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Doppler echocardiography is a procedure that uses Doppler ultrasonography to examine the heart. [1] An echocardiogram uses high frequency sound waves to create an image of the heart while the use of Doppler technology allows determination of the speed and direction of blood flow by utilizing the Doppler effect.
Doppler measurements using Doppler effect can show the direction of the blood flow and its relative velocity, and color Doppler is the provision of color to help interpret the image, showing, for example, the blood flow toward the probe in one color and that flowing away in another. While the equipment itself is costly, the procedure is not.
Color doppler is a form of 2D echo in which the doppler shift of the structures is shown as color. Typically, this is shown as red and blue with red indicating movement toward the transducer and blue indicating movement away from the transducer. This can be used to show blood flow through the valves to visually indicate the direction of blood flow.
Wiggers diagram with mechanical (echo), electrical (ECG), and aortic pressure (catheter) waveforms, together with an in-ear dynamic pressure waveform measured using a novel infrasonic hemodynography technology, for a patient with severe aortic stenosis.
The E/A ratio is a marker of the function of the left ventricle of the heart. It represents the ratio of peak velocity blood flow from left ventricular relaxation in early diastole (the E wave) to peak velocity flow in late diastole caused by atrial contraction (the A wave). [1]
Sonographer doing an echocardiogram of a child Echocardiogram in the parasternal long-axis view, showing a measurement of the heart's left ventricle. Health societies recommend the use of echocardiography for initial diagnosis when a change in the patient's clinical status occurs and when new data from an echocardiogram would result in the physician changing the patient's care. [7]
The standard representation is brighter color for higher echogenicity, giving the almost anechoic fluid an almost black appearance. Echogenicity (sometimes as echogenecity) or echogeneity is the ability to bounce an echo, e.g. return the signal in medical ultrasound examinations. In other words, echogenicity is higher when the surface bouncing ...
In practical terms, the flow from the left ventricular outflow tract (LVOT) is compared to the flow at the level of the aortic valve. In echocardiography the aortic valve area is calculated using the velocity time integral (VTI) which is the most accurate method and preferred.
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