Echocardiography Assessment of Ventricular Systolic Function

Bernard E. Bulwer, MD, MSc, Scott D. Solomon, MD, Rajesh Janardhanan, MD, MRCP

Contents

Case Presentation

Echocardiographic Assessment of LV Size

LV Dimensions by M-Mode

Limitations of M-Mode Measurements

LV Volumes and EF by M-Mode

LV Parameters by 2D Echocardiography

Limitations of 2D Assessment of LV Systolic Function

Qualitative and Semi-Quantitative Measures of LV Systolic Function

Qualitative Grades of LV Systolic Function

Grading Regional Wall Motion

Limitations of Regional Wall Motion Assessment

Quantitative Measures of LV Systolic Function

Limitations of Volumetric Measures (EF) of LV Systolic Function

LV Mass

Assessment of Myocardial Viability Doppler Assessment of Ventricular Systolic Function Other Doppler Measures of Ventricular Systolic Function Myocardial Performance Index (Tei Index) Assessment of RV Function in Heart Failure and Postmyocardial Infarction Morphological Considerations RV Chamber Dimensions

Echocardiography to Determine Etiology of Systolic Dysfunction Use of Contrast Agents in Echocardiography Suggested Reading case presentation

A 72-yr-old Caucasian male with a history of coronary artery disease and congestive heart failure was relatively well until he began experiencing orthopnea, paroxysmal noctural dyspnea, and acute deterioration 2 d before admission.

Past medical history: he suffered a myocardial infarct 6 mo earlier and underwent cardiac

From: Contemporary Cardiology: Essential Echocardiography: A Practical Handbook With DVD Edited by: S. D. Solomon © Humana Press, Totowa, NJ

End systole

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