A Sonographer’s Guide to the Assessment of Heart Disease

Book Details

Title: A Sonographer’s Guide to the Assessment of Heart Disease
Edition: First
Author: Bonita Anderson
Published: MGA Graphics, Australia 2014
Echotext Pty Ltd, Australia 2016
ISBN: 978-0-9923222-0-5 (hardcover)
ISBN: 978-0-9923222-9-8 (paperback)
Format: 305mm high x 214mm wide (12″ x 8.5″), hard-case
297mm high x 210mm wide (11.69″ x 8.27″), paperback
Pages: 507 printed pages
Weight: 1.8kg (4lbs), hardcover
1.55kg (3.4lbs), paperback

About the Book

Written by a sonographer for sonographers, this text primarily discusses the role of echocardiography in the assessment of heart diseases.

The book is mostly designed for students of echocardiography, teachers of echocardiography and cardiac sonographers working in routine clinical practice, but will also be very useful to echocardiologists and cardiac registrars.

The goal of the text is to provide a comprehensive review of transthoracic echocardiography in the assessment of various cardiac pathologies.

Refresher notes on cardiac anatomy and the relevant cardiac physiology and pathophysiology are included to expand the cardiac sonographer’s knowledge in this area and further their understanding of various diseases, disease processes and associated findings.

This comprehensive text is supported by over 720 figures including over 1,200 echo images, over 130 pathological photos and many illustrations. It also includes several appendices, numerous tables and technical tips which highlight key concepts.

Hard-cover bound with 507 printed pages, this text is ready to be adopted as any sonographer’s constant companion while dealing with the many challenges that arise in performing an echocardiographic examination.

Real-time images that correspond to figures in the book are now available on this web-site (under the Publications menu). This allows readers to view the real-time image in association with the corresponding figure legends in the book.

Table of Contents

Chapter 1: Introduction to Basic Haemodynamic Calculations

Determination of Pressure Gradients
Volumetric Flow Calculations
Continuity Principle
Key Points
Further Reading

Preview

Chapter 2: Ventricular Size and Systolic Function

Ventricular Anatomy
Basic Cardiac Physiology
Measurements of the Left Ventricular Size
Measurements of Left Ventricular Systolic Function
Measurements of the Right Ventricular Size
Measurements of Right Ventricular Systolic Function
Key Points
Further Reading

Preview

Chapter 3: Ventricular Diastolic Function

Basic Principles of Diastole
Echocardiographic Parameters for Assessing Left Ventricular Diastolic Function
Echocardiographic Parameters for Assessing Left Ventricular Filling Pressures
Echocardiographic Parameters for Assessing Right Ventricular Diastolic Function
Echocardiographic Parameters for Identifying Increased Right Atrial Pressures
Grading of Right Ventricular Diastolic Function
Key Points
Further Reading

Preview

Chapter 4: Hypertensive Heart Disease

Systemic Hypertension
Pulmonary Hypertension
Key Points
Further Reading

Preview

Chapter 5: Ischaemic Heart Disease

Coronary Artery Anatomy
Coronary Artery Disease
Role of Echocardiography in Ischaemic Heart Disease
Role of Stress Echocardiography in Ischaemic Heart Disease
Complications of Myocardial Infarction
Direct Imaging of Coronary Arteries
Non-Coronary Artery Diseases Causing Ischaemic Chest Pain
Non-Ischaemic Causes of Chest Pain
Key Points
Further Reading

Preview

Chapter 6: Cardiomyopathies

Definition and Classifications of Cardiomyopathies
Dilated Cardiomyopathy
Hypertrophic Cardiomyopathy
Restrictive Cardiomyopathy
Arrhythmogenic Right Ventricular Cardiomyopathy
Left Ventricular Non-Compaction
Key Points
Further Reading

Preview

Chapter 7: Aortic Valve Disease

Anatomy of the Aortic Valve and Aortic Root
Aortic Stenosis
Aortic Regurgitation
Key Points
Further Reading

Preview

Chapter 8: Mitral Valve Disease

Anatomy of the Mitral Valve
Mitral Stenosis
Mitral Regurgitation
Key Points
Further Reading

Preview

Chapter 9: Tricuspid and Pulmonary Valve Disease

Anatomy of the Tricuspid Valve
Echo Imaging of the Tricuspid Valve
Tricuspid Stenosis
Tricuspid Regurgitation
Echo Imaging of the Tricuspid Valve
Echo Imaging of the Pulmonary Valve
Pulmonary Stenosis
Pulmonary Regurgitation
Key Points
Further Reading

Preview

Chapter 10: Prosthetic Heart Valves

Basic Concepts
Role of Echocardiography
Haemodynamic Assessment of Prosthetic Heart Valves
Complications of Prosthetic Valves
Key Points
Further Reading

Preview

Chapter 11: Diseases of the Aorta

Anatomy and Structure of the Aorta
2D Imaging and Measurements of the Aorta
Aortic Aneurysms
Sinus of Valsalva Aneurysms
Acute Aortic Syndromes
Aortic Dissections
Traumatic Aortic Injury
Key Points
Further Reading

Preview

Chapter 12: Pericardial Disease

Anatomy and Function of the Pericardium
Pericardial Cysts
Congenitally Absent Pericardium
Acute Pericarditis
Pericardial Effusions
Cardiac Tamponade
Constrictive Pericarditis
Effusive-Constrictive Pericarditis
Key Points
Further Reading

Preview

Chapter 13: Infective Endocarditis and Cardiac Masses

Infective Endocarditis
Cardiac Tumours
Intracardiac Thrombus
Normal Anatomy Simulating Cardiac Masses
Imaging Artefacts Simulating Cardiac Masses
Key Points
Further Reading

Preview

Chapter 14: Systemic Diseases with Cardiac Manifestations

Introduction
Systemic Rheumatic Diseases
Hereditary Connective Disorders
Endocrine Disorders
Haematologic Disorders
Infiltrative Disorders
Storage Disorders
Hereditary Neuromuscular Disorders
Key Points
Further Reading

Preview

Chapter 15: Introduction to Congenital Heart Disease

Introduction
Shunt Lesions
Obstructive Lesions
Cyanotic Lesions
Key Points
Further Reading

Preview

Appendices

Appendix 1: Normal Haemodynamic Values for Selected Prosthetic Aortic Valves
Appendix 2: Normal Haemodynamic Values for Selected Prosthetic Mitral Valves
Appendix 3: Normal Haemodynamic Values for Selected Prosthetic Tricuspid Valves
Appendix 4: Normal Haemodynamic Values for Selected Prosthetic Pulmonary Valves
Appendix 5: Selected Congenital and Genetic Syndromes associated with Congenital Heart Disease
Appendix 6: Selected Surgeries for Various Congenital Heart Lesions
Appendix 7: Echocardiographic Parameter Tables

Glossary

Demo Content

Index

Demo Content

Real-time Images

Click on the links below to open a new tab that displays real time images for that chapter. Please refer to the appropriate figure legends within the book for details.

Reviews

We are pleased to present reviews of the book below. Readers comments may be posted on this page as they become available. If you would like to make a comment on the book, please use the form on the Contact Us page.

Book Review:
Published: Sonography (Australasian Sonographer’s Association Journal), Volume 1, Issue 1, September, 2014.
Written by: Luke Cartwright, Canberra Hospital, ACT, Australia.
Read Review

Book Review:
Published: Journal of The British Society of Echocardiography (BSE), Issue 86, July, 2014.
Written by: Julie Sandoval of Sheffield Teaching Hospital.
Read Review

Book Review:
Published: Doody’s Review Service (USA), MedInfoNow.com, April, 2014.
Review link: http://bit.ly/RMLc7m
Written by: Andrew Klapperich, BS, MS (Froedtert Hospital, Wisconsin, USA)
Read Review

Book Review:
Published: On the Pulse (OTP), Volume XXVI, No 1 March 2014. (Page 6)
Written by: Catherine Mylrea AMS, Echo Educator, MonashHeart, Victoria, Australia.
Read Review

Book Review:
Published: AJUM (Australasian Journal of Ultrasound in Medicine), February, 2014.
Written by: Alison White BSc, MSc, DMU (Cardiac). Program Convenor of the Master of Clinical Science (Clinical Physiology), Griffith University and Board Member of the Diploma in Medical Ultrasonography (DMU), Australasian Society of Ultrasound in Medicine (ASUM).
Read Review

Book Review:
Published on: http://www.picsa.org.au, 17 February, 2014.
Written by: Kim Prince B Hlth Sc, DMU (Cardiac), Masters Clin Physiology. Chief Cardiac Scientist Queensland Cardiology and Secretary of PICSA (Professionals in Cardiac Sciences Australia).
Read Review

Book Review:
Published on: http://intensivecarenetwork.com, 13 January, 2014.
Written by: Sharon Kay PhD MSc (perfusion) GrDip (Echo) BSc(Hons), Cardiac Scientist, Lecturer in Echocardiography.
Read Review

Addendum

As hard as we have tried to make this publication perfect in every way, there is always the possibility that some errors may have been missed before going to press. Also, new information can emerge that can make a change necessary. Unfortunately, once a book is printed and distributed, it is all but impossible to rectify this situation but with the World Wide Web, it is possible to bring any updates to the attention of those who care to stay in touch.

In the interests of our readers and all others concerned, we intend to report any significant errors on this page of our website, if and when they come to light. For this reason, we advise that buyers of the book check this website regularly to remain up-to-date.

If you have a copy of the book and would like to report an error, please proceed to the Contact page and submit details for our investigation.

First printing (January, 2014)

Page 79: Figure 3.30, left column, for Mitral annular velocities, text should read:
“e’ > 10 cm/s”, not “e’ > 1.0 cm/s”

Page 100: First sentence following “Beard” versus the “Chin” under Technical Caveats: Tricuspid Regurgitation should read:

“The TR signal below, left shows a “chin” (blue line) and a “beard” (pink line).”

Page 106: Alterations have been made to Table 4.16, in rows 2 and 5 as well as in the references. Click here to download a new version of this table.

Page 110: Alterations have been made to Equation 4.29, Figure 4.38 text and Table 4.18. Click here to download a new corrected version of this page.

Page 362: In the Constrictive Pericarditis versus Cardiac Tamponade information box, the Diastolic filling row is reversed and should read:

Constrictive pericarditis: Early diastolic filling is rapid; restricted ventricular filling occurs in mid-to-late diastole Cardiac Tamponade: Restricted filling occurs progressively over the entire diastolic period

Click here for a new version of the info box.

Page 459: Paragraph following Equation 15.6 should read:

“In the presence of significant collateral blood flow or a large PDA with left-to-right shunting, flow across the coarctation is reduced. For example, when a collateral circulation develops, blood flow is diverted to the internal thoracic and intercostal arteries; thus, blood flow effectively bypasses the coarctation (see Fig. 15.49). Likewise, when there is a large PDA with left-to-right shunting, blood flow is shunted from the aorta to the PA so blood flow across the coarctation is diminished.”

First four printings

Page 39: In the Tip Box on the right hand side, under the heading “Caveat”, the last sentence should read “Therefore, the CO will be overestimated in this setting.”

Page 69: Under the heading “Factors affecting IVRT”, the second last sentence should read:
“When there is a marked increase in LAP, as seen with restrictive filling, the crossover between the LV and LA pressures occurs earlier than normal; this results in earlier than normal mitral valve opening and shortening of the IVRT.”

Page 209: Figure 7.62, In the example given for calculating aortic RV, the diameter is not squared. It should appear as:

RVAR = SVLVOT – SVMA
= (CSALVOT × VTILVOT ) – (CSAMA × VTIMA )
= (0.785 × 2.232 × 28.7) – (0.785 × 2.792 × 11.6)
= 112 – 71
= 41 mL

Page 210: Figure 7.63, In the example given for calculating aortic EROA, the equation should appear as:

EROA = (2πr2 × VN ) ÷ VAR
= (6.28 × 0.62 × 44.7) ÷ 388
= 0.26 cm2

Page 229: In Figure 8.24, the equation for deriving the P½t from the DT is mistranscribed. This should be P½t = 0.29 x DT. Therefore, P½t = 0.29 x 516 = 150 ms.

Page 428-429: Some key points are missing from the Key Points table. Please Click here to download the extra key points for this table.

First six printings

Page 252: The text beneath the drawing on the right should read:
“Obtuse angle < 180o

Book Details

Title: A Sonographer’s Guide to the Assessment of Heart Disease
Edition: First
Author: Bonita Anderson
Published: MGA Graphics, Australia 2014
Echotext Pty Ltd, Australia 2016
ISBN, 13 digit: 978-0-9923222-0-5
ISBN, 10 digit: 0992322200
Format: 305mm high x 214mm wide (12″ x 8.5″), Hard Cover
Pages: 507 p.p.
Weight: First printing 2kg (4lb 7oz)
Second printing 1.8kg (4lbs)

About the Book

Written by a sonographer for sonographers, this text primarily discusses the role of echocardiography in the assessment of heart diseases.

The book is mostly designed for students of echocardiography, teachers of echocardiography and cardiac sonographers working in routine clinical practice, but will also be very useful to echocardiologists and cardiac registrars.

The goal of the text is to provide a comprehensive review of transthoracic echocardiography in the assessment of various cardiac pathologies.

Refresher notes on cardiac anatomy and the relevant cardiac physiology and pathophysiology are included to expand the cardiac sonographer’s knowledge in this area and further their understanding of various diseases, disease processes and associated findings.

This comprehensive text is supported by over 720 figures including over 1,200 echo images, over 130 pathological photos and many illustrations. It also includes several appendices, numerous tables and technical tips which highlight key concepts.

Hard-cover bound with 507 printed pages, this text is ready to be adopted as any sonographer’s constant companion while dealing with the many challenges that arise in performing an echocardiographic examination.

Real-time images that correspond to figures in the book are now available on this web-site (under the Publications menu). This allows readers to view the real-time image in association with the corresponding figure legends in the book.

Table of Contents

Chapter 1: Introduction to Basic Haemodynamic Calculations

Determination of Pressure Gradients
Volumetric Flow Calculations
Continuity Principle
Key Points
Further Reading

Preview

Chapter 2: Ventricular Size and Systolic Function

Ventricular Anatomy
Basic Cardiac Physiology
Measurements of the Left Ventricular Size
Measurements of Left Ventricular Systolic Function
Measurements of the Right Ventricular Size
Measurements of Right Ventricular Systolic Function
Key Points
Further Reading

Preview

Chapter 3: Ventricular Diastolic Function

Basic Principles of Diastole
Echocardiographic Parameters for Assessing Left Ventricular Diastolic Function
Echocardiographic Parameters for Assessing Left Ventricular Filling Pressures
Echocardiographic Parameters for Assessing Right Ventricular Diastolic Function
Echocardiographic Parameters for Identifying Increased Right Atrial Pressures
Grading of Right Ventricular Diastolic Function
Key Points
Further Reading

Preview

Chapter 4: Hypertensive Heart Disease

Systemic Hypertension
Pulmonary Hypertension
Key Points
Further Reading

Preview

Chapter 5: Ischaemic Heart Disease

Coronary Artery Anatomy
Coronary Artery Disease
Role of Echocardiography in Ischaemic Heart Disease
Role of Stress Echocardiography in Ischaemic Heart Disease
Complications of Myocardial Infarction
Direct Imaging of Coronary Arteries
Non-Coronary Artery Diseases Causing Ischaemic Chest Pain
Non-Ischaemic Causes of Chest Pain
Key Points
Further Reading

Preview

Chapter 6: Cardiomyopathies

Definition and Classifications of Cardiomyopathies
Dilated Cardiomyopathy
Hypertrophic Cardiomyopathy
Restrictive Cardiomyopathy
Arrhythmogenic Right Ventricular Cardiomyopathy
Left Ventricular Non-Compaction
Key Points
Further Reading

Preview

Chapter 7: Aortic Valve Disease

Anatomy of the Aortic Valve and Aortic Root
Aortic Stenosis
Aortic Regurgitation
Key Points
Further Reading

Preview

Chapter 8: Mitral Valve Disease

Anatomy of the Mitral Valve
Mitral Stenosis
Mitral Regurgitation
Key Points
Further Reading

Preview

Chapter 9: Tricuspid and Pulmonary Valve Disease

Anatomy of the Tricuspid Valve
Echo Imaging of the Tricuspid Valve
Tricuspid Stenosis
Tricuspid Regurgitation
Echo Imaging of the Tricuspid Valve
Echo Imaging of the Pulmonary Valve
Pulmonary Stenosis
Pulmonary Regurgitation
Key Points
Further Reading

Preview

Chapter 10: Prosthetic Heart Valves

Basic Concepts
Role of Echocardiography
Haemodynamic Assessment of Prosthetic Heart Valves
Complications of Prosthetic Valves
Key Points
Further Reading

Preview

Chapter 11: Diseases of the Aorta

Anatomy and Structure of the Aorta
2D Imaging and Measurements of the Aorta
Aortic Aneurysms
Sinus of Valsalva Aneurysms
Acute Aortic Syndromes
Aortic Dissections
Traumatic Aortic Injury
Key Points
Further Reading

Preview

Chapter 12: Pericardial Disease

Anatomy and Function of the Pericardium
Pericardial Cysts
Congenitally Absent Pericardium
Acute Pericarditis
Pericardial Effusions
Cardiac Tamponade
Constrictive Pericarditis
Effusive-Constrictive Pericarditis
Key Points
Further Reading

Preview

Chapter 13: Infective Endocarditis and Cardiac Masses

Infective Endocarditis
Cardiac Tumours
Intracardiac Thrombus
Normal Anatomy Simulating Cardiac Masses
Imaging Artefacts Simulating Cardiac Masses
Key Points
Further Reading

Preview

Chapter 14: Systemic Diseases with Cardiac Manifestations

Introduction
Systemic Rheumatic Diseases
Hereditary Connective Disorders
Endocrine Disorders
Haematologic Disorders
Infiltrative Disorders
Storage Disorders
Hereditary Neuromuscular Disorders
Key Points
Further Reading

Preview

Chapter 15: Introduction to Congenital Heart Disease

Introduction
Shunt Lesions
Obstructive Lesions
Cyanotic Lesions
Key Points
Further Reading

Preview

Appendices

Appendix 1: Normal Haemodynamic Values for Selected Prosthetic Aortic Valves
Appendix 2: Normal Haemodynamic Values for Selected Prosthetic Mitral Valves
Appendix 3: Normal Haemodynamic Values for Selected Prosthetic Tricuspid Valves
Appendix 4: Normal Haemodynamic Values for Selected Prosthetic Pulmonary Valves
Appendix 5: Selected Congenital and Genetic Syndromes associated with Congenital Heart Disease
Appendix 6: Selected Surgeries for Various Congenital Heart Lesions
Appendix 7: Echocardiographic Parameter Tables

Glossary

Demo Content

Index

Demo Content

Real-time Images

Click on the links below to open a new tab that displays real time images for that chapter. Please refer to the appropriate figure legends within the book for details.

Reviews

We are pleased to present reviews of the book below. Readers comments may be posted on this page as they become available. If you would like to make a comment on the book, please use the form on the Contact Us page.

Book Review:
Published: Sonography (Australasian Sonographer’s Association Journal), Volume 1, Issue 1, September, 2014.
Written by: Luke Cartwright, Canberra Hospital, ACT, Australia.
Read Review

Book Review:
Published: Journal of The British Society of Echocardiography (BSE), Issue 86, July, 2014.
Written by: Julie Sandoval of Sheffield Teaching Hospital.
Read Review

Book Review:
Published: Doody’s Review Service (USA), MedInfoNow.com, April, 2014.
Review link: http://bit.ly/RMLc7m
Written by: Andrew Klapperich, BS, MS (Froedtert Hospital, Wisconsin, USA)
Read Review

Book Review:
Published: On the Pulse (OTP), Volume XXVI, No 1 March 2014. (Page 6)
Written by: Catherine Mylrea AMS, Echo Educator, MonashHeart, Victoria, Australia.
Read Review

Book Review:
Published: AJUM (Australasian Journal of Ultrasound in Medicine), February, 2014.
Written by: Alison White BSc, MSc, DMU (Cardiac). Program Convenor of the Master of Clinical Science (Clinical Physiology), Griffith University and Board Member of the Diploma in Medical Ultrasonography (DMU), Australasian Society of Ultrasound in Medicine (ASUM).
Read Review

Book Review:
Published on: http://www.picsa.org.au, 17 February, 2014.
Written by: Kim Prince B Hlth Sc, DMU (Cardiac), Masters Clin Physiology. Chief Cardiac Scientist Queensland Cardiology and Secretary of PICSA (Professionals in Cardiac Sciences Australia).
Read Review

Book Review:
Published on: http://intensivecarenetwork.com, 13 January, 2014.
Written by: Sharon Kay PhD MSc (perfusion) GrDip (Echo) BSc(Hons), Cardiac Scientist, Lecturer in Echocardiography.
Read Review

Addendum

As hard as we have tried to make this publication perfect in every way, there is always the possibility that some errors may have been missed before going to press. Also, new information can emerge that can make a change necessary. Unfortunately, once a book is printed and distributed, it is all but impossible to rectify this situation but with the World Wide Web, it is possible to bring any updates to the attention of those who care to stay in touch.

In the interests of our readers and all others concerned, we intend to report any significant errors on this page of our website, if and when they come to light. For this reason, we advise that buyers of the book check this website regularly to remain up-to-date.

If you have a copy of the book and would like to report an error, please proceed to the Contact page and submit details for our investigation.

First printing (January, 2014)

Page 79: Figure 3.30, left column, for Mitral annular velocities, text should read:
“e’ > 10 cm/s”, not “e’ > 1.0 cm/s”

Page 100: First sentence following “Beard” versus the “Chin” under Technical Caveats: Tricuspid Regurgitation should read:

“The TR signal below, left shows a “chin” (blue line) and a “beard” (pink line).”

Page 106: Alterations have been made to Table 4.16, in rows 2 and 5 as well as in the references. Click here to download a new version of this table.

Page 110: Alterations have been made to Equation 4.29, Figure 4.38 text and Table 4.18. Click here to download a new corrected version of this page.

Page 362: In the Constrictive Pericarditis versus Cardiac Tamponade information box, the Diastolic filling row is reversed and should read:

Constrictive pericarditis: Early diastolic filling is rapid; restricted ventricular filling occurs in mid-to-late diastole Cardiac Tamponade: Restricted filling occurs progressively over the entire diastolic period

Click here for a new version of the info box.

Page 459: Paragraph following Equation 15.6 should read:

“In the presence of significant collateral blood flow or a large PDA with left-to-right shunting, flow across the coarctation is reduced. For example, when a collateral circulation develops, blood flow is diverted to the internal thoracic and intercostal arteries; thus, blood flow effectively bypasses the coarctation (see Fig. 15.49). Likewise, when there is a large PDA with left-to-right shunting, blood flow is shunted from the aorta to the PA so blood flow across the coarctation is diminished.”

First four printings

Page 39: In the Tip Box on the right hand side, under the heading “Caveat”, the last sentence should read “Therefore, the CO will be overestimated in this setting.”

Page 69: Under the heading “Factors affecting IVRT”, the second last sentence should read:
“When there is a marked increase in LAP, as seen with restrictive filling, the crossover between the LV and LA pressures occurs earlier than normal; this results in earlier than normal mitral valve opening and shortening of the IVRT.”

Page 209: Figure 7.62, In the example given for calculating aortic RV, the diameter is not squared. It should appear as:

RVAR = SVLVOT – SVMA
= (CSALVOT × VTILVOT ) – (CSAMA × VTIMA )
= (0.785 × 2.232 × 28.7) – (0.785 × 2.792 × 11.6)
= 112 – 71
= 41 mL

Page 210: Figure 7.63, In the example given for calculating aortic EROA, the equation should appear as:

EROA = (2πr2 × VN ) ÷ VAR
= (6.28 × 0.62 × 44.7) ÷ 388
= 0.26 cm2

Page 229: In Figure 8.24, the equation for deriving the P½t from the DT is mistranscribed. This should be P½t = 0.29 x DT. Therefore, P½t = 0.29 x 516 = 150 ms.

Page 428-429: Some key points are missing from the Key Points table. Please Click here to download the extra key points for this table.

First six printings

Page 252: The text beneath drawing on the right should read:
“Obtuse angle < 180o

Book Details

Title: A Sonographer’s Guide to the Assessment of Heart Disease
Edition: First
Author: Bonita Anderson
Published: MGA Graphics, Australia 2014
Echotext Pty Ltd, Australia 2016
ISBN, 13 digit: 978-0-9923222-0-5
ISBN, 10 digit: 0992322200
Format: 305mm high x 214mm wide (12″ x 8.5″), Hard Cover
Pages: 507 p.p.
Weight: First printing 2kg (4lb 7oz)
Second printing 1.8kg (4lbs)

About the Book

Written by a sonographer for sonographers, this text primarily discusses the role of echocardiography in the assessment of heart diseases.

The book is mostly designed for students of echocardiography, teachers of echocardiography and cardiac sonographers working in routine clinical practice, but will also be very useful to echocardiologists and cardiac registrars.

The goal of the text is to provide a comprehensive review of transthoracic echocardiography in the assessment of various cardiac pathologies.

Refresher notes on cardiac anatomy and the relevant cardiac physiology and pathophysiology are included to expand the cardiac sonographer’s knowledge in this area and further their understanding of various diseases, disease processes and associated findings.

This comprehensive text is supported by over 720 figures including over 1,200 echo images, over 130 pathological photos and many illustrations. It also includes several appendices, numerous tables and technical tips which highlight key concepts.

Hard-cover bound with 507 printed pages, this text is ready to be adopted as any sonographer’s constant companion while dealing with the many challenges that arise in performing an echocardiographic examination.

Real-time images that correspond to figures in the book are now available on this web-site (under the Publications menu). This allows readers to view the real-time image in association with the corresponding figure legends in the book.

Table of Contents

Chapter 1: Introduction to Basic Haemodynamic Calculations

Determination of Pressure Gradients
Volumetric Flow Calculations
Continuity Principle
Key Points
Further Reading

Preview

Chapter 2: Ventricular Size and Systolic Function

Ventricular Anatomy
Basic Cardiac Physiology
Measurements of the Left Ventricular Size
Measurements of Left Ventricular Systolic Function
Measurements of the Right Ventricular Size
Measurements of Right Ventricular Systolic Function
Key Points
Further Reading

Preview

Chapter 3: Ventricular Diastolic Function

Basic Principles of Diastole
Echocardiographic Parameters for Assessing Left Ventricular Diastolic Function
Echocardiographic Parameters for Assessing Left Ventricular Filling Pressures
Echocardiographic Parameters for Assessing Right Ventricular Diastolic Function
Echocardiographic Parameters for Identifying Increased Right Atrial Pressures
Grading of Right Ventricular Diastolic Function
Key Points
Further Reading

Preview

Chapter 4: Hypertensive Heart Disease

Systemic Hypertension
Pulmonary Hypertension
Key Points
Further Reading

Preview

Chapter 5: Ischaemic Heart Disease

Coronary Artery Anatomy
Coronary Artery Disease
Role of Echocardiography in Ischaemic Heart Disease
Role of Stress Echocardiography in Ischaemic Heart Disease
Complications of Myocardial Infarction
Direct Imaging of Coronary Arteries
Non-Coronary Artery Diseases Causing Ischaemic Chest Pain
Non-Ischaemic Causes of Chest Pain
Key Points
Further Reading

Preview

Chapter 6: Cardiomyopathies

Definition and Classifications of Cardiomyopathies
Dilated Cardiomyopathy
Hypertrophic Cardiomyopathy
Restrictive Cardiomyopathy
Arrhythmogenic Right Ventricular Cardiomyopathy
Left Ventricular Non-Compaction
Key Points
Further Reading

Preview

Chapter 7: Aortic Valve Disease

Anatomy of the Aortic Valve and Aortic Root
Aortic Stenosis
Aortic Regurgitation
Key Points
Further Reading

Preview

Chapter 8: Mitral Valve Disease

Anatomy of the Mitral Valve
Mitral Stenosis
Mitral Regurgitation
Key Points
Further Reading

Preview

Chapter 9: Tricuspid and Pulmonary Valve Disease

Anatomy of the Tricuspid Valve
Echo Imaging of the Tricuspid Valve
Tricuspid Stenosis
Tricuspid Regurgitation
Echo Imaging of the Tricuspid Valve
Echo Imaging of the Pulmonary Valve
Pulmonary Stenosis
Pulmonary Regurgitation
Key Points
Further Reading

Preview

Chapter 10: Prosthetic Heart Valves

Basic Concepts
Role of Echocardiography
Haemodynamic Assessment of Prosthetic Heart Valves
Complications of Prosthetic Valves
Key Points
Further Reading

Preview

Chapter 11: Diseases of the Aorta

Anatomy and Structure of the Aorta
2D Imaging and Measurements of the Aorta
Aortic Aneurysms
Sinus of Valsalva Aneurysms
Acute Aortic Syndromes
Aortic Dissections
Traumatic Aortic Injury
Key Points
Further Reading

Preview

Chapter 12: Pericardial Disease

Anatomy and Function of the Pericardium
Pericardial Cysts
Congenitally Absent Pericardium
Acute Pericarditis
Pericardial Effusions
Cardiac Tamponade
Constrictive Pericarditis
Effusive-Constrictive Pericarditis
Key Points
Further Reading

Preview

Chapter 13: Infective Endocarditis and Cardiac Masses

Infective Endocarditis
Cardiac Tumours
Intracardiac Thrombus
Normal Anatomy Simulating Cardiac Masses
Imaging Artefacts Simulating Cardiac Masses
Key Points
Further Reading

Preview

Chapter 14: Systemic Diseases with Cardiac Manifestations

Introduction
Systemic Rheumatic Diseases
Hereditary Connective Disorders
Endocrine Disorders
Haematologic Disorders
Infiltrative Disorders
Storage Disorders
Hereditary Neuromuscular Disorders
Key Points
Further Reading

Preview

Chapter 15: Introduction to Congenital Heart Disease

Introduction
Shunt Lesions
Obstructive Lesions
Cyanotic Lesions
Key Points
Further Reading

Preview

Appendices

Appendix 1: Normal Haemodynamic Values for Selected Prosthetic Aortic Valves
Appendix 2: Normal Haemodynamic Values for Selected Prosthetic Mitral Valves
Appendix 3: Normal Haemodynamic Values for Selected Prosthetic Tricuspid Valves
Appendix 4: Normal Haemodynamic Values for Selected Prosthetic Pulmonary Valves
Appendix 5: Selected Congenital and Genetic Syndromes associated with Congenital Heart Disease
Appendix 6: Selected Surgeries for Various Congenital Heart Lesions
Appendix 7: Echocardiographic Parameter Tables

Glossary

Demo Content

Index

Demo Content

Real-time Images

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Reviews

We are pleased to present reviews of the book below. Readers comments may be posted on this page as they become available. If you would like to make a comment on the book, please use the form on the Contact Us page.

Book Review:
Published: Sonography (Australasian Sonographer’s Association Journal), Volume 1, Issue 1, September, 2014.
Written by: Luke Cartwright, Canberra Hospital, ACT, Australia.
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Book Review:
Published: Journal of The British Society of Echocardiography (BSE), Issue 86, July, 2014.
Written by: Julie Sandoval of Sheffield Teaching Hospital.
Read Review

Book Review:
Published: Doody’s Review Service (USA), MedInfoNow.com, April, 2014.
Review link: http://bit.ly/RMLc7m
Written by: Andrew Klapperich, BS, MS (Froedtert Hospital, Wisconsin, USA)
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Book Review:
Published: On the Pulse (OTP), Volume XXVI, No 1 March 2014. (Page 6)
Written by: Catherine Mylrea AMS, Echo Educator, MonashHeart, Victoria, Australia.
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Book Review:
Published: AJUM (Australasian Journal of Ultrasound in Medicine), February, 2014.
Written by: Alison White BSc, MSc, DMU (Cardiac). Program Convenor of the Master of Clinical Science (Clinical Physiology), Griffith University and Board Member of the Diploma in Medical Ultrasonography (DMU), Australasian Society of Ultrasound in Medicine (ASUM).
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Book Review:
Published on: http://www.picsa.org.au, 17 February, 2014.
Written by: Kim Prince B Hlth Sc, DMU (Cardiac), Masters Clin Physiology. Chief Cardiac Scientist Queensland Cardiology and Secretary of PICSA (Professionals in Cardiac Sciences Australia).
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Book Review:
Published on: http://intensivecarenetwork.com, 13 January, 2014.
Written by: Sharon Kay PhD MSc (perfusion) GrDip (Echo) BSc(Hons), Cardiac Scientist, Lecturer in Echocardiography.
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Addendum

As hard as we have tried to make this publication perfect in every way, there is always the possibility that some errors may have been missed before going to press. Also, new information can emerge that can make a change necessary. Unfortunately, once a book is printed and distributed, it is all but impossible to rectify this situation but with the World Wide Web, it is possible to bring any updates to the attention of those who care to stay in touch.

In the interests of our readers and all others concerned, we intend to report any significant errors on this page of our website, if and when they come to light. For this reason, we advise that buyers of the book check this website regularly to remain up-to-date.

If you have a copy of the book and would like to report an error, please proceed to the Contact page and submit details for our investigation.

First printing (January, 2014)

Page 79: Figure 3.30, left column, for Mitral annular velocities, text should read:
“e’ > 10 cm/s”, not “e’ > 1.0 cm/s”

Page 100: First sentence following “Beard” versus the “Chin” under Technical Caveats: Tricuspid Regurgitation should read:

“The TR signal below, left shows a “chin” (blue line) and a “beard” (pink line).”

Page 106: Alterations have been made to Table 4.16, in rows 2 and 5 as well as in the references. Click here to download a new version of this table.

Page 110: Alterations have been made to Equation 4.29, Figure 4.38 text and Table 4.18. Click here to download a new corrected version of this page.

Page 362: In the Constrictive Pericarditis versus Cardiac Tamponade information box, the Diastolic filling row is reversed and should read:

Constrictive pericarditis: Early diastolic filling is rapid; restricted ventricular filling occurs in mid-to-late diastole Cardiac Tamponade: Restricted filling occurs progressively over the entire diastolic period

Click here for a new version of the info box.

Page 459: Paragraph following Equation 15.6 should read:

“In the presence of significant collateral blood flow or a large PDA with left-to-right shunting, flow across the coarctation is reduced. For example, when a collateral circulation develops, blood flow is diverted to the internal thoracic and intercostal arteries; thus, blood flow effectively bypasses the coarctation (see Fig. 15.49). Likewise, when there is a large PDA with left-to-right shunting, blood flow is shunted from the aorta to the PA so blood flow across the coarctation is diminished.”

First four printings

Page 39: In the Tip Box on the right hand side, under the heading “Caveat”, the last sentence should read “Therefore, the CO will be overestimated in this setting.”

Page 69: Under the heading “Factors affecting IVRT”, the second last sentence should read:
“When there is a marked increase in LAP, as seen with restrictive filling, the crossover between the LV and LA pressures occurs earlier than normal; this results in earlier than normal mitral valve opening and shortening of the IVRT.”

Page 209: Figure 7.62, In the example given for calculating aortic RV, the diameter is not squared. It should appear as:

RVAR = SVLVOT – SVMA
= (CSALVOT × VTILVOT ) – (CSAMA × VTIMA )
= (0.785 × 2.232 × 28.7) – (0.785 × 2.792 × 11.6)
= 112 – 71
= 41 mL

Page 210: Figure 7.63, In the example given for calculating aortic EROA, the equation should appear as:

EROA = (2πr2 × VN ) ÷ VAR
= (6.28 × 0.62 × 44.7) ÷ 388
= 0.26 cm2

Page 229: In Figure 8.24, the equation for deriving the P½t from the DT is mistranscribed. This should be P½t = 0.29 x DT. Therefore, P½t = 0.29 x 516 = 150 ms.

Page 428-429: Some key points are missing from the Key Points table. Please Click here to download the extra key points for this table.

First six printings

Page 252: The text beneath drawing on the right should read:
“Obtuse angle < 180o