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CARDIAC ULTRASOUND


INDICATIONS:

Medical Necessity: To assess for the presence or absence of pericardial effusion. To assess for the presence or absence of cardiac activity.
Structures studied: Heart, pericardium.
Focused Question: Is a pericardial effusion present? Is there cardiac activity?

REQUIRED IMAGES

Parasternal Long Axis (PSTL), Parasternal Short Axis (PSAX), Apical 4 Chamber (AP 4/5), Subxiphoid, and IVC Images

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HOW TO SCAN CARDIAC

1.) Obtain at a minimum, video clips of the sub-costal and parasternal long axis views of the heart.

Additional views may include parasternal short axis and apical 4 chamber.

2.) Obtain one static representative image.

SUB-COSTAL VIEW STATIC IMAGE WITHOUT PERICARDIAL EFFUSION

SUB-COSTAL VIEW STATIC IMAGE WITHOUT PERICARDIAL EFFUSION

 

Pericardial Effusion

Medical necessity: To assess for the presence or absence of pericardial effusion. To assess for the presence or absence of cardiac activity.
Structures studied: Heart, pericardium. 
Focused question(s): Is a pericardial effusion present? Is there cardiac activity?

Guidelines:

1.) Obtain at a minimum, video clips of the sub-costal and parasternal long axis views of the heart.

Additional views may include parasternal short axis and apical 4 chamber.

2.) Obtain one static representative image.

Sub-Costal view static image without pericardial effusion

Sub-Costal view static image without pericardial effusion

 

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OTHER RESOURCES

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