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Right Heart Strain on POCUS Echocardiogram - Apical 4 Chamber To differentiate acute from chronic right heart strain, what do you use as part of your next step? Resolution: in the setting of a prominent RV (as big or bigger than LV) and concern for right heart strain, use continuous wave (CW) doppler to calculate the RV pressure. If over 40mmHg, there is likely a chronic component- https://twitter.com/EUSmkh/status/1 #RightHeart #RV #Strain #POCUS #Echocardiogram #clinical #cardiology #a4c