I just wanted to let you know that even though I'm looking quite old, I'm still a millenial.
So I just had a "New Year, New Me" moment and my resolution is to become a new and improved version of myself in a couple of weeks.
Don't worry, my wisdom won't change. You're still going to find the same useful information here. Stay tuned!
E-Echo will be continuing to be available after this year! A new company is taking over.
**New ACCME Requirment**
The ACCME Requires a State License for CME Activities. Please update your account with your State License ID AND the State where you received your licesnse. We cannot submit reports to the ACCME on your behalf until this information is updtaed.
Home->EOTD AMA Category 1 Credit for Physicians Only. ASRT CME is not available.
The Echo-of-the-Day is a presentation of 1 or more video loops to present an important topic in echocardiography. Please reveiw the image or video loops and then answer the questions below. After you have answered the questions you can view the explanation and obtain CME credit (if available).
You can change the size and the format of the image or video loops by using the links below the image or video loop.
= MP4 Video
= Ogg Video
= WebM Video
= GIF Image
= JPG Image
1X = 200x150 pixels
2X = 400x300 pixels
3X = 600x450 pixels
4X = 800x600 pixels
Loop Text Key
Preop TEE or TTE
An Intraop TEE
Intraop TEE or TTE before Operation
Intraop TEE or TTE after Operation
Intraop TEE or TTE at End of Anesthesia
Postop TEE or TTE
Echo of the Day Information Table
IntraopEnd is usually a TEE after the Operation and after some event occured to show a change in the TEE
AMA CME Units: 0.25 Units Estimated Time: 15 minutes.
Presentation: A patient scheduled for a CABG w/ECC w/EVH has the following loop:
The echocardiographic findings are a PAC in the right pulmonary artery, a linear artifact that is a mirror artifact from the PAC in the ascending aorta (although this wold have to be confirmed that it is not an aortic flap), and an irregular endocardial border of the ascending aorta . The irregular endocardium is atherosclerosis that is protruding and immobile. The protruding plaque is about 1 cm in length.
The classification of this atherosclerosis is a grade 4 lesion. A grade 4 lesion indicates that the risk of stroke is about 11%.
Because of the risk of stroke the ascending aorta should not be cannulated or cross clamped. Also, SVG should be placed by a punch technique rather than a partial cross clamp. An epiaortic scan should be performed to identify other areas of significant atherosclerosis. Depending upon the epiaortic scan, an ascending aortic replacement should be considered.
Please answer the following questions correctly to obtain your CME.