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heart_n_lungs

Kontaktinformationen, Karte und Wegbeschreibungen, Kontaktformulare, Öffnungszeiten, Dienstleistungen, Bewertungen, Fotos, Videos und Ankündigungen von heart_n_lungs, Kardiologe, Vienna.

Medical doctor, cardiology, Echo Laboratory head, special interest in echo, LUS & teaching 🫀🫁
Echo-reporting software (German version): https://befundgenerator.at/echopoint/

25/11/2025

To complete the prior videos, before the guidewire is inside, we need to see the needle actually penetrating the anterior wall of the internal jugular vein. Here you see the exact point of entrance of the needle into the vein, guaranteeing venous access 💉🫀.

23/11/2025

Now that we see the guidewire directly in the vessel, we know that we are located in the vein. Following the wire caudally, proves again the venous location and gives the first hints towards a central venous location! .

22/11/2025

Finding the needle again, means we can continue with our in-plane out-of-plane approach towards an internal jugular venous access 🪡🫀 .

20/11/2025

Now without „double-voice-over“ 😊. Always keep the tip of the needle visible when performing a central line placement! If you loose it, don‘t continue advancing the needle blindly but find the tip again. Look if the transducer is aligned with the needle properly. Rock the needle a bit to see it better. If you are not sure, go way back, make sure you see the tip, and approach newly 🪡 .

20/11/2025

In-plane out-of-plane central line placement — in hypovolemia sometimes you have to get creative by means of central line placement. Sometimes it helps to start out-of-plane in-plane (the needle approaches the vessel in-plane to the transducer longitudinally, the vessel is oblique out-of-plane). Let’s see how it goes😊.

17/11/2025

Using a balloon 🎈 Valsalva test can lead to incredible results. In this case we saw a patient with HOCMP, he received Mavacamten for over 2 years and was stable. With again increasing symptoms we evaluated the patient with echocardiography. We saw in the resting study that there is an LVOT gradient but no relevant obstruction. With a Valsalva maneuver a similar gradient (although a stronger signal) was seen. With a balloon (let the patients inflate one balloon several times to figure out the highest gradient) Valsalva a significant gradient was identified and the Mavacamten dosage was increased from 5mg to 10mg 🎈💊.

15/11/2025

A second balloon test and a again a significantly higher gradient! We almost reached 3.5m/sec and almost scratched 50mmHg. So it is clear that the gradient is above 30mmHg (clearly) and we can uptitrate Mavacamten for this patient with HOCMP 🎈🫀.

13/11/2025

After Valsalva (and even instead of Valsalva), we use a Balloon that the patient has to inflate with air. By that a pressure similar to valsalva is generated (around 20-25mmHg) and we do see already a significantly higher gradient (but we are not done) 🎈.

11/11/2025

Valsalva was not enough to provoke a true LVOTO — next up, balloon valsalva 🎈.

09/11/2025

Abendfortbildung zum Thema Diagnostik und Therapie des pulmonalen Hypertonus 🫁🫀. Doz. DDr. Jörg Kellermair spricht über die frühzeitige Erkennung, unsere Leitlinien und die aktuellen Therapiestrategien. Ich darf den Rechtsherzschall herzeigen. Wir freuen uns auf eure Anmeldungen (WRichter@ferrer.com oder heart.lungs.ultrasound@gmail.com) und einen spannenden Abend!

08/11/2025

LVOTO vs midventricular vs apical gradients — let’s see where the problem lies 🤔💭.

06/11/2025

The EF was hyperdynamic! Now it is time to grade the LVOT Obstruction. With a peak gradient of 2m/sec, equalling a peak gradient of 16mmHg, it is not yet significant, but there is now the suspicion that there is significant obstruction present, which would explain symptoms 🫀 .

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