Mitral Regurgitation

Dr. Fernando Morcerf
Dr. Fernando Morcerf
(0 review)
Dr. Fernando Morcerf - President of the First Echocardiography Congress of the Cardiovascular Image Department of the Brazilian Society of Cardiology. Echocardiography professor in ECOR ECOCARDIOGRAPHY initialization and specialization courses for over 40 years with more than 180 classes.
$ 65.00

CONTINUOUS EDUCATION: The Practice of Echocardiography

AN EXAMPLE OF A VIDEO CLASS ON THE COANDA EFFECT. 4min film for you

Basic, intermediate, and advanced information on the diagnosis of various heart diseases studied in Adult Echocardiography. Aimed at Cardiologists and Sonographers dedicated to Echocardiography, who already have some practical knowledge of the method, and wish an extensive range of theoretical and practical experience from Dr. Fernando Morcerf, many exclusive and original. You will notice that the classes go direct to the issue. A life with more than 35 years of continuous working on Echo and Teaching. Using logic, studies, and experience for deep explanations to depict what really works on a day-by-day base, not only on guidelines or preconception. Notice also that ALL examples provided are cases from my own experience. In addition to the video lessons, the student will be able to send their doubts and questions directly to Dr. Morcerf using an e-mail or WhatsApp number that will be provided. It is not a Group; hence, any message will be exclusively between us. When relevant to the questions, imagens may also be sent, however I cannot give a complete report about a case, just answer to your questions. Only the active students will be able to access this service of Consulting, Mentoring and Continuous Education. A CERTIFICATE with the total hours of the course will be provided at the end of the period.

Each Course presents a General Subject composed of several video classes grouped here, to meet those interested in a specific topic. Click on a video lesson to see a summary of the topic.

Mitral Regurgitation

Different Causes

Different causes for a mitral regurgitation. (4 min)
Here a general overview of the problem. Primary and secondary mitral regurgitation. Carpentier classification. 
Rheumatic mitral regurgitation. (5 min)
Here is a look at Rheumatic lesion. First signs of rheumatic injury in a mitral valve. How to identify. 
Mitral insufficiency of a degenerative nature. (5 min)
 Frequent cause of mitral regurgitation. Mitral ring calcification
Mitral insufficiency due to papillary muscle dysfunction. (9 min)
We will study papillary muscle dysfunction, as well as the so-called mitral with a ‘seagull’ aspect , which also happens due to the poor location of the papillary muscles secondary to LV hypertrophy or even to the cavity dilation.
Mitral valve prolapse I (15min)
M-mode and 2D main sign of prolapse. Secondary signs seen in M-mode. This is a topic with many controversies. We will go deeper into this topic in the following classes.
Mitral valve prolapse II (4min)
Different causes for mitral valve prolapse.
Mitral insufficiency secondary to chordae rupture (17 min)
 Chordae rupture. Generally easy to diagnose, mainly by transesophageal echo. Occasionally the M-mode echo is the first to show the diagnosis. Also papillary muscle and leaflet rupture

 

Errors and Problems

Saddle aspect of the mitral valve. Unnecessary confusion! (9min)
I may be wrong, but I believe that this statement: ‘does not make a diagnosis of mitral prolapse when only seen at the apical of 4 chambers’ is the biggest nonsense I’ve seen in 36 years of echocardiography. Unfortunately, an idea from a study that only referred to a possibility that the diagnosis of mitral prolapse could not be done in the apical 4 chambers views became widespread, without foundation. 
Error in making the diagnosis of prolapse when there is deviation of the interatrial septum. (9 min)
This is not a rare cause of false mitral prolapse.
Error in the diagnosis of mitral prolapse caused by the valve ring. (6min)
Many causes of error in the diagnosis of prolapse, one of which is confusion with the mitral ring.
Error in the diagnosis of mitral prolapse due to confusion with aortic-mitral curtain. (8min)
It is the most common error in the diagnosis of mitral prolapse. Little commented but exceedingly difficult to recognize. Here is how to make no mistake. Perhaps this is the reason why the apical 4 chambers are said to be unreliable. 

 

Severity Assessment

Assessment of the severity of a mitral regurgitation by M-mode and bi and spectral Doppler echocardiography (11min)
Assessment of the severity of mitral regurgitation using the M-mode, bidimensional, pulsed spectral Doppler and continuous Doppler. 
Assessment of the severity of mitral regurgitation using color Doppler (25min)
Assessment of the severity of mitral regurgitation using color Doppler. Initially let us explain the Coanda Effect. In this class we will assess the severity of mitral regurgitation by evaluation the regurgitant jet.  Obtaining the vena contracta, and the overall aspect of the regurgitant jet. When assessing the hemodynamic severity of a regurgitation it is important to know how the apparatus controls alter the aspect of the regurgitant jet. It is not only the gain of the color, but also the gain of the echo, depth, PRF, Nyquist limit, etc.
Assessment of the severity of mitral regurgitation by using Continuity Equation (12min)
In this class we will assess the severity of mitral regurgitation by obtaining the area of ​​the regurgitant orifice , the regurgitant volume and the regurgitation fraction. We will see how to obtain this data either by the continuity equation or by PISA.
Assessment of the severity of mitral regurgitation by using PISA (5min)
In this class we will assess the severity of mitral regurgitation by PISA. The PISA method is perfect under conditions of a hemodynamic laboratory, with flows, orifices, angles, etc., perfect. In biology, that is, in valves in living beings, it cannot work. See the physical reasons in the mitral stenosis classes. I do not waste time doing it on patients, but students must know the concepts perfectly.

 

Information and Subscription

  • Course : There are 15 video classes (2:25h) selected from the website and grouped in order to cover the main echocardiography themes.  The student also has the resource where he can send his doubts / questions directly to Dr. Morcerf.
  • Price : US$ 65.00 valid for 3 month (90 days) from the date of hiring.
  • The video classes can be accessed from any computer, tablet and cell phone.

 

Course Features

  • Duration 2 h 25 min
  • Number of lessons 15
  • Language English

  • Different Causes 0/7

    • Aula1.1
      Different causes for a mitral regurgitation. (4 min)
      30m
    • Aula1.2
      Rheumatic mitral regurgitation. (5 min)
      30m
    • Aula1.3
      Mitral insufficiency of a degenerative nature. (5 min)
      30m
    • Aula1.4
      Mitral insufficiency due to papillary muscle dysfunction. (9 min)
      30m
    • Aula1.5
      Mitral valve prolapse I (15min)
      30m
    • Aula1.6
      Mitral valve prolapse II (4min)
      30m
    • Aula1.7
      Mitral insufficiency secondary to chordae rupture (17 min)
      30m

  • Errors and Problems 0/4

    • Aula2.1
      Saddle aspect of the mitral valve. Unnecessary confusion! (9min)
      30m
    • Aula2.2
      Error in making the diagnosis of prolapse when there is deviation of the interatrial septum. (9 min)
      30m
    • Aula2.3
      Error in the diagnosis of mitral prolapse caused by the valve ring. (6min)
      30m
    • Aula2.4
      Error in the diagnosis of mitral prolapse due to confusion with aortic-mitral curtain. (8min)
      30m

  • Severity Assessment 0/4

    • Aula3.1
      Assessment of the severity of a mitral regurgitation by M-mode and bi and spectral Doppler echocardiography (11min)
      30m
    • Aula3.2
      Assessment of the severity of mitral regurgitation using color Doppler (25min)
      30m
    • Aula3.3
      Assessment of the severity of mitral regurgitation by using Continuity Equation (12min)
      30m
    • Aula3.4
      Assessment of the severity of mitral regurgitation by using PISA (5min)
      30m
Dr. Fernando Morcerf
Dr. Fernando Morcerf
President of the First Echocardiography Congress of the Cardiovascular Image Department of the Brazilian Society of Cardiology. Echocardiography professor in ECOR ECOCARDIOGRAPHY initialization and specialization courses for over 40 years with more than 180 classes. Graduated from the Faculty of Medicine of the Federal University of Rio de Janeiro (March 1965 to December 1970). Postgraduate studies at Evanston Hospital at Northwestern University. Chicago, Illinois, USA, from July 1971 to June 1972. (Internship) Resident in Internal Medicine at the Cleveland Clinic Foundation, Cleveland, Ohio, USA, from July 1972 to June 1973. Fellowship in Cardiology at the Cleveland Clinic Foundation, Cleveland, Ohio, USA, from July 1973 to June 1975. Former Professor Postgraduate Course in Cardiology at the Pontifical Catholic University of Rio de Janeiro Former professor at the Postgraduate Medical Institute of Rio de Janeiro Director of the Echocardiography Service at ECOR Ecocardiografia Rio de Janeiro First president of the Brazilian Congress of Echocardiography of the Brazilian Society of Cardiology in 1989 Former President of the Department of Echocardiography of the Brazilian Society of Cardiology (1990 to 1992) Professor of the Echocardiography Course at the Brazilian School of Echocardiography with more than 2,500 alumni in classroom courses since 1980 to date. Thousands of alumni in video aulas in Internet courses. Exclusive teacher: ecor.com.br (Brazil) and cardiomorcerf.com (international) Online Courses.

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