Abstract
In recent years, Doppler ultrasound has been used extensively to evaluate blood flow patterns within the heart and peripheral vessels. This technology can be used qualitatively to diagnose valvular and congenital heart disease; and, because it is a safe and non-invasive technique, Doppler ultrasound can be used for the serial assessment of the defect. In addition, recent studies have shown that the severity of the flow abnormality can be accurately quantitated from the Doppler examination in many cases. The purposes of this chapter are: (1) to examine the basic physical principles of Doppler ultrasound, and (2) to review the clinical applications of this technique.
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References
Hatle L, Angelsen B: Doppler ultrasound in cardiology. Lea amp Febiger, Philadelphia, 1982.
StrandnessDE Jr: The use of ultrasound in the evaluation of peripheral vascular disease. Prog CV Dis 20: 403–422, 1978.
Reid JM, Baker DW: Physics and electronics of the ultrasonic Doppler method. In: Egermann H (ed.), Ultrasonographia Medica. ( Publisher ), Wien, 1971, p 109.
Pearlman AS, Stevenson JG, Baker DW: Doppler echocardiography: applications, limitations and future directions. Am J Cardiol 46: 1256–1262, 1980.
Valdes-Cruz LM, Sahn DJ: Two-dimensional echo Doppler for non-invasive quantitation of cardiac flow: a status report. Modern Concepts of Cardiovasc Dis 51: 123–128, 1982.
Baker DW, Rubenstein SA, Lorch GS: Pulsed Doppler echocardiography: principles and appli-cations. Am J Med 63: 69–80, 1977.
Johnson SL, Baker DW, Lute RA, Dodge HT: Doppler echocardiography: the localization of cardiac murmurs. Circulation 48: 810–822, 1973.
Kececioglu-Draelos Z, Goldberg SJ, Areias J, Sahn DJ: Verification and clinical demonstration of the echo Doppler series effect and vortex shed distance. Circulation 63: 1422–1428, 1981.
Goldberg SJ, Areias J, Feldman L, Sahn DJ, Allen HD: Lesions that cause aortic flow disturb-ance. Circulation 60: 1539–1547, 1979.
Holen J, Aaslid R, Landmark K, Simonsen S: Determination of pressure gradient in mitral stenosis with a non-invasive ultrasound Doppler technique. Acta Med Scand 199: 455–460, 1976.
Hatle L, Brubakk A, Tromsdal A, Angelsen B: Non-invasive assessment of pressure drop in mitral stenosis by Doppler ultrasound. Brit Heart J 40: 131–140, 1978.
Holen J, Hoie J, Froysaker T: Determination of pre- and postoperative flow obstruction in patients undergoing closed mitral commissurotomy from non-invasive ultrasound Doppler data and cardiac output. Am Heart J 97: 499–504, 1979.
Lima CO, Sahn DJ, Valdes-Cruz LM, Goldberg SJ, Barron JV, Allen HD, Grenadier E: Non-invasive prediction of transvalvular pressure gradient in patients with pulmonary stenosis by quantitative two-dimensional echocardiographic Doppler studies. Circulation 67: 866–871, 1983.
Hatle L, Angelsen BA, Tromsdal A: Non-invasive assessment of aortic stenosis by Doppler ultrasound. Brit Heart J 43: 284–292, 1980.
Hatle L: Non-invasive assessment and differentiation of left ventricular outflow obstruction by Doppler ultrasound. Circulation 64: 381–387, 1981.
Cannon SR, Richards KL, Rollwitz WT: Digital Fourier techniques in the diagnosis and quan-tification of aortic stenosis with pulsed-Doppler echocardiography. JCU 10: 101–107, 1982.
Holen J, Hoie J, Semb B: Obstructive characteristics of Bjork-Shiley, Hancock, and Lillehei-Kaster prosthetic mitral valves in the immediate postoperative period. Acta Med Scand 204: 5–11, 1978.
Holen J, Simonsen S, Froysaker T: An ultrasound Doppler technique for the non-invasive determination of the pressure gradient in the Bjork-Shiley mitral valve. Circulation 59: 436–442, 1979.
Holen J, Aaslid R, Landmark K, Simonsen S, Ostrem T: Determination of effective orifice area in mitral stenosis from non-invasive ultrasound Doppler data and mitral flow rate. Acta Med Scand 201: 83–88, 1977.
Valdes-Cruz LM, Horowitz S, Mesel E, Sahn DJ, Fisher DC, Larson D, Goldberg SJ, Allen HD: A pulsed Doppler echocardiographic method for calculation of pulmonary and systemic flow: accuracy in a canine model with ventricular septal defect. Circulation 68: 597–602, 1983.
Colocousis JS, Huntsman LL, Curreri PW: Estimation of stroke volume changes by ultrasonic Doppler. Circulation 56: 914–924, 1977.
Friedman MJ, Sahn DJ, Larson D, Flint A: 2D echo-range gated Doppler measurements of cardiac output and stroke volume in open chest dogs. Circulation (abstr) 62: 101, 1980.
Huntsman LL, Stewart DK, Barnes SR, Franklin SB, Coloeousis JS, Hessel EA: Non-invasive Doppler determination of cardiac output in man. Clinical validation. Circulation 67: 593–602, 1983.
Alverson DC, Eldridge M, Dillon T, Yabek SM, Berman W Jr: Non-invasive pulsed Doppler determination of cardiac output in neonates and children. J Pediatr 101: 46–50, 1982.
Goldberg SJ, Sahn DJ, Allen HD, Valdes-Cruz LM, Hoenecke H, Carnahan Y: Evaluation of pulmonary and systemic blood flow by 2-dimensional Doppler echocardiography using fast Fourier transform spectral analysis. Am J Cardiol 50: 1394–1400, 1982.
Sanders SP, Yeager S, Williams RG: Measurement of systemic and pulmonary blood flow and QP/QS ratio using Doppler and two-dimensional echocardiography. Am J Cardiol 51: 952–956, 1983.
Valdes-Cruz LM, Horowitz S, Mesel E, Sahn DJ, Fisher DC, Larson D: A pulsed Doppler echocardiographic method for calculating pulmonary and systemic blood flow in atrial level shunts: validation studies in animals and initial human experience. Circulation 69: 80–86, 1984.
Meijboom EJ, Valdes-Cruz LM, Horowitz S, Sahn DJ, Larson DF, Young KA, Lima CO, Goldberg SJ, Allen HD: A two-dimensional Doppler echocardiographic method for calculation of pulmonary and systemic blood flow in a canine model with a variable-sized left-to-right extracardiac shunt. Circulation 68: 437–445, 1983.
Fisher DC, Sahn DJ, Friedman MJ, Larson D, Valdes-Cruz LM, Horowitz S, Goldberg SJ, Allen HD: The mitral valve orifice method for non-invasive two-dimensional echo Doppler determina¬tions of cardiac output. Circulation 67: 872–877, 1983.
Lima CO, Sahn DJ, Valdes-Cruz LM, Allen HD, Goldberg SJ, Grenadier E, Barron JV: Prediction of the severity of left ventricular outflow tract obstruction by quantitative two- dimensional echocardiographic Doppler studies. Circulation 68: 348–354, 1983.
Jenni R, Hubscher W, Casty M, Anliker M, Krayenbuehl HP: Quantitation of aortic regurgita-tion by a percutaneous 128-channel digital ultrasound Doppler instrument. In: Lancee CT (ed.), Echocardiology. Martinus Nijhoff, The Hague, 1979, pp 241–243.
Brubakk AO, Angelsen BAJ, Hatle L: Diagnosis of valvular heart disease using transcutaneous Doppler ultrasound. Cardiovasc Res 11: 461–469, 1977.
Stevenson JG, Kawabori I, Guntheroth WG: Differentiation of ventricular septal defects from mitral regurgitation by pulsed Doppler echocardiography. Circulation 56: 14–18, 1977.
Miyatake K, Kinoshita N, Nagata S, Beppu S, Park Y, Sakakibara H, Nimura Y: Intracardiac flow pattern in mitral regurgitation studied with combined use of the ultrasonic pulsed Doppler technique and cross-sectional echocardiography. Am J Cardiol 45: 155–162, 1980.
Nichol PM, Boughner DR, Persaud JA: Non-invasive assessment of mitral regurgitation by transcutaneous Doppler ultrasound. Circulation 54: 656–661, 1976.
Abbasi AS, Allen MW, De Christofaro D, Ungar J: Detection and estimation of the degree of mitral regurgitation by range-gated pulsed Doppler echocardiography. Circulation 61: 143–147, 1980.
Skiaerpe T, Hatle L: Diagnosis and assessment of tricuspid regurgitation with Doppler ultra-sound. In: Rijsterborgh H (ed.), Echocardiology. Martinus Nijhoff, The Hague, 1981, pp 299–304.
Fantini F, Magherini A: Detection of tricuspid regurgitation with pulsed Doppler echocardiography. In: Lancee CT (ed.), Echocardiology. Martinus Nijhoff, The Hague, 1979, pp 233–235.
Goldberg SJ, Areias JC, Spitaels SEC, De Villeneuve VH: Use of time interval histographic output from echo-Doppler to detect left-to-right atrial shunts. Circulation 58: 147–152, 1978.
Hatle L, Rokseth R: Non-invasive diagnosis and assessment of ventricular septal defect by Doppler ultrasound. Acta Med Scand Suppl 645: 47–56, 1981.
Stevenson JG, Kawabori I, Dooley T, Guntheroth WG: Diagnosis of ventricular septal defect by pulsed Doppler echocardiography — sensitivity, specificity and limitations. Circulation 58: 322–326, 1978.
Magherini A, Azzolina G, Wiechmann V, Fantini F: Pulsed Doppler echocardiography for diagnosis of ventricular septal defects. Brit Heart J 43: 143–147, 1980.
Stevenson JG, Kawabori I, Guntheroth WG: Non-invasive detection of pulmonary hypertension in patent ductus arteriosus by pulsed Doppler echocardiography. Circulation 60: 355–359, 1979.
Stevenson JG, Kawabori I, Guntheroth WG: Pulsed Doppler echocardiographic diagnosis of patent ductus arteriosus: sensitivity, specificity, limitations and technical features. Cathet Car- diovasc Diagn 6: 255–263, 1980.
Gentile R, Stevenson G, Dooley T, Franklin D, Kawabori I, Pearlman A: Pulsed Doppler echocardiographic determination of time of ductal closure in normal newborn infants. J Pediatr 98: 443–448, 1981.
Serwer GA, Armstrong BE, Anderson PAW: Non-invasive detection of retrograde descending aortic flow in infants using continuous wave Doppler ultrasonography. J Pediatr 97: 394–400, 1980.
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Snider, A.R. (1985). Doppler echocardiography: Basic principles and clinical applications. In: Buda, A.J., Delp, E.J. (eds) Digital Cardiac Imaging. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4996-6_12
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DOI: https://doi.org/10.1007/978-94-009-4996-6_12
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-8712-4
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