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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

…that the zoom encloses a specific region of the image, whereas shifting focus simply adjusts the location (along the ultrasound beam) with the best resolution…

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

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

Doppler effect and Doppler echocardiography

…Figure 1. The Doppler effect. When the sound source moves towards the observer, the sound waves are compressed, which leads to a shortening of the…

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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