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Echocardiography—Its Practical Value

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Book cover Controversy in Cardiology

Abstract

Echocardiography is a valuable noninvasive technique for the evaluation of congenital and acquired heart disease. Its practical value as a diagnostic procedure depends entirely on the technical skill of the examiner and the expertise of the physi cian who interprets the echocardiogram. Significant improvements have been achieved in ultrasound recording equipment since Elder and Hertz (16) first employed reflected ultrasound to examine the heart. Only the conventional, singlecrystal transducer echocardiography will be covered in this chapter, other echocardiographic systems, including two-dimensional sector scanning and the multiplecrystal system, will not be discussed.

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References

  1. Alpert, J. S., Francis, G. S., Ockene, I., and Hagan, A. D. Echocardiographic assessment of left ventricular function in aortic insufficiency. Circulation (Supplement), in press, 1975.

    Google Scholar 

  2. Belenkie, I., Nutter, D. O., Clark, D. W., McGraw, D. B., and Raizner, A. E. Assessment of left ventricular dimensions and function by echocardiography. Am. J. Cardiol., 31:755, 1973.

    Article  PubMed  CAS  Google Scholar 

  3. Brown, O. R., Harrison, D. C., and Popp, R. L. An improved method for echographic detection of left atrial enlargement. Circulation, 50:58, 1974.

    Article  PubMed  CAS  Google Scholar 

  4. Burgess, J., Clark, R., Kamigaki, M., and Cohn, K. Echocardiographic findings in different types of mitral regurgitation. Circulation, 48:97, 1973.

    Article  PubMed  CAS  Google Scholar 

  5. Chesler, E., Joffe, H. S., Beck, W., and Schrire, V. Echocardiographic recognition of mitralsemilunar valve discontinuity. Circulation, 43:725, 1971.

    Article  PubMed  CAS  Google Scholar 

  6. Joffe, H. S., Vecht, R., Beck, W., and Schrire, V. Ultrasound cardiography in single ventricle and the hypoplastic left and right heart syndrome. Circulation, 42:123, 1970.

    Article  PubMed  Google Scholar 

  7. Chung, K. J., Alexson, C. G., Manning, J. A., and Gramiak, R. Echocardiography in truncus arteriosus. Circulation, 48:281, 1973.

    Article  PubMed  CAS  Google Scholar 

  8. Cooper, R. H., O’Rourke, R. A., Karliner, J. S., Peterson, K. L., and Leopold, G. R. Comparison of ultrasound and cineangiographic measurements of the mean rate of circumferential fiber shortening in man. Circulation, 46:914, 1972.

    Article  PubMed  CAS  Google Scholar 

  9. Danford, H. G., Danford, D. A., Mielke, J. E., and Peterson, L. F. Echocardiographic evaluation of the hemodynamic effects of chronic aortic insufficiency with observations on left ventricular performance. Circulation, 48:253, 1973.

    Article  PubMed  CAS  Google Scholar 

  10. Demaria, A. N., King, J. F., Bogren, H. G., Lies, J. E., and Mason, D. T. The variable spectrum of echocardiographic manifestations of the mitral valve prolapse syndrome. Circulation, 50:33, 1974.

    Article  PubMed  CAS  Google Scholar 

  11. Diamond, M. A., Dillon, J. C. Haine, C. L., Chang, S., and Feigenbaum, H. Echocardiographic features of atrial septal defect. Circulation, 43:129, 1971.

    Article  PubMed  CAS  Google Scholar 

  12. Dillon, J. C., Feigenbaum, H., Konecke, L. L., Keutel, J., Hurwitz, R. A., Davis, R. H., and Chang, S. Echocardiographic manifestations of d-transposition of the great vessels. Am. J. Cardiol, 32:74, 1973.

    Article  PubMed  CAS  Google Scholar 

  13. Duchak, J. M., Jr., Chang, S., and Feigenbaum, H. The posterior mitral valve echo and the echocardiographic diagnosis of mitral stenosis. Am. J. Cardiol., 29:628, 1972.

    Article  PubMed  Google Scholar 

  14. Echocardiographic features of torn chordae tendineae. Am. J. Cardiol., 29:260,

    Google Scholar 

  15. Edler, I. Diagnostic use of ultrasound in heart disease. Acta Med. Scand. 308:32, 1955.

    Google Scholar 

  16. and Hertz, C. H. Use of ultrasonic reflectoscope for continuous recording of movements of heart walls. Kungl. Fysiogr. Sallsk. Lund. Forhandl 24:5, 1954.

    Google Scholar 

  17. Feigenbaum, H. Echocardiography, Chap. 4. Philadelphia, Lea and Febiger, 1972, pp. 43–49.

    Google Scholar 

  18. Clinical applications of echocardiography. Prog. Cardiovasc. Dis., 14:531, 1972.

    Article  Google Scholar 

  19. Fischer, J. C., Chang, S., Konecke, L. L., Feigenbaum, H. Echocardiographic determination of mitral valve flow. Am. J. Cardiol., 29:262, 1972.

    Article  Google Scholar 

  20. Francis, G. S. and Hagan, A. D. Echocardiographic criteria of normal left atrial size in adults. Catheterization and Cardiovascular Diagnosis, in press, 1975.

    Google Scholar 

  21. O’Rourke, R. A., Oury, J. The accuracy of echocardiography for assessing aortic root diameter. Br. Heart J., 37:376, 1975.

    Article  PubMed  Google Scholar 

  22. Goodman, D. J., Harrison, D. C., Popp, R. L. Echocardiographic feature of primary pulmonary hypertension. Am. J. Cardiol., 33:438, 1974.

    Article  PubMed  CAS  Google Scholar 

  23. Gramiak, R., Nanda, N. C., and Shah, P. M. Echocardiographic detection of the pulmonary valve. Radiology, 102:153, 1972.

    PubMed  CAS  Google Scholar 

  24. Hagan, A. D. and Vieweg, W. V. R. Ultrasound evaluation of acute aortic regurgitation due to bacterial endocarditis: a case report. Milit. Med., 139:725, 1974.

    Google Scholar 

  25. Deely, W. J., Sahn, D., and Friedman, W. F. Echocardiographic criteria for normal newborn infants. Circulation, 48:1221, 1973.

    Article  PubMed  Google Scholar 

  26. Francis, G. S., Sahn, D. J., Karliner, J. S., Friedman, W. F., and O’Rourke, R. A. Ultrasound evaluation of systolic anterior septal motion in patients with and without right ventricular volume overload. Circulation, 50:248, 1974.

    Article  PubMed  Google Scholar 

  27. Henry, W. L., Clark, C. E., and Epstein, S. E. Asymmetric septal hypertrophy (ASH): The unifying link in the IHSS disease spectrum. Circulation, 47:827, 1973.

    Article  PubMed  CAS  Google Scholar 

  28. Asymmetric septal hypertrophy: Echocardiographic identification of the pathognomonic anatomic abnormality of IHSS. Circulation, 47:225, 1973.

    Article  Google Scholar 

  29. Glancy, D. L., and Epstein, S. E. Echocardiographic measurement of the left ventricular outflow gradient in idiopathic hypertrophic subaortic stenosis. N. Engl. J. Med., 288:989, 1973.

    Article  PubMed  Google Scholar 

  30. Hirata, T., Wolve, S. B., Popp, R. L., Helmen, C. H., and Feigenbaum, H. Estimation of left atrial size using ultrasound. Am. Heart J., 78:43, 1969.

    Article  PubMed  CAS  Google Scholar 

  31. Horowitz, M. S., Schultz, C. S., Stinson, E. B., Harrison, D. C., and Popp, R. L. Sensitivity and specificity of echocardiographic diagnosis of pericardial effusion. Circulation, 50:239, 1974.

    Article  PubMed  CAS  Google Scholar 

  32. Jacobs, J. J., Feigenbaum, H., Corya, B. C., and Phillips, J. F. Detection of left ventricular asynergy by echocardiography. Circulation, 48:263, 1973.

    Article  PubMed  CAS  Google Scholar 

  33. Keefe, J., Theodosiou, G., Noggar, C., Flessas, A., and Ryan, T. J. Ultrasonic determination of cardiac output from the mitral valve tracing. Circulation, 48: Suppl 4:185, 1973.

    Google Scholar 

  34. Konecke, L. L., Feigenbaum, H., Chang, S., Corya, B. C., and Fischer, J. C. Abnormal mitral valve motion in patients with elevated left ventricular diastolic pressures. Circulation, 47:989, 1973.

    Article  PubMed  CAS  Google Scholar 

  35. Ludbrook, P., Karliner, J. S., London, A., Peterson, K. L., Leopold, G. R., and O’Rourke, R. A. Posterior wall velocity: An unreliable index of total left ventricular performance in patients with coronary artery disease. Am. J. Cardiol., 33:475, 1974.

    CAS  Google Scholar 

  36. Martinez, E. C., Giles, T. D., and Burch, G. E. Echocardiographic diagnosis of left atrial myxoma. Am. J. Cardiol., 33:281, 1974.

    Article  PubMed  CAS  Google Scholar 

  37. McDonald, I. G., Feigenbaum, H., and Chang, S. Analysis of left ventricular wall motion by reflected ultrasound. Circulation, 46:14, 1972.

    Article  PubMed  CAS  Google Scholar 

  38. Meyer, R. A. and Kaplan, S. Echocardiography in the diagnosis of hypoplasia of the left or right ventricles in the neonate. Circulation, 46:55, 1972.

    Article  PubMed  CAS  Google Scholar 

  39. Millward, D. K., McLaurin, L. P., and Craige, E. Echocardiographic studies of the mitral valve in patients with congestive cardiomyopathy and mitral regurgitation. Am. Heart J., 85:413, 1973.

    Article  Google Scholar 

  40. Nanda, N. C., Gramiak, R., Manning, J., Mahoney, E. B., Lipchik, E. O., and Deweese, J. A. Echocardiographic recognition of the congenital bicuspid aortic valve. Circulation, 49:870, 1974.

    Article  PubMed  CAS  Google Scholar 

  41. Shah, P. M. Diagnosis of aortic root dissection by echocardiography. Circulation,

    Google Scholar 

  42. :506, 1973. 42. Lipchik, E. D. Ultrasound evaluation of mitral valve calcification. Circulation,

    Google Scholar 

  43. : Suppl 2:20, 1972.

    Google Scholar 

  44. Paraskos, J. A., Grossman, W., Saltz, S., Dalen, J. E., and Dexter, L. A noninvasive technique for the determination of velocity of circumferential fiber shortening in man. Circ. Res., 29:610, 1971.

    Article  PubMed  CAS  Google Scholar 

  45. Pombo, J. F., Troy, B. L., and Russell, R. O., Jr. Left ventricular volumes and ejection fraction by echocardiography. Circulation, 43:480, 1971.

    Article  PubMed  CAS  Google Scholar 

  46. Popp, R. L. and Harrison, D. C. Ultrasonic cardiac echography for determining stroke volume and valvular regurgitation. Circulation, 41:493, 1970.

    Article  PubMed  CAS  Google Scholar 

  47. Wolfe, S. B., Hirata, T., and Feigenbaum, H. Estimation of right and left ventricular size by ultrasound. Am. J. Cardiol., 24:523, 1969.

    Article  PubMed  Google Scholar 

  48. Quinones, M. A., Gaasch, W. H., and Alexander, J. K. Echocardiographic assessment of left ventricular function. Circulation, 50:42, 1974.

    Article  PubMed  CAS  Google Scholar 

  49. Gaasch, W. H., Waisser, E., and Alexander, J. K. Reduction in the rate of diastolic descent of the mitral valve echogram in patients with altered left ventricular diastolic pressure-volume relations. Circulation, 49:246, 1974.

    Article  PubMed  Google Scholar 

  50. Sahn, D. J., Deely, W. J., Hagan, A. D., and Friedman, W. F. Echocardiographic assessment of left ventricular performance in normal newborns. Circulation, 49:232, 1974.

    Article  PubMed  CAS  Google Scholar 

  51. Segal, B. L., Konecke, L. L., Kawai, N., Kotier, M. N., and Linhart, J. W. Echocardiography, current concepts and clinical applications. Am. J. Med., 57:267, 1974.

    Article  PubMed  CAS  Google Scholar 

  52. Shah, P. M., Gramiak, R., Adelman, A. G., and Wigle, E. D. Echocardiographic assessment of the effects of surgery and propanalol on the dynamics of outflow obstruction in hypertrophic subaortic stenosis. Circulation, 45:516, 1972.

    Article  PubMed  CAS  Google Scholar 

  53. Gramiak, R., and Kramer, D. H. Ultrasound localization of left ventricular outflow obstruc tion in hypertrophic obstructive cardiomyopathy. Circulation, 40:3, 1969.

    Article  PubMed  Google Scholar 

  54. Tajik, A. J., Gau, G. T., Giuliani, E. R., Ritter, D. G., and Schattenbert, T. T. Echocardiogram in Ebstein’s Anomaly with Wolff-Parkinson-White pre-excitation syndrome, Type B. Circulation, 47:813, 1973.

    Article  PubMed  CAS  Google Scholar 

  55. Troy, B. L., Pombo, J., and Rackley, C. E. Measurement of left ventricular wall thickness and mass by echocardiography. Circulation, 45:602, 1972.

    Article  PubMed  CAS  Google Scholar 

  56. Ulrich, W. D. Ultrasound dosage for experimental use on human beings. Naval Medical Research Institute, Research Report No. 2, Project M4306.01–1010BXK9, August 19, 1971.

    Google Scholar 

  57. Williams, R. G. and Rudd, M. Echocardiographic features of endocardial cushion defects. Circulation, 49:418, 1974.

    Article  PubMed  CAS  Google Scholar 

  58. Winsberg, F., Gabar, G. E., Hernberg, J. G., and Weiss, B. Fluttering of the mitral valve in aortic insufficiency. Circulation, 41:225, 1970.

    Article  PubMed  CAS  Google Scholar 

  59. Yeh, H., Winsberg, F., and Mercer, E. N. Echographic aortic valve orifice dimension: its use in evaluating aortic stenosis and cardiac output. J. Clin. Ultrasound, 1:182, 1974.

    Google Scholar 

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© 1976 Springer-Verlag New York Inc.

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Hagan, A.D. (1976). Echocardiography—Its Practical Value. In: Chung, E.K. (eds) Controversy in Cardiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-86000-3_19

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  • DOI: https://doi.org/10.1007/978-3-642-86000-3_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-86002-7

  • Online ISBN: 978-3-642-86000-3

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