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2004
The Changing Left Ventricle

2003
Aortic Valve Disease: New Dimensions in Evaluation and Management

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Heart Failure: Echo's Role in and Emerging Health Crisis

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Chest Pain in Children & Adults: The Role of Echo

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Mitral Regurgitation: New Concept

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The Falling Left Ventricle: Diastolic & Systolic Function

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Chest Pain in Children and Adults

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Diastolic and Systolic Function

Changing the Outcome of CAD

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2000 MV
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The Doppler Principle and the Study of Cardiac Flows
The Direction and Velocity of Flow

The fact that makes frequency of the Doppler effect more than just an interesting curiosity is that it actually provides a method that is used to measure the direction and speed of moving red blood cells. Clinically we are most interested in measuring velocity since, as mentioned above, it is altered in disease states.

Fig.1.7

A Doppler system then compares the transmitted waveform with the received waveform for a change in frequency as shown in Figure 1.7. These are called "phase shifts" and they are automatically determined within the Doppler instrument. If there is a higher returning frequency (+AP) then the flow is called a "positive Doppler shift" and represented as moving toward the transducer. If there is a lower returning frequency (-AP) then the flow is called a "negative Doppler shift" and represented as moving away from the transducer. All components of the Doppler equation, except velocity, are readily measured by the Doppler instrument.

Fig.1.8

The Doppler equation may be rearranged to solve for velocity of blood movement as shown in Figure 1.8. The angle ? (the angle the Doppler beam is incident to flow) may be measured or may be assumed to be parallel depending upon orientation of the beam by the system operator.

The Doppler device can be regarded as a complex speedometer designed to detect red cell motion (i.e., blood flow) and measure its velocity. What is important to recognize is that:

FREQUENCY SHIFT >>> DOPPLER EQUATION >>> VELOCITY DATA

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