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Can you identify the pathology in this echocardiography clip?

Ultrasound Accreditation and/or sonographer credentialing requirements are already in effect in many states and soon will be required for reimbursement of exams. Is your ultrasound lab accredited? If not, are the sonographers in your department registered? How is your lab preparing for the upcoming accreditation requirements?

How in depth does your echocardiography department go to classify the grade of LV diastolic dysfunction? Do you perform tissue Doppler? Do you grade by E/e' ratio? Do you sample tissue Doppler at only the lateral wall or also include the septal wall?

What is the method of diagnosis for this patient? How would you as the sonographer prove the findings seen below? What is the prognosis for this patient?