ASE’s Comprehensive Echocardiography 2/e

Dynamic Echocardiography combines textbook, case-based, and multimedia approaches to cover the latest advances in this
rapidly evolving specialty. The experts at the American Society of Echocardiography (ASE) present new developments in
3D echocardiography, aortic and mitral valve disease, interventional and intraoperative echocardiography, new
technologies, and more. You’ll have everything you need to apply the latest techniques in echocardiography and get the
best results…in print and online at www.expertconsult.com.





Key Features
Access the fully searchable text online at www.expertconsult.com, along with an extensive multimedia library.

Visualize numerous cardiac pathologies by reviewing companion online presentations for all the book chapters, each
featuring multiple cases and dynamic echocardiographic clips.


Stay current on aortic and mitral valve disease, prosthetic heart valve disease, interventional and intraoperative
echocardiography, transesophageal echocardiography, CAD, complications of MI, pericardial disease and intracardiac
masses, myocardial diseases, heart failure filling pressures, CRT, CHD, and new technologies.


Understand the advantages of 3D echocardiography and see how to effectively use this novel technique.


Appreciate the visual nuances and details of echocardiography thanks to beautiful, full-color illustrations.


Tap into the expertise of authorities from the American Society of Echocardiography.






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Section I. Physics and Instrumentation

1. General principles of echocardiography

2. Three-Dimensional Echocardiography

3. Doppler Principles

4. Tissue Doppler Imaging and Speckle Tracking Echocardiography

5. Tissue harmonic imaging


Section II. Transthoracic Echocardiography (TTE)

6. Transthoracic Echocardiography: Nomenclature and standard views

7. Technical quality

8. Transthoracic Echocardiography Tomographic Views

9. M- Mode Echocardiography

10. Doppler Echocardiography: Normal Antegrade Flow Patterns


Section III. Transesophageal Echocardiography (TEE)

11. Protocol, Probe Insertion and Manipulation, Risks and Complications

12. Transesophageal Echocardiography: Tomographic View

13. Applications of Transesophageal Echocardiography

14. Pitfalls and Artifacts in Transesophageal Echocardiography


Section IV. Intracardiac Echocardiography (ICE)

15. Applications of Intracardiac Echocardiography

16. Limitations of Intracardiac Echocardiography


Section V. Intravascular Echocardiography (IVUS)

17. Intravascular Ultrasound: Instrumentation and Technique

18. Intravascular Ultrasound: Applications and Limitations


Section VI. Hand-Held Echocardiography

19. Hand-carried cardiac ultrasound: Background, Instrumentation and Technique

20. Focused Cardiac Ultrasound


Section VII. Contrast Echocardiography

21. Contrast Echocardiography: Introduction

22. Ultrasonic contrast agents

23. Physical Properties of Microbubble Ultrasound Contrast Agents

24. Applications of Ultrasound Contrast Agents

25. Stress Echocardiography and Contrast

26. Contrast-enhanced carotid imaging


Section VIII. Left Ventricular Systolic Function

27. Introduction

28. Left Ventricular Systolic function: Basic Principles

29. Global LV systolic function

30. Regional Left Ventricular Systolic Function

31. Assessment of left ventricular dyssynchrony


Section IX. Right Heart

32. Right Ventricular Anatomy

33. The Physiologic Basis of Right Ventricular Echocardiography

34. Assessment of RV Systolic and Diastolic Function

35. Right Ventricular Hemodynamics

36. The right atrium

37. Pulmonary embolism


Section X. Diastolic Function

38. Physiology of diastole

39. Methods of Assessment

40. Echo Doppler parameters of diastolic function

41. Estimation of LV filling pressures

42. Clinical Recommendations for Echo Labs for Assessment of LV Diastolic Function

43. Newer Methods to Assess Diastolic Function

44. Causes of diastolic dysfunction


Section XI. Left Atrium

45. Assessment of Left Atrial Size

46. Assessment of Left Atrial Function


Section XII. Ischemic Heart Disease

47. Introduction to Ischemic Heart Disease

48. Ischemic Heart Disease: Basic Principles

49. Acute Chest Pain Syndromes: Differential Diagnosis.

50. Echocardiography in Acute Myocardial Infarction

51. Echocardiography in Stable Coronary Artery Disease

52. Old Myocardial Infarction

53. End-Stage Cardiomyopathy Due to Coronary Artery Disease

54. Coronary artery anomalies


Section XIII. Stress Echo

55. Stress Echocardiography - Introduction

56. Effects of Exercise, Pharmacological Stress and Pacing on Cardiovascular System

57. Diagnostic criteria, accuracy (sens/spec)

58. Methodology

59. Image acquisition

60. Prognosis

61. Viability

62. Contrast-enhanced stress echo

63. 3D-stress echo

64. Valve disease

65. Appropriateness Use Criteria for Stress Echocardiography

66. Comparison with other techniques


Section XIV. Cardiomyopathies

67. Introduction to Cardiomyopathies

68. Pathophysiology and Variants of Hypertrophic Cardiomyopathy

69. Hypertrophic Cardiomyopathy: Pathophysiology, Functional Features and Treatment of Outflow Tract Obstruction

70. Differential of Hypertrophic Cardiomyopathy versus Secondary Conditions that Mimic HCM

71. Echocardiographic Features of Hypertrophic Cardiomyopathy: Mechanism of Systolic Anterior Motion

72. Hypertrophic cardiomyopathy: Assessment of therapy

73. Hypertrophic cardiomyopathy: Screening of relatives

74. Apical hypertrophic cardiomyopathy

75. Echocardiography in Athletic Preparticipation Screening

76. Dilated Cardiomyopathy: Etiology, Diagnostic Criteria and Echocardiography Features

77. Imaging in Familial Dilated Cardiomyopathy

78. Echocardiographic Predictors of Outcome in Patients with Dilated Cardiomyopathy

79. Right Ventricle in Dilated Cardiomyopathy

80. Restrictive cardiomyopathy: Classification

81. Cardiac Amyloidosis - Echocardiographic Features

82. Hereditary and Acquired Infiltrative Cardiomyopathy

83. Endomyocardial Fibrosis

84. Restriction versus constriction

85. Echocardiography in Arrhythmogenic Right Ventricular Cardiomyopathy

86. Echocardiographic Analysis of Left Ventricular Noncompaction

87. Takotsubo-like Transient LV Dysfunction: Takotsubo Cardiomyopathy

88. Systematic Echocardiographic Approach to Left Ventricular Assist Device Therapy

89. Post-transplant echo evaluation

90. Familial Cardiomyopathies

91. Echocardiography in Cor Pulmonale/Pulmonaryheart disease

92. Echocardiographic Evaluation of Functional Tricuspid Regurgitation

93. Echocardiographic Evaluation of the Right Heart: Limitations and Technical Considerations


Section XV. Aortic Stenosis

94. Aortic stenosis morphology

95. Quantification of aortic stenosis severity

96. Asymptomatic severe aortic stenosis

97. Risk stratification - timing of surgery

98. Low-Flow, low gradient, poor LV

99. Low-Flow, low gradient, low stroke volume, normal LV

100. Stress echo in AS

101. Discrete subvalvular AS


Section XVI. Aortic Regurgitation

102. Introduction to Aortic Regurgitation

103. Etiology and LV response to AR

104. AR pathophysiology (vs MR path physiology)

105. Quantification of AR

106. Risk stratification - timing of surgery


Section XVII. Mitral Stenosis

107. Introduction

108. Rheumatic mitral stenosis

109. Quantification of MS

110. Other etiologies of MS, and Complex diseases, situations that mimic MS

111. Role of hemodynamic stress testing

112. Consequences of MS


Section XVIII. Mitral Regurgitation

113. Introduction to Mitral Regurgitation

114. Etiologies and Mechanisms

115. Mitral valve prolapse

116. Quantification of MR

117. Asymptomatic severe MR

118. Role of exercise stress testing

119. Ischemic MR


Section XIX. Tricuspid Regurgitation

120. Introduction, Etiology and Natural History of Tricuspid Regurgitation

121. Quantification of TR

122. Indications for surgery

123. TR procedures


Section XX. Pulmonic Regurgitation

124. Introduction and Etiology

125. Semi-quantification


Section XXI. Prosthetic Valves

126. Introduction

127. Classification of valve types -> fluid dynamics

128. Aortic prosthetic valves

129. Mitral prosthetic valves

130. Periprosthetic leaks

131. Tricuspid prosthetic valves

132. Mitral valve repair (echo findings)


Section XXII. Infective Endocarditis

133. Introduction and Echocardiographic Features of Infective Endocarditis

134. Role of TTE vs TEE (include diagnostic accuracy)

135. Prediction of embolic risk

136. Echo and decision-making for surgery

137. Intra-operative Echo

138. Limitations/Technical considerations


Section XXIII. Pericardial Diseases

139. Pericardial diseases

140. Normal pericardial anatomy

141. Pericarditis

142. Pericardial effusion

143. Constrictive pericarditis

144. Effusive - Constrictive pericarditis

145. Pericardial cysts and Congenital absence of pericardium


Section XXIV. Tumors and Masses

146. Introduction

147. Primary benign, malignant and metastatic cardiac tumors

148. LV thrombi

149. LA thrombi

150. Right heart thrombi

151. Normal anatomic variants, artifacts

152. Role of contrast echo for assessment of intracardiac masses

153. Echo-guided biopsy of intracardiac masses

154. Cardiac sources of emboli (CSOE)


Section XXV. Diseases of the Aorta

155. Introduction

156. Aortic atherosclerosis

157. Aortic aneurysm

158. Sinus of Valsalva aneurysm

159. Acute aortic syndrome

160. Intramural hematoma

161. Penetrating Atherosclerotic Ulcer

162. Aortic trauma

163. Intraoperative echo

164. Post-op echo (serial follow-up)


Section XXVI. Adult Congenital Heart Disease

165. Introduction

166. Systematic approach to adult CHD

167. Shunt lesions (ASD, VSD, PDA, etc)

168. Obstructive lesions

169. Complex congenital heart disease

170. Adult congenital heart disease with prior surgical repair


Section XXVII. Systemic Diseases

171. Hypertension

172. Diabetes

173. End-stage renal disease

174. Obesity

175. Rheumatic fever

176. SLE

177. Antiphospholipid antibody syndrome

178. Carcinoid

179. Amyloid

180. Sarcoidosis

181. Eosinophilic endomyocardial disease

182. Endocrine disease

183. Chagas disease

184. Sickle cell disease

185. HIV

186. Cardiotoxic effects of cancer therapy

187. Pregnacy and the heart

188. Cocaine


Section XXVIII. Echo in the ER

189. Emergency clinical presentation


Section XXIX. Interventional Echocardiography

190. Introduction

191. Transcatheter aortic valve replacement

192. Mitral Clip

193. Mitral balloon valvuloplasty

194. Transcatheter valve in valve implantation

195. ASD and VSD closure

196. LV pseudoaneurysm closure

197. Patent foramen ovale closure

198. Fusion of 3D echocardiography with fluoroscopy for intervention guidance


Section XXX. Miscellaneous Topics in Echocardiography

199. Appropriateness use criteria

200. CIMT imaging

201. Coronary artery imaging