Before You Request a Tele Echocardiography
This service is available to healthcare professionals and healthcare facilities seeking expert echocardiography interpretation or remote consultation. Patients may also submit studies when appropriate echocardiographic images and supporting medical information are available
What is this service?
Our Tele Echocardiography service provides remote expert review and interpretation of echocardiographic studies. The service is intended to support clinical decision-making by offering a specialist assessment of the submitted images and related clinical information
We currently accept transthoracic echocardiography (TTE) studies for both adult and pediatric patients
At this time, transesophageal echocardiography (TEE) and stress echocardiography are not available through this service. We are actively working to expand our services and hope to offer these modalities in the future
Before You Continue
Please make sure you provide:
- Echocardiography images or DICOM files (preferred whenever available)
- Echocardiography report (if available)
- Relevant clinical information
- Patient age, sex, weight (kg) and height (cm)
- Your specific clinical question
- Any previous echocardiographic studies (if available)
Providing complete clinical information and high-quality images helps ensure the most accurate interpretation
Required Imaging Protocol for Submitting Sites
To ensure high-quality clinical analysis and accurate diagnostic reporting, all submitting sites must provide a complete Transthoracic Echocardiography (TTE) study along with accurate baseline patient measurements (Blood Pressure, Heart Rate, Height in cm, and Weight in kg) adhering to the following protocol:
1. Parasternal Windows:
PLAX (Parasternal Long Axis): 2D view + M-Mode (LV dimensions, Ao root, LA size) + Color Doppler on MV, TV, and AV
PSAX (Parasternal Short Axis): Must include loops at 4 levels:
- Aortic Valve Level (showing AV cusps, RVOT, pulmonic valve)
- Mitral Valve Level (fish-mouth view)
- Papillary Muscles Level (LV wall motion)
- Apex Level
2. Apical Windows (Essential for EF Calculations):
Apical 4-Chamber (A4C): 2D view + Color Doppler on Mitral and Tricuspid valves + Modified Simpson's Biplane (End-diastolic and end-systolic frames for EF calculation) + Tissue Doppler Imaging (TDI) for diastolic function (lateral/septal e')
Apical 2-Chamber (A2C): 2D view + Modified Simpson's Biplane frames (End-diastolic and end-systolic) for accurate biplane EF
Apical 3-Chamber / Long Axis (A3C / ALAX): 2D view + CW Doppler across the Aortic Valve (AV) to measure gradients and VTI
Apical 5-Chamber (A5C): Used for LVOT diameter and PW Doppler on LVOT to complete hemodynamic calculations
3. Subcostal Window:
Subcostal 4-Chamber: To assess interatrial/interventricular septum and pericardial effusion
IVC (Inferior Vena Cava): Subcostal long-axis view showing IVC diameter and respiratory collapse (sniff test) to estimate right atrial pressure
4. Suprasternal Window:
Suprasternal Arch View: To evaluate the aortic arch, descending aorta, and rule out coarctation, with CW/PW Doppler where indicated
Important Information
Our recommendation is that echocardiographic examinations be performed by qualified healthcare professionals using appropriate equipment. Remote interpretation complements—but does not replace—the clinical evaluation and judgment of the treating physician
The interpretation provided is based solely on the echocardiographic images, reports, and clinical information submitted. Image quality and completeness of the provided information may affect the accuracy of the interpretation
If the patient is experiencing a medical emergency, immediate emergency medical care should be sought. This service is not intended for emergency diagnosis or management
Service Fees
1. Patients:
- Routine (Delivered within 48 hours) — $49
- Urgent (Delivered within 6 hours) — $89
2. Healthcare Providers:
- Routine (Delivered within 48 hours) — $69
- Urgent (Delivered within 6 hours) — $109
- Providers with an active service plan: According to the service agreement
Payment is required before service begins. Pay securely via PayPal
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