All about TAPSE! (Echocardiography)

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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[@Falaxuper]

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

[@the_echo_lady]

Thank you! Have a nice Christmas

[@Falaxuper]

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

[@polycarpfrance6521]

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

[@the_echo_lady]

Thank you!!! 🥰🥰🥰

[@FacundoMD]

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]

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

[@dancu9271]

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

[@the_echo_lady]

Thank you Dan!

[@joesuarez1983]

Great explanation!
Thank you 🙏🏽

[@the_echo_lady]

Thank you!! 😍

[@mohamadalneel4443]

Thank you very much for such prcise and concise explanation.

[@the_echo_lady]

Thank you!

[@Imrancool0]

Nice explanation with point to point ... 👌🙏

[@the_echo_lady]

Thank you.

[@mirtsakalbazidou527]

Excellent explanation, simple and analytical at the same time!

[@the_echo_lady]

Thank youuu

[@ivyrodriguez8272]

​@@the_echo_lady hola Tia

[@the_echo_lady]

@@ivyrodriguez8272 hola mi reina te amo

[@snaps1194]

Thank you for your brilliant illustration

[@the_echo_lady]

🤍🤍👑

[@kamalsalami]

Thank you so much for clear explanation

[@the_echo_lady]

Thank you Kamal 🫀

[@carolinamoreira7766]

Amazing Chanel ! Go ahead! 😘

[@the_echo_lady]

Thank you!!! ✨🎄❤️

[@imre2784]

Thank you very much. Very nice presentation.

[@the_echo_lady]

Thank you! You are very kind

[@Fazliddinsobirov]

Super! Danke dir!

[@the_echo_lady]

keine Ursache! 🙃❤️

[@hsbae2388]

So cool! thanks

[@the_echo_lady]

Thanks to you🖤

[@user-ez3ip4pb8b]

Great presentation

[@the_echo_lady]

Thank you!!!

[@Duonghm98]

Thanks for sharing. this video is very useful

[@the_echo_lady]

Thanks :)

[@edenn.6168]

very useful! Thank you

[@the_echo_lady]

Your welcome 💪🏻

[@TheIkpeng]

Cool!

[@the_echo_lady]

Thanks!!! ❤️

[@dr.khan.dr.khan.7020]

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

[@the_echo_lady]

Thank you 🫀

[@krishnaveni24.]

Thank you so much sister 😘

[@the_echo_lady]

My pleasure 🫀🫀🫀

[@phyllismok6033]

Thank you for sharing

[@the_echo_lady]

Thank you

[@emanali9789]

Thank you very much ❤

[@the_echo_lady]

🥰🥰🫀🫀🫀🫀

[@infodiff]

Thank you.

[@the_echo_lady]

❤️❤️❤️❤️🥰

[@rustynail2310]

EXCELENT¡ 😍😍😍

[@the_echo_lady]

Thank you.

[@WaqarGMR8]

Great

[@the_echo_lady]

🙏🏻🙏🏻🙏🏻🙏🏻

[@MahmudulHasan-rk6ze]

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

[@the_echo_lady]

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

[@user-cc4kq6hl4c]

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]

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

[@Tdhdoc]

thanks!

[@the_echo_lady]

🫶🏻

[@د.خليل]

Good thank you

[@the_echo_lady]

🫀🤗

[@paanmelaka]

thank you

[@the_echo_lady]

Thanks to you :)

[@alemayehuabebe9704]

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

[@the_echo_lady]

I will 😊

[@neilggala]

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]

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

[@domenicogiannattasio9037]

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]

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

[@domenicogiannattasio9037]

@@the_echo_lady many many thanks

[@Mike51689]

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]

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]

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]

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.

[@srinivasaraosirasapalli5104]

So nice madam

[@the_echo_lady]

Thank you 🫶🏻

[@jhinukpal6467]

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]

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.

[@daoanhtuan36]

Thanks

[@the_echo_lady]

🫀🫀🫀

[@mariateresaguerra3027]

Exacto

[@the_echo_lady]

correcto

[@doorknob9027]

Thanx

[@the_echo_lady]

🖤✨

[@aaqiffmohideen4141]

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

[@the_echo_lady]

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

[@aaqiffmohideen4141]

If you measure in any direction you will get false value

[@user-cc4kq6hl4c]

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

[@the_echo_lady]

I will do more videos about it then

[@doorknob9027]

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

[@the_echo_lady]

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

[@doorknob9027]

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

[@the_echo_lady]

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

[@francescodifoggia2373]

GReat!

[@the_echo_lady]

Thank you !!! 🤗✨

[@francescodifoggia2373]

@@the_echo_lady Which one is your preferred Ultrasound machine?

[@the_echo_lady]

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

[@aaspaas11]

Mam please make a video On Vena Contracta And MR PISA

[@the_echo_lady]

Yes absolutely!

[@spacefed101]

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]

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".

[@anaghamv2745]

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

[@the_echo_lady]

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

[@ilynpayne7491]

Which annulus do we use is it medial or septa

[@the_echo_lady]

For tapse is the free RV wall annulus...

[@vthejasri5266]

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]

A TAPSE >1.6cm is normal

[@heartcare6038]

If it is less than 17 than what we cal it

[@the_echo_lady]

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.

[@alainfernandez9254]

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:
czcams.com/video/SaIzTIWyRRQ/video.html

[@the_echo_lady]

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...

[@sifar1111]

I think it’s vertical height not the slope which represent TAPSE . What you measured is slope distance over time .

[@the_echo_lady]

It does not matter which way you measure it as the measurement will always be the distance, not the time... try it.

[@sifar1111]

Vertical height would be less than the slope …📐@@the_echo_lady

[@vikasshenoy729]

My current tapse is 18 mm ,is it normal

[@the_echo_lady]

Yes

[@danladking9788]

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

[@the_echo_lady]

@@danladking9788 is normal

[@danladking9788]

@@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!!

[@jhinukpal6467]

Plz ans me

[@the_echo_lady]

Did it already

[@ahfr9706]

i think this is wrong From lowest point to hghest point in same plane

[@the_echo_lady]

😐

[@navedsheikh2105]

Great

[@the_echo_lady]

🫀✨✨✨