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Pulsus bisferiens, also known as biphasic pulse, is an aortic waveform with two peaks per cardiac cycle, a small one followed by a strong and broad one. [1] It is a sign of problems with the aorta , including aortic stenosis and aortic regurgitation , as well as hypertrophic cardiomyopathy causing subaortic stenosis.
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 .
William Birnbaum with a Phonocardiogram System for use in Project Gemini, 1965. Awareness of the sounds made by the heart dates to ancient times. The idea of developing an instrument to record it may date back to Robert Hooke (1635–1703), who wrote: "There may also be a possibility of discovering the internal motions and actions of bodies - whether animal, vegetable, or mineral, by the sound ...
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]
Tissue signals, however, have higher amplitude and lower velocities, and the signals are extracted by using different filter and gain settings. The terms tissue Doppler imaging ( TDI ) and tissue velocity imaging ( TVI ) are usually synonymous with TDE because echocardiography is the main use of tissue Doppler.
Biphasic defibrillation may be better than monophasic. [5] While waiting for a defibrillator, a precordial thump may be attempted (by those who have experience) in those on a heart monitor who are seen going into an unstable ventricular tachycardia. [5] In those with cardiac arrest due to ventricular tachycardia, survival is about 75%. [2]
analyzes the motion of tissues in the heart In the fields of cardiology and medical imaging , speckle tracking echocardiography ( STE ) is an echocardiographic imaging technique. It analyzes the motion of tissues in the heart by using the naturally occurring speckle pattern in the myocardium (or motion of blood when imaged by ultrasound ).
The jugular venous pulsation has a biphasic waveform. The a wave corresponds to right atrial contraction and ends synchronously with the carotid artery pulse. The peak of the 'a' wave demarcates the end of atrial systole. The x descent follows the 'a' wave and corresponds to atrial relaxation and rapid atrial filling due to low pressure.
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