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Assessment of diastolic function by echocardiography

…s (Figure 1). Gain and filter should be minimized in order to obtain optimal images. The pulsed Doppler beam can be positioned using color Doppler…

Optimization of the ultrasound image

…can further increase the amount of gain applied to incoming sound waves. This is done using gain control or time gain compensation (TGC) . Figure 1…

Performing Echocardiographic Examinations

…Figure 1. Orientation using the index marker. Image quality Various methods for optimizing image quality have been discussed earlier (refer to Optimization of the ultrasound…

Proximal Isovelocity Surface Area (PISA)

…Measuring the radius of PISA. Color Doppler is used to revealing PISA. As discussed earlier, aliasing occurs when using color Doppler to analyze velocities greater…

Artifacts in ultrasound imaging

…that of reverberations. Figure 4. Mirror image artifact. Side lobe artifact A 2D image is formed by allowing the ultrasound beam to sweep back and…

Doppler effect and Doppler echocardiography

Echocardiography The Doppler effect When sound waves hit objects some of the sound waves are reflected back to the sound source. If the reflector (i…

Standard Transthoracic Echocardiogram: Complete Imaging Protocol

…muscles are considered part of the left ventricular cavity. Other dimensions– including atrial dimensions, mitral annulus, aortic annulus, etc –are measured using the blood tissue…

The Bernoulli principle and estimation of pressure gradients

…gradient (mmHg) across a valve. Example 1 : A maximum velocity of 4 m/s is measured across the aortic valve. The pressure gradient equals: 4…

Premature atrial contraction (premature atrial beat / complex): ECG and clinical implications

…next sinus beat will be longer than one normal sinus interval. The P wave of a premature atrial contraction has the following characteristics ( Figure 1 …

Sudden cardiac arrest: Case 6

CPR ECG 1 . The initial rhythm is atrial fibrillation. The fifth beat is a ventricular premature beat. A ventricular tachycardia (VT) emerges. As evident, ventricular…

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