Pitfalls in LV assessmentThe following section will highlight key limitations and pitfalls in visual assessment of left ventricular function. This section is aimed toward the intermediate level bedside sonographer, to better prepare them for challenging ventricular movement and morphology.
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Assessment of wall motionA global visual evaluation of LV function requires an assessment of myocardial thickening and endocardial excursion.
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Use multiple viewsWhile basic visual assessment of the LV does not require an extensive evaluation of short axis cross-sections, you can appreciate that the complexity can increase with more careful analysis. We get around this kind of impractical analysis at the bedside by acquiring multiple views in orthogonal planes.
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Dividing the cavityAs the eyes can be easily confounded by multiple regional wall motion abnormalities, the hands (represented as blue boxes in this clip) can be used to allow your eyes to selectively assess each segment at a time.
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Video tutorial
Pitfalls tutorialThis video will highlight an array of confounders to visual assessment of left ventricular function.
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