{"id":325,"date":"2015-10-09T18:15:03","date_gmt":"2015-10-09T18:15:03","guid":{"rendered":"https:\/\/sites.austincc.edu\/sonography-resources\/?page_id=325"},"modified":"2016-09-15T16:17:40","modified_gmt":"2016-09-15T16:17:40","slug":"apical-window","status":"publish","type":"page","link":"https:\/\/sites.austincc.edu\/sonography-resources\/color-doppler\/apical-window\/","title":{"rendered":"Apical Window"},"content":{"rendered":"<h2>MV Inflow<\/h2>\n<p>From the apical 4C view, place the color box over the valve and center the leaflet tips to display adequate flow information proximal distal to the valve.  Include the annulus in your assessment.  The color should be mostly red.<\/p>\n<p><iframe loading=\"lazy\" title=\"Color Doppler - Apical Window - MV inflow\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/cd0DFSHH-6w?list=PLjyLaIz4YXq7r9DQwmc6z-NAxojWV4VUF\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2>LV outflow<\/h2>\n<p>From the apical 5C view, place the color box over the valve and center the leaflet tips to display adequate flow information proximal distal to the valve.  Include the annulus in your assessment.  The color should be mostly blue aliasing to red.<\/p>\n<p><iframe loading=\"lazy\" title=\"Color Doppler - Apical Window - LV outflow\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/CHrhEvz4T4A?list=PLjyLaIz4YXq7r9DQwmc6z-NAxojWV4VUF\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2>TV inflow<\/h2>\n<p>From the Apical 4C modified view, place the color box over the valve and center the leaflet tips to display adequate flow information proximal distal to the valve.  Include the annulus in your assessment.  The color should be mostly red.<\/p>\n<p><iframe loading=\"lazy\" title=\"Color Doppler - Apical Window - TV inflow\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/VGUZxj9d5yY?list=PLjyLaIz4YXq7r9DQwmc6z-NAxojWV4VUF\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2>Ap 2C MV<\/h2>\n<p>Place the color box over the valve and center the leaflet tips to display adequate flow information proximal distal to the valve.  Include the annulus in your assessment.  The color should be mostly red.<\/p>\n<p><iframe loading=\"lazy\" title=\"Color Doppler - Apical Window - Ap 2C MV\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/uuogtH40uK8?list=PLjyLaIz4YXq7r9DQwmc6z-NAxojWV4VUF\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2>Ap 3C MV<\/h2>\n<p>Place the color box over the valve and center the leaflet tips to display adequate flow information proximal distal to the valve.  Include the annulus in your assessment.  The color should be mostly red.<\/p>\n<p><iframe loading=\"lazy\" title=\"Color Doppler - Apical Window - Ap 3C MV\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/5EHI0vxAfrE?list=PLjyLaIz4YXq7r9DQwmc6z-NAxojWV4VUF\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2>Ap 3C AV<\/h2>\n<p>Place the color box over the valve and center the leaflet tips to display adequate flow information proximal distal to the valve.  Include the annulus in your assessment.  The color should be mostly blue, aliasing to red.<\/p>\n<p><iframe loading=\"lazy\" title=\"Color Doppler - Apical Window - Ap 3C AV\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/63sPEg0yjPc?list=PLjyLaIz4YXq7r9DQwmc6z-NAxojWV4VUF\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2>Color M-mode LV inflow<\/h2>\n<p>From the apical 4C view, optimize the LV using decreasing the depth.   Place the color box over the valve and lengthen to include flow from the mitral valve to the LV apex.  Reduce the forward flow baseline velocity to ~35 cm\/s.  Place the cursor in the center of flow and activate M-mode.<\/p>\n<p><iframe loading=\"lazy\" title=\"Color Doppler - Apical Window - Color M-mode LV inflow\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/33-D2pBQ_tg?list=PLjyLaIz4YXq7r9DQwmc6z-NAxojWV4VUF\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<aside class=\"row well\">\n<h2 class=\"col-sm-12\">Learn More<\/h2>\n<p class=\"col-sm-12\">The apical window is the most useful window in evaluating blood flow velocities across the valves because most valves can be presented more or less parallel to the sound beam for accurate Doppler velocity measurements.<\/p>\n<div class=\"col-sm-6\">\n<figure class=\"wp-caption alignnone\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n          <iframe loading=\"lazy\" title=\"Color Doppler - Apical Window - Learn More 1\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/uqdkOWi9rls?list=PLjyLaIz4YXq7r9DQwmc6z-NAxojWV4VUF\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n          <\/div>\n<\/p><\/div><figcaption class=\"wp-caption-text\">This color box does not display adequate flow information proximal and distal to the valve.  Lengthen and widen the box.  Additionally, the view should be corrected to open the aorta more fully.<\/figcaption><\/figure>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n<figure class=\"wp-caption alignnone\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n          <iframe loading=\"lazy\" title=\"Color Doppler - Apical Window - Learn More 2\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/rUgZqPttKEE?list=PLjyLaIz4YXq7r9DQwmc6z-NAxojWV4VUF\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n          <\/div>\n<\/p><\/div><figcaption class=\"wp-caption-text\">The color in this display is not diagnostic.  The color gains are too low, the box is too wide (lowering the frame rate), and there is no flow in the left atrium.  Furthermore, the 2D image should be optimized before assessing valvular flow.<\/figcaption><\/figure>\n<\/p><\/div>\n<\/aside>\n<aside class=\"row well\">\n<h2>Test Yourself<\/h2>\n<p>[QTL-Question id=13]<br \/>\n[QTL-Question id=14]<br \/>\n[QTL-Question id=15]<br \/>\n[QTL-Question id=16]<br \/>\n<\/aside>\n","protected":false},"excerpt":{"rendered":"<p>MV Inflow From the apical 4C view, place the color box over the valve and center the leaflet tips to display adequate flow information proximal distal to the valve. Include the annulus in your assessment. The color should be mostly red. LV outflow From the apical 5C view, place the color box over the valve [&hellip;]<\/p>\n","protected":false},"author":32,"featured_media":0,"parent":259,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-325","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages\/325","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/comments?post=325"}],"version-history":[{"count":0,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages\/325\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages\/259"}],"wp:attachment":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/media?parent=325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}