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TELECONFRENCES
2004
The Changing Left Ventricle

2003
Aortic Valve Disease: New Dimensions in Evaluation and Management

2002
Heart Failure: Echo's Role in and Emerging Health Crisis

2001
Chest Pain in Children & Adults: The Role of Echo

2000
Mitral Regurgitation: New Concept

1998
The Falling Left Ventricle: Diastolic & Systolic Function

1997
Changing the Outcome of Coronary Artery Disease
ECHO GRAND ROUNDS
Digital Integration
LEARN THE BASICS
Echocardiography
Doppler Echo
VIDEO ARCHIVES

Chest Pain in Children and Adults

Mitral Regurgitation: New Concepts

Diastolic and Systolic Function

Changing the Outcome of CAD

BROADCAST SUPPLEMENTS
2000 MV
2001 Chest Pain
2002 Heart Failure


Pulsed and Continuous Wave Doppler
Aliasing
Fig.1.24

The aliasing phenomenon occurs when the abnormal velocity exceeds the rate at which the pulsed wave system can record it properly. PW Doppler spectral tracing in Figure 1.24 from an individual with aortic insufficiency with the transducer positioned at the apex. In this situation, abnormal diastolic flow is detected toward the transducer and recorded in a positive, or upwards direction. The system first detects a pulsed (and aliased) spectral profile. After the fourth beat, the system is switched into CW and the full profile is recognized. The aliased portion in the first three beats is cut off the top of the velocity spectrum and replaced at in the reverse channel, or below the baseline (open arrow).

Fig.1.25

The phenomenon of aliasing is best explained using a simple example (Fig. 1.25). A mark is placed on a turning wheel and the wheel rotates in a clockwise fashion at a speed of one turn every four seconds. If the sample rate (or pulse repetition frequency) is one sample per second the mark is recorded at each progressive 90 degree position. The final recording would then show the proper clockwise direction of motion of the wheel (Fig. 1.25 left column).

If the sample rate (or pulse repetition frequency) is slowed to only one sample every three seconds a strange phenomenon occurs
(Fig. 1.25 right column). Note that the mark is moving 180 degrees between sampling times and that while actually turning clockwise the recording makes the wheel appear to be moving in the opposite, or counter-clockwise, direction. This is also the reason why propellers and wagon wheels appear to go backwards in movies as the film frame rate is too slow to accurately keep up with these rapidly moving structures.

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