The Sonographer Education portion of the SHINE website is designed to assist cardiac sonographers in performing the initial neonatal echocardiogram as part of a comprehensive evaluation for hypoxia. Sonographers performing these echocardiograms may not regularly image pediatric patients and may have limited familiarity with the differences between congenital echocardiography and adult echocardiography. The program reviews "The Terrible Ten" echo findings of critical congenital heart disease and helps the sonographer generate a differential based on those findings. The program also discusses common forms of critical congenital heart disease in more detail.
The program is organized into an introduction and overview portion, detailed discussion of the "Terrible Ten" findings, and individual sections on each form of critical congenital heart disease. To assist in learning, a pretest and posttest are included.
Pretest (Click to expand)
Learning Objectives
Upon completion of this educational module, participants will be able to:
- Recognize echocardiography findings that may indicate significant congenital heart disease in a newborn.
- Generate a differential diagnosis of congenital heart disease based on echocardiogram findings.
- Understand the pathophysiology of the most common forms of critical congenital heart disease.
Overview (Click to expand)
Introduction to Sonographer Education
The "Terrible Ten" (Click to expand)
Terrible Ten Overview
Terrible Ten #1: There is Retrograde Filling of the Ascending Aorta
Terrible Ten #2: The Aortic Arch Cannot Be Demonstrated in the SSN View
Terrible Ten #3: There Is Exclusive Right to Left Shunting at Atrial or Ductal Level
Terrible Ten #4: The Apical 4 Chamber View Is Abnormal
Terrible Ten #5: An AV Valve Leaks... A Lot
Terrible Ten #6: The Cardiac Apex Is Midline or Rightward
Terrible Ten #7: A Normal Parasternal Long Axis View of the LV and Aorta Cannot Be Demonstrated
Terrible Ten #8: A Normal Parasternal Short Axis View of the RV/PV/MPA Cannot Be Demonstrated
Terrible Ten #9: The Aortic Valve and Pulmonary Valve Are Parallel
Terrible Ten #10: Something Just Does Not Look Right
Critical Congenital Heart Disease (Click to expand)
Cardiomyopathy
Coarctation of the Aorta (CoA)
Critical Aortic Stenosis (Critical AS)
D-transposition of the Great Vessels (D-TGA)
Ebstein's Anomaly
Hypoplastic Left Heart Syndrome (HLHS)
Interrupted Aortic Arch (IAA)
Levo-transposition of the Great Arteries (L-TGA)
Single Ventricle Lesion
Tetralogy of Fallot
Total Anomalous Pulmonary Venous Return (TAPVR)
Tricuspid Atresia and Pulmonary Atresia with Intact Ventricular Septum
Posttest (Click to expand)
Learning Objectives
Upon completion of this educational module, participants will be able to:
- Recognize echocardiography findings that may indicate significant congenital heart disease in a newborn.
- Generate a differential diagnosis of congenital heart disease based on echocardiogram findings.
- Understand the pathophysiology of the most common forms of critical congenital heart disease.
Post-Course Survey (Click to expand)
Leave Your Feedback
Upon completion of this educational module, please take a moment to complete this short survey regarding the course content.
