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Echo-cardiography
September 29th, 2022
Halder Jamal
• Based on the principle of ultrasound.
• Commonly requested imaging study.
• Fast, cheap, non-invasive, available, no radiation.
• Gives great information about heart & great vessels.
Basics
Basics
Basics
Piezoelectriceffect Timeiscounted Re
fl
ection
Probe Structures
Basics
Types of Echo
• Transesophageal “TEE”
• Transthoracic “TTE”
• For TTE: Nothing needed.
• For TEE:
• Fasting 4-6 hours to prevent vomiting.
• Have someone with the patient.
Preparation
Procedure
+ Sedating agent if TEE
TTE Windows
• youtu.be/5czv-c1uUnw
Normal
Heart Failure
• Walls (hypertrophy)
• Chambers (dilatation)
• Valves (stenosis, regurgitation)
• Pericardium (e
ff
usion)
• Septum (CHD)
• Great vessels (dissection)
• Ejection fraction (HF)
What can be imaged?
• Exercise induced chest pain or syncope
• Abnormal pulse
• Murmurs
• Cyanosis
• Respiratory distress
• Cardiomegaly
• Certain syndromes (e.g Down), FHx of CHD…
• TEE: Source of embolism, endocarditis, prosthetic
dysfunction, obese patient & aortic dissection/aneurysm
Indications
TEE Complications
TEE Contraindications
Echocardiography.pdf

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Echocardiography.pdf