TEE Standard Views vs ManageMR

The primary challenge in learning transesophageal echocardiography (TEE) is translating the two dimensional echocardiographic image into a visualization of the three-dimensional (3D) structure of the heart. We have created this application to assist with teaching and learning the assessment of cardiac function with TEE. Users can view the TEE recordings for each of the 20 standard diagnostic views and see the corresponding 3D model of the heart, the TEE probe, and the ultrasound plane. Each TEE view can be selected from a menu at the left of the screen, or by using arrow buttons to go to the next or previous view in the list. For each TEE view, the 3D model of the heart, probe, ultrasound plane, heart can be rotated in the horizontal or vertical plane to view it from any angle. The part of the heart above the echo plane can be removed, and the heart model can be oriented so the structures correspond to the TEE image.

This clinical decision support app provides clinicians with personalized referral and treatment advice for diagnosed mitral regurgitation patients by verifying the severity and etiology of the MR. • Enter patient parameters from an echo assessment. • Review customized advice on - Probable severity and etiology of a patient’s MR - Need for referral - Feasibility of mitral valve repair vs. replacement for the patient Content in this app is derived from the 2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation. The information and recommendations in this clinical decision support app are not meant to represent the only or best course of care nor replace clinical judgment. Therapeutic options should be determined after discussion between the patient and their care provider.