SlideShare a Scribd company logo
TRAINING INSTITUTE
Introduction to
Echocardiography
Presented by Clifford Thornton, RDCS,
B.S.
ECHOCARDIOGRAPHY2
GOALS FOR COURSE
• Develop a basic understanding of the purpose,
application, and key findings of an
echocardiogram in the clinical setting
• Gain a fundamental understanding of the
anatomy of the heart and its perspective in the
standard 2D Echo views
• Gain a fundamental understanding of 2D imaging,
M-Mode, spectral doppler, and color-flow doppler
and how it pertains to a standard 2D Echo
• Learn and apply key 2D, M-Mode, sprectral
doppler, and color-flow
• Learn and apply the standard echo protocol
• Learn and apply cardiac hemodynamic concepts
• Learn and apply knobology and image
optimization
Cliff’s contact information
• Mobile:
• Email: cthornton@htinj.edu
ECHOCARDIOGRAPHY3
Echo Book we’ll be using
• Textbook of Clinical Echocardiography
– Otto, 3rd Edition
– Elsevier Saunders publishing
ECHOCARDIOGRAPHY4
What I expect from you:
• Your full attention when speaking (please turn cell
phones off or put on vibrate)
• Courtesy and respect to your fellow students
• Participation – let me know if I’m going too
fast/slow, respond to questions, Be engaged!
• Focus – use active listening when concepts are
being presented
• Hands-on scanning – again focus on obtaining the
views as instructed and applying learnings from
lectures
ECHOCARDIOGRAPHY5
Why perform an Echo?
• Key reasons to perform an echo:
– Abnormal EKG (i.e. bradycardia, tachycardia,
arrhythmia, atrial-fibrillation, aortic stenosis,
valvular regurgitation/murmur)
– Assess ejection fraction (EF%) (% of blood
ejected from the left ventricle every heart beat)
– Post Myocardial infarction (MI)/heart attack
• Check changes in heart wall motion/assess damage
– Cardiac assessment pre-operation
– Stroke – assess cardiac changes
– Valvular lesions (i.e. regurg, MV prolapse, etc.)
ECHOCARDIOGRAPHY6
Key Findings from an
Echo:
• Ejection Fraction (%) – Normal between (50-75%)
• Size of heart chambers
– Left ventricle (in diastole and systole)
– Right ventricle (in diastole)
– Left/Right atriums
– Aortic root, Inferior Vena Cava, Pulmonary artery
• Assessment of valvular structures
– Mitral valve, aortic valve, pulmonic valve and tricuspid
valves
• Assessment of regurgitation for all valves (i.e. mild,
moderate, severe regurg)
• Doppler – blood velocities through valves and pressure
gradients
ECHOCARDIOGRAPHY7
Components of Echo:
• 2D imaging
ECHOCARDIOGRAPHY8
Components of Echo
• M-Mode
ECHOCARDIOGRAPHY9
Components of Echo:
• Spectral Doppler
ECHOCARDIOGRAPHY10
Components of Echo
• Doppler Color-Flow:
ECHOCARDIOGRAPHY11
Basic Cardiac Anatomy
ECHOCARDIOGRAPHY12
Basic Cardiac Anatomy
ECHOCARDIOGRAPHY13
Basic Cardiac Anatomy –
Anterior view -normal
ECHOCARDIOGRAPHY14
Cardiac Chambers
ECHOCARDIOGRAPHY15
Heart Anterior View
Coronal Section
ECHOCARDIOGRAPHY16
Heart Cadaver
ECHOCARDIOGRAPHY17
Heart Oblique
ECHOCARDIOGRAPHY18
Heart – Coronary
Territories
ECHOCARDIOGRAPHY19
Cardiac Anatomy & Standard Echo
Views
• Parasternal Long-Axis
ECHOCARDIOGRAPHY20
Parasternal long-axis view:
ECHOCARDIOGRAPHY21
Parasternal Short Axis:
ECHOCARDIOGRAPHY22
Short Axis- Left Ventricle:
ECHOCARDIOGRAPHY23
Perspective – LV Short
Axis
ECHOCARDIOGRAPHY24
Short Axis
ECHOCARDIOGRAPHY25
Short Axis – Aortic level
ECHOCARDIOGRAPHY26
Short Axis-Aortic Level
ECHOCARDIOGRAPHY27
Apical 4 Chamber (A4C)
ECHOCARDIOGRAPHY28
Apical 4 Chamber
ECHOCARDIOGRAPHY29
Left Ventricle – Outflow
track
ECHOCARDIOGRAPHY30
Right-Heart Anatomy
ECHOCARDIOGRAPHY31
Apical 2-Chamber (A2C)
ECHOCARDIOGRAPHY32
Apical 2-Chamber (A2C)
ECHOCARDIOGRAPHY33
Apical 3-Chamber View
(A3C)
ECHOCARDIOGRAPHY34
Subcostal view
ECHOCARDIOGRAPHY35
Abnormalities – Left
Ventricular Hypertrophy
ECHOCARDIOGRAPHY36
Abnormalities – Left
Ventricular Aneurysm
ECHOCARDIOGRAPHY37
Abnormalities – Left
Ventricular Aneurysm
ECHOCARDIOGRAPHY38
Abnormalities – Anterior
Wall Scar
ECHOCARDIOGRAPHY39
Heart - Electrophysiology
ECHOCARDIOGRAPHY40
Electrophysiology
ECHOCARDIOGRAPHY41
Electrophysiology
ECHOCARDIOGRAPHY
42
Right
Ventricle
Right
Atrium
Left Atrium
Left Ventricle
Cardiac Cycle
ECHOCARDIOGRAPHY43
Cardiac Cycle
ECHOCARDIOGRAPHY44
Wiggers Diagram
ECHOCARDIOGRAPHY45
Wiggers Diagram
ECHOCARDIOGRAPHY46
Wiggers Diagram
ECHOCARDIOGRAPHY47
Pressures
ECHOCARDIOGRAPHY48
Pressures:
Right Atria (2)
Right Ventricle (30/6)
Pulmonary Artery
(25/8)
Left Atria (8)
Left Ventricle (130/10)
Aorta (130/80)

More Related Content

PPTX
Echocardiography
PPT
Echocardiography in ER 2020
PPTX
PET scan in Cardilogy
PPTX
Echocardiography basics
PPTX
Atrioventricular septal defects
PPTX
KNOBOLOGY FOR ECHOCARDIOGRAM.pptx
PPT
Echocardiographic evaluation of lv function
Echocardiography
Echocardiography in ER 2020
PET scan in Cardilogy
Echocardiography basics
Atrioventricular septal defects
KNOBOLOGY FOR ECHOCARDIOGRAM.pptx
Echocardiographic evaluation of lv function

What's hot (20)

PDF
Contrast echocardiography
PPTX
Ventricular Septal defects Echocardiography
PDF
Chamber Quantification 2015
PPTX
ECHOCARDIOGRAPHY IN CARDIAC TAMPONADE
PPTX
PDF
Echo in ischaemic heart disease and Myocardial infarction
PPTX
Nuclear imaging in cardiology
PPTX
Lung ultrasound
PPTX
PDF
Aortic arch anomalies
PPTX
ECHO ASSESSMENT OF ASD FOR DEVICE CLOSURE
PPTX
Normal variants of heart structures
PPTX
ECG-T wave inversion , Dr. Malala Rajapaksha ,Cardiology unit,General Hospit...
PPTX
Echocardiography
PPTX
Peripheral arterial doppler
PPTX
Fetal Echocardiography
PPTX
3D Echocardiography
PPTX
Stress echocardiography/Dobutamine stress echocardiography
PPTX
FETAL ECHOCARDIOGRAPHY-006.pptx
PPTX
CAG interpretation Dr Shiva CTVS JIPMER
Contrast echocardiography
Ventricular Septal defects Echocardiography
Chamber Quantification 2015
ECHOCARDIOGRAPHY IN CARDIAC TAMPONADE
Echo in ischaemic heart disease and Myocardial infarction
Nuclear imaging in cardiology
Lung ultrasound
Aortic arch anomalies
ECHO ASSESSMENT OF ASD FOR DEVICE CLOSURE
Normal variants of heart structures
ECG-T wave inversion , Dr. Malala Rajapaksha ,Cardiology unit,General Hospit...
Echocardiography
Peripheral arterial doppler
Fetal Echocardiography
3D Echocardiography
Stress echocardiography/Dobutamine stress echocardiography
FETAL ECHOCARDIOGRAPHY-006.pptx
CAG interpretation Dr Shiva CTVS JIPMER
Ad

Viewers also liked (20)

PPT
Two dimensional echocardiography
PPT
Basic Ecocardiography
PPT
Introduction to echocardiography
PPTX
Basics of echo & principles of doppler echocardiography
PPT
Low flow Aortic Stenosis-latest explanations
PPTX
Aortic stenosis
PDF
Aortic stenosis
PPT
Basic Physics Of Transoesophageal Echocardiography For The Workshop2
PPTX
Echocardiography of Aortic stenosis
PPTX
2 d & m mode
PDF
EAE Textbook of Echocardiography - sample
PPTX
Aortic valve assessment
PPT
Aortic Stenosis
PPTX
Tavi 2014
PPTX
Aortic valve stenosis
PPTX
aortic stenosis AHA guidlines 2014
PPTX
Aortic stenosis - Echocardiography
PPTX
Aortic stenosis Echo
PPTX
Echo assesment of Aortic Stenosis and Regurgitation
Two dimensional echocardiography
Basic Ecocardiography
Introduction to echocardiography
Basics of echo & principles of doppler echocardiography
Low flow Aortic Stenosis-latest explanations
Aortic stenosis
Aortic stenosis
Basic Physics Of Transoesophageal Echocardiography For The Workshop2
Echocardiography of Aortic stenosis
2 d & m mode
EAE Textbook of Echocardiography - sample
Aortic valve assessment
Aortic Stenosis
Tavi 2014
Aortic valve stenosis
aortic stenosis AHA guidlines 2014
Aortic stenosis - Echocardiography
Aortic stenosis Echo
Echo assesment of Aortic Stenosis and Regurgitation
Ad

Similar to Intro to echo_class_05262015 (20)

PPTX
BASIC ECHOCARDIOGRAPHY.pptx.............
PPTX
ECHO in Cardiac Failure
PPTX
Echocardiography an introduction
PDF
intto to echo.pdf
PPTX
Echocardiography
PPTX
2D ECHO Basics
PDF
Basics of echocardiography
PPTX
echo macgtgggggggggggggggggggggghine.pptx
PPTX
Basic echocardiography
PDF
basicechocardiography-170913182344 (2).pdf
PPTX
how to read echocardiography of heart.pptx
PPT
CAR_Basic_Echocardiology ULTRASONIDO CARDI
PPT
Principal basics of the echocardiogram diastolic dysfunction and left ventric...
PPT
Echo Basic and Left ventricular hypertrophy
PPTX
Evaluation of Cardiac function.pptx
PDF
echocardiograhy window and views at large
PPTX
ECHO WINDOWS AND VIEWS.pptx
PDF
Echocardiography A Practical Guide for Reporting 2nd Edition Helen Rimington ...
PDF
Handbook Of Echodoppler Interpretation 2nd Edition Edmund K Kerut Elizabeth F...
PDF
Handbook Of Echodoppler Interpretation 2nd Edition Edmund K Kerut Elizabeth F...
BASIC ECHOCARDIOGRAPHY.pptx.............
ECHO in Cardiac Failure
Echocardiography an introduction
intto to echo.pdf
Echocardiography
2D ECHO Basics
Basics of echocardiography
echo macgtgggggggggggggggggggggghine.pptx
Basic echocardiography
basicechocardiography-170913182344 (2).pdf
how to read echocardiography of heart.pptx
CAR_Basic_Echocardiology ULTRASONIDO CARDI
Principal basics of the echocardiogram diastolic dysfunction and left ventric...
Echo Basic and Left ventricular hypertrophy
Evaluation of Cardiac function.pptx
echocardiograhy window and views at large
ECHO WINDOWS AND VIEWS.pptx
Echocardiography A Practical Guide for Reporting 2nd Edition Helen Rimington ...
Handbook Of Echodoppler Interpretation 2nd Edition Edmund K Kerut Elizabeth F...
Handbook Of Echodoppler Interpretation 2nd Edition Edmund K Kerut Elizabeth F...

More from Clifford Thornton (8)

PDF
Vascular devices llc_implanted_vessel_clearing_modules_&_system_02-21-2021
PDF
Global innovation magazine_issue10
PPT
Thornton clifford sample_consulting
PPT
Zurn drill bit_informational_deck_cmt_12-03-2017
PPTX
Thornton clifford m_future_of_cardiology_09-01-2017_v4
PPTX
Clifford thornton spe_600_research_project_final
PPTX
Thornton lesson plan_1_indian_nations_presentation_10-18-2016_v2
PPT
Echo class 2_05262015
Vascular devices llc_implanted_vessel_clearing_modules_&_system_02-21-2021
Global innovation magazine_issue10
Thornton clifford sample_consulting
Zurn drill bit_informational_deck_cmt_12-03-2017
Thornton clifford m_future_of_cardiology_09-01-2017_v4
Clifford thornton spe_600_research_project_final
Thornton lesson plan_1_indian_nations_presentation_10-18-2016_v2
Echo class 2_05262015

Recently uploaded (20)

PDF
Khadir.pdf Acacia catechu drug Ayurvedic medicine
PDF
NEET PG 2025 | 200 High-Yield Recall Topics Across All Subjects
PPTX
Respiratory drugs, drugs acting on the respi system
PDF
CT Anatomy for Radiotherapy.pdf eryuioooop
PPTX
SKIN Anatomy and physiology and associated diseases
PPT
MENTAL HEALTH - NOTES.ppt for nursing students
PPTX
POLYCYSTIC OVARIAN SYNDROME.pptx by Dr( med) Charles Amoateng
PDF
Medical Evidence in the Criminal Justice Delivery System in.pdf
PPTX
post stroke aphasia rehabilitation physician
PPTX
Note on Abortion.pptx for the student note
PPTX
Electromyography (EMG) in Physiotherapy: Principles, Procedure & Clinical App...
PPTX
Gastroschisis- Clinical Overview 18112311
PPT
OPIOID ANALGESICS AND THEIR IMPLICATIONS
PPTX
ACID BASE management, base deficit correction
PPTX
15.MENINGITIS AND ENCEPHALITIS-elias.pptx
PDF
Therapeutic Potential of Citrus Flavonoids in Metabolic Inflammation and Ins...
PPT
Obstructive sleep apnea in orthodontics treatment
PDF
Human Health And Disease hggyutgghg .pdf
PPTX
neonatal infection(7392992y282939y5.pptx
PPTX
CEREBROVASCULAR DISORDER.POWERPOINT PRESENTATIONx
Khadir.pdf Acacia catechu drug Ayurvedic medicine
NEET PG 2025 | 200 High-Yield Recall Topics Across All Subjects
Respiratory drugs, drugs acting on the respi system
CT Anatomy for Radiotherapy.pdf eryuioooop
SKIN Anatomy and physiology and associated diseases
MENTAL HEALTH - NOTES.ppt for nursing students
POLYCYSTIC OVARIAN SYNDROME.pptx by Dr( med) Charles Amoateng
Medical Evidence in the Criminal Justice Delivery System in.pdf
post stroke aphasia rehabilitation physician
Note on Abortion.pptx for the student note
Electromyography (EMG) in Physiotherapy: Principles, Procedure & Clinical App...
Gastroschisis- Clinical Overview 18112311
OPIOID ANALGESICS AND THEIR IMPLICATIONS
ACID BASE management, base deficit correction
15.MENINGITIS AND ENCEPHALITIS-elias.pptx
Therapeutic Potential of Citrus Flavonoids in Metabolic Inflammation and Ins...
Obstructive sleep apnea in orthodontics treatment
Human Health And Disease hggyutgghg .pdf
neonatal infection(7392992y282939y5.pptx
CEREBROVASCULAR DISORDER.POWERPOINT PRESENTATIONx

Intro to echo_class_05262015