)
To small:
1. Hypovolemia
Not empty:
1. Thrombus (cats>dogs)
2. Spontaneous echo contrast (e.g. “smoke”)
3. Mass (e.g. neoplasia, abscess)
L Ventricle:
Too large:
1. Volume overload (e.g. DCM, endocardiosis, L to R shunt)
2. High output state (e.g. anemia, hyperthyroidisim)
3. Iatrogenic (fluid overload)
Too small:
1. Hypovolemia
2. Severe concentric LV hypertrophy (e.g. HCM)
3. Right ventricular volume or pressure overload
LV Posterior Wall:
Too thick:
1. Outflow obstruction (e.g. systemic hypertension, SAS)
2. Inappropriate hypertrophy (e.g. HCM, RCM)
3. Infiltrative disease
Too thin, poor motion:
1. DCM
2. Prior myocardial infarction
Too Bright:
1. ischemia and/or fibrosis
Interventricular Septum:
Too thick:
1. Outflow obstruction (e.g. systemic hypertension, SAS)
2. Inappropriate hypertrophy (e.g. HCM, RCM)
3. Infiltrative disease
4. Right ventricular outflow obstruction (e.g. PS, PH)
Too thin, poor motion:
1. DCM
2. Prior myocardial infarction
Too bright:
1. ischemia and/or fibrosis
Piece Missing:
1. VSD
Flattening:
Right ventricular pressure or volume overload
Paradoxical Septal Motion:
1. RV overload as for flattening
2. Conduction disturbances
Global LV Function:
Increased:
1. High output states (e.g. anemia, fever, increased T4)
2. Hypertrophic Cardiomyopathy
3. Mitral insufficiency (“hyper-dynamic”)
Decreased:
1. DCM
2. Restrictive cardiomyopathy (some)
3. Severe hypothyroidism
4. Sepsis
5. Concurrent tachyarrythmia
LFOT/Aortic Valve:
LV outflow tract too narrow (visible ridge)
1. SAS
Thickened valve +/- abnormal valve movement
1. Valvular aortic stenosis
2. Aortic endocarditis
Aorta:
Too wide:
1. Post stenotic dilation
2. Systemic hypertension
Too narrow:
1. Hypovolemia
2. Poor Cardiac output (e.g. DCM)
Right Atrium:
Too large:
1. Tricuspid valvular disease (e.g. endocardiosis, TV dysplasia
2. Atrial septal defect
3. Iatrogenic (fluid overload)
Too small:
1. Hypovolemia
2. Collapse due to pericardial effusion/cardiac tamponade
Tricuspid Valve:
Too Thick:
1. Tricuspid valvular dysplasia (+/- long, tethered appearance)
2. Chronic degenerative valvular disease (endocardiosis)
Abnormal motion:
1. Tricuspid stenosis- restricted movement during diastole
Multiple double lines crossing valve:
Heartworm disease
Right Ventricle:
Too large:
1. Volume overload (e.g. DCM, tricuspid insufficiency)
2. Iatrogenic (fluid overload)
Too small:
1. Hypovolemia
2. Cardiac tamponade
Thickened Walls:
1. Pressure overload (e.g. PS, Pulmonary hypertension
2. Infiltrative disease
Pulmonic Valve and PA:
Thickened Valve:
1. Pulmonic stenosis
Dilated Pulmonary artery:
1. Post-stenotic dilation
2. Pulmonary hypertension
Comments
This is great, thank you Dr.
This is great, thank you Dr. Herman! 🙂