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Assessment of diastolic function by echocardiography

…The pulsed Doppler beam can be positioned using color Doppler (to visualize the direction of flow) and continuous Doppler (to locate the maximum flow velocities…

Optimization of the ultrasound image

…of gain applied to incoming sound waves. This is done using gain control or time gain compensation (TGC) . Figure 1. TGC (time gain compensation) and…

Performing Echocardiographic Examinations

…tip, using the thumb and the forefinger, while remaining fingers stabilize the grip. The transducer tends to glide out of position due to the gel…

Proximal Isovelocity Surface Area (PISA)

…radius and area of PISA are calculated as follows: area PISA = 2 • π • r PISA 2 The flow (Q) can be calculated using PISA…

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

…the direction of blood flow or tissue motion. Ideally, there should be no angle (0°) between the ultrasound beam and the direction of blood flow…

Standard Transthoracic Echocardiogram: Complete Imaging Protocol

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

The Bernoulli principle and estimation of pressure gradients

…The Doppler Equation). Any angle error between the Doppler beam and the blood flow will result in an underestimation of the velocity. In clinical practice…

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

…if the premature beat reaches the atrioventricular node before it has repolarized completely. The earlier the impulse reaches the atrioventricular node (and bundle of His)…

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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