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Category Archives: Echocardiography
Myocardial strain and strain rate evaluation by tissue Doppler techniques
Deformation of the myocardium on application of a physical stress is termed myocardial strain. It is measured as the change in distance between two points (L) divided by [..]
Targeting LV lead for CRT with speckle-tracking echocardiography
Identifying the ideal site for left ventricular (LV) lead placement for cardiac resynchronization therapy (CRT) is a challenge to the operator. Khan FZ and colleagues [Targeted Left Ventricular [..]
Evaluation of diastolic function by tissue Doppler
Conventionally, Doppler evaluation of diastolic function is by assessing the mitral flow velocities in diastole. But this has inherent limitation as being highly dependent on ventricular preload. Tissue [..]
Tissue Doppler in myocardial ischemia
Reduction in myocardial systolic velocity (Sa) can be noted within as short as fifteen seconds of myocardial ischemia. Lowering of both systolic velocities can be seen with ischemia [..]
Dobutamine stress echocardiography
Initial dobutamine infusion is at low dose: 10 micrograms/kg/min (ten micrograms per kilogram body weight per minute) High dose dobutamine infusion is given at: 20 micrograms/kg/min (twenty micrograms [..]
Estimation of left ventricular filling pressures from tissue Doppler
Estimation of left ventricular filling pressures from tissue Doppler data can be obtained from the correlations obtained from previous simultaneous cardiac catheterization and tissue Doppler studies. The ratio [..]
Stress tissue Doppler imaging (stress echo with tissue Doppler)
An important limitation with stress tissue Doppler imaging (stress echo with tissue Doppler) is the technical challenge of acquiring both two dimensional and tissue Doppler echocardiographic information during [..]
Dual Doppler echocardiography
Dual Doppler echocardiography is the technique of simultaneously recording Doppler signals of two types. This technique is used for recording left ventricular filling (E wave) and e’ (mitral [..]
Carpentier nomenclature of mitral leaflet scallops
Carpentier nomenclature of mitral leaflet scallops is important in assessing the mitral leaflets while planning echo. The scallops can be identified well by trans esophageal echocardiography, preferably in [..]
Merlon sign and square root sign in endomyocardial fibrosis
Merlon sign in endomyocardial fibrosis is characterized by a hypercontractile basal ventricle opposing an obliterated apex. There is a diastolic bulge of the interventricular septum into the left [..]