AI & BIG DATA
Shaping today's innovations
Save up to 25% on AI & Big Data books, eBooks & Journals
The Practice of Clinical Echocardiography
- 6th Edition - May 22, 2021
- Editor: Catherine M. Otto
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 9 7 2 8 - 6
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 6 9 7 2 9 - 3
Ideally suited for those clinicians who have already mastered basic principles, The Practice of Clinical Echocardiography, 6th Edition, provides expert guidance on interpret… Read more
Purchase options
Institutional subscription on ScienceDirect
Request a sales quoteIdeally suited for those clinicians who have already mastered basic principles, The Practice of Clinical Echocardiography, 6th Edition, provides expert guidance on interpreting echocardiographic images and Doppler flow data. Through practical, clear, and carefully edited content, world-renowned expert Dr. Catherine M. Otto and her team of more than 65 leaders in echocardiography demonstrate how to apply advanced knowledge to daily clinical decision making. Newly reorganized sections cover advanced principles for the echocardiographer, best practices for echocardiography laboratories, transthoracic and transesophageal echocardiography, intraoperative and interventional echocardiography, and point-of-care cardiac ultrasound.
Provides an in-depth, clear, and concise review of the latest clinical applications of echocardiography with an advanced level of discussion, now thoroughly updated with new clinical knowledge, new treatments and guidelines, the latest evidence, and innovations in advanced echocardiographic imaging.
Reviews the technical aspects of data acquisition and analysis with an emphasis on outcomes.
Covers key topics such as transcatheter interventions for valvular heart disease, prosthetic valve dysfunction, the athletic heart, cardiac assist devices, cardio-oncology, heart disease in pregnancy, advanced 3D echocardiography, strain imaging, stress echocardiography, and much more.
Includes updated illustrations throughout—nearly 1,000 echocardiograms, Doppler tracings, anatomic drawings, and flow charts for diagnostic approaches—as well as hundreds of echo video clips keyed to images in the text.
Discusses limitations, pitfalls, and alternate approaches.
Features chapter summary boxes with new “Quick Reviews” and a practical approach to echocardiographic data acquisition, measurement, and interpretation.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access bonus images plus all of the text, figures, and references from the book on a variety of devices.
All cardiologists, including sub-specialists in general cardiology, interventional cardiology, electrophysiology, advanced heart failure, adult congenital heart disease, genetic cardiovascular diseases, and valvular heart disease.
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Copyright
- Section Editors
- Contributors
- Preface
- Acknowledgments
- Glossary
- Part I. Advanced Principles for the Echocardiographer
- 1. 3D Echocardiographic Image Acquisition, Display, and Analysis
- Ultrasound Imaging System Function
- Resolution in 3D Echocardiography
- 3D Echocardiography Data Acquisition
- 3D Image Optimization
- 3D Echocardiographic Image Display
- 3D Echocardiographic Analysis
- 3D Echocardiographic Acquisition and Analysis Protocols
- 2. Principles of Myocardial Mechanics and Strain Imaging
- Velocity Imaging
- Deformation Imaging
- Limitations of Velocity and Strain Imaging
- Normal LV Physiology
- Myocardial Ischemia
- Cardiac Synchrony
- 3. Contrast Echocardiography
- Ultrasound Enhancing Agents
- Microbubble Ultrasound Signal Generation
- Contrast-Specific Imaging Methods
- Clinical Applications of Left Ventricular Opacification
- Myocardial Perfusion Imaging
- 4. Quantitative Analysis of Left Ventricular Anatomy and Systolic Function
- Quantitative Analysis of LV Anatomy
- Quantitative Analysis of LV Systolic Function
- 5. Left Ventricular Diastolic Function
- Physiology of Diastole
- Invasive Evaluation of LV Diastolic Function
- Echocardiographic Assessment of Diastolic Function
- Future Perspectives
- 6. Right Ventricular Anatomy and Function
- RV Anatomy and Physiology
- Basic Principles of Image Acquisition
- RV Anatomic Evaluation
- RV Functional Evaluation
- Beyond Surface Echocardiography
- Clinical Utility
- Future Directions
- Part II. Echocardiography Best Practices
- 7. Diagnostic Echocardiography Laboratory: Structure, Standards, and Quality Improvement
- Quality in Context
- Structure and Standards
- Laboratory Staff
- Physical Space
- Quality Improvement Program
- Reporting
- Summary
- 8. Comprehensive Diagnostic Transthoracic and Transesophageal Echocardiography
- The Diagnostic Transthoracic Echocardiogram
- M-Mode Echocardiography
- Doppler Echocardiography
- Color Doppler Flow Imaging
- Proposed Sequence of a Comprehensive TTE Study
- The Diagnostic Transesophageal Echocardiogram
- Transesophageal Imaging Views
- Clinical Applications of TEE Imaging
- Proposed Sequence of a Comprehensive TEE Study
- 9. Intraoperative Echocardiography
- Echocardiography
- Evaluation of Intraoperative Ventricular Function
- TEE Monitoring of Intraoperative Cardiac Function in Specific Clinical Entities
- Alternative Techniques
- Intraoperative TEE: Impact on Postoperative Outcomes and Cost-Effectiveness
- 10. Interventional Echocardiography
- Echocardiographic Imaging Modalities
- Echocardiographic Imaging Modes
- Intraprocedural TEE for Transcatheter Aortic Valve Replacement
- Intraprocedural TEE For Percutaneous Mitral Valve Edge-To-Edge Repair
- Intraprocedural TEE for Transcatheter Mitral Valve Replacement
- Intraprocedural TEE for Percutaneous Paravalvular Leak Occlusion
- Intraprocedural TEE for Left Atrial Appendage Occlusion
- Challenges and Hazards
- Future Directions
- 11. Focused Cardiac Ultrasound at the Bedside
- Scope of Practice
- Basic Approach to the FoCUS Examination
- Emergency Diagnoses
- Patient Outcomes
- Training and Certification
- Part III. Cardiomyopathies, Tumors, and Pericardial Disease
- 12. Dilated Cardiomyopathy
- Classification of Dilated Cardiomyopathy
- Epidemiology
- Clinical Presentation
- Familial Screening
- Appropriateness Criteria for Echocardiography
- Echocardiographic Features of Dilated Cardiomyopathy
- Conditions that Lead to Dilated Cardiomyopathy
- Other Cardiac Conditions that Mimic Dilated Cardiomyopathy
- Cardiac Resynchronization Therapy
- Heart Failure Risk Scores
- 13. Hypertrophic Cardiomyopathy
- Genetic Basis and Epidemiology
- Diagnosis
- Differential Diagnosis
- Echocardiographic Assessment of Hypertrophy and Function
- Mitral Valve Abnormalities
- Dynamic LV Outflow Tract Obstruction
- Myocardial Deformation and Strain
- Diastolic Function
- Assessment of Hypertrophic Cardiomyopathy Subtypes
- Septal Reduction Therapies
- Echocardiography in the Risk Stratification for Sudden Death
- Family Screening and Preclinical Hypertrophic Cardiomyopathy
- 14. Restrictive Cardiomyopathy
- Definition and Pathophysiology
- Introduction to Imaging in Restrictive Cardiomyopathy
- 2D Echocardiographic and Doppler Features
- Specific Restrictive Cardiomyopathies
- Differentiating Between Restrictive Cardiomyopathy and Constrictive Pericarditis
- 15. Cardiac Transplantation
- Evaluation Before Cardiac Transplantation
- Post-Transplantation Evaluation
- Acute Post-Transplantation Period
- Challenges to Diagnosing Complications by Echocardiography
- Prognostic Significance of Echocardiography After Transplantation
- Future Directions
- Conclusions
- Chapter 16. Cardiac Assist Devices
- Principles of Mechanical Circulatory Support and Types of Cardiac Assist Devices
- Echocardiographic Approach to Mechanical Circulatory Support
- Technical Details, Quantitation, and Data Analysis
- Clinical Utility and Outcome Data
- Potential Limitations and Future Directions
- Alternative Approaches
- 17. Pericardial Disease
- Pericardial Anatomy and Function
- Constrictive Pericarditis
- Pericardial Effusion
- Pericardial Tamponade
- Acute Pericarditis
- Congenital Absence of the Pericardium
- Pericardial Cysts
- 18. Cardiac Tumors and Cardio-oncology
- Chemotherapeutic Cardiotoxicity
- Cardiac Masses and Tumors
- Part IV. Ischemic Heart Disease
- 19. Stress Echocardiography for Detecting Coronary Ischemia
- Exercise Echocardiography for the Diagnosis of Coronary Disease
- Physiologic and Pathophysiologic Principles of Stress Echocardiography in Ischemic Heart Disease
- Indications and Contraindications for Stress Echocardiography
- Stress Protocols
- Outcome Assessment of Stress Echocardiography
- Accuracy of Exercise Stress Echocardiography
- Sensitivity, Specificity, And Prognostic Value of Stress Echocardiography
- Future Developments in Stress Echocardiography
- 20. Nonexercise Stress Echocardiography for Diagnosis of Coronary Disease
- Stress Echocardiography Suite, Pharmacologic Stressors, And Protocols
- Diagnostic Accuracy and Prognostic Value of Nonexercise Stress Echocardiography for Significant Coronary Artery Disease
- Assessment of Myocardial Viability
- Nonexercise Stress Echocardiography in Specific Clinical Scenarios
- Use of Contrast During Nonexercise Stress Echocardiography
- Emerging Techniques in Stress Echocardiography
- Nonexercise Stress Echocardiography: Role in Current Clinical Practice
- Future Directions
- 21. Role of Echocardiography in Patients With Acute Coronary Syndrome
- Applicable Modes of Echocardiography in the Coronary Care Unit
- Echocardiography in the Diagnosis and Localization of Acute Myocardial Infarction
- Detecting Complications of Acute Myocardial Infarction
- Risk Stratification After Myocardial Infarction
- Part V. Valvular Heart Disease
- 22. Aortic Stenosis (Including Evaluation for Transcatheter Aortic Valve Replacement)
- Disease Stages
- Valve Morphology
- Hemodynamic Severity
- Clinical Challenges In Assessment Of Aortic Stenosis Severity
- Lv Changes In Aortic Stenosis
- Associated Findings
- Complementary Diagnostic Modalities
- Clinical Approach
- Timing of Aortic Valve Replacement
- Type of Valve Replacement
- 23. Aortic Regurgitation
- Background
- Etiology
- Aortic Regurgitation Severity
- LV Size and Systolic Function
- Aortic Root and Ascending Aorta Evaluation
- Natural History and Serial Testing in Chronic Aortic Regurgitation
- Management and Timing of Surgery
- Selecting and Guiding Surgical Treatment
- Results of Surgery and Follow-Up
- Acute Aortic Regurgitation
- 24. Mitral Regurgitation: Valve Anatomy, Regurgitant Severity, and Timing of Intervention
- Mitral Valve Anatomy and Mechanisms of Mitral Regurgitation
- Quantification of Mitral Regurgitation
- Surgical Intervention for Mitral Regurgitation
- 25. Transesophageal Echocardiography for Surgical Repair of Mitral Regurgitation
- The Team Approach to Echocardiography-Guided Mitral Repair
- Essential Anatomy
- Mitral Valve Disease
- Transesophageal Imaging of the Mitral Valve
- Pre-Repair Tee
- Surgical Techniques of Image-Guided Mitral Repair
- Post-Repair Tee
- 26. Transcatheter Mitral Valve Repair
- Percutaneous Therapies for Mitral Regurgitation
- Determining Mitral Regurgitation Severity
- Echocardiographic Parameters to Determine Suitability for Mitral Transcatheter Edge-To-Edge (TEER) Repair
- Procedural Guidance
- Evaluation of Outcomes
- Alternative Imaging Techniques
- Recent Advances and Future Directions
- 27. Mitral Stenosis
- Background
- Basic Principles and Echocardiographic Approach
- Technique, Quantitation, and Data Analysis
- Clinical Utility
- Research Applications
- Potential Limitations and Future Directions
- Alternative Approaches
- 28. Right-Sided Valve Disease in Adults
- Tricuspid Valve Disease
- Pulmonary Valve Disease
- 29. Endocarditis
- Basic Principles and Echocardiographic Approach
- Technical Details, Quantitation, and Data Analysis
- Clinical Utility and Outcomes Data
- Research Applications
- Potential Limitations and Future Directions
- Alternative Approaches
- 30. Fluid Dynamics of Prosthetic Valves
- Principles of Fluid Dynamics
- Applications of Fluid Dynamics to Prosthetic Heart Valves
- Hemodynamics of Native Valves
- Hemodynamics of Specific Prosthetic Valve Designs
- Future Directions
- 31. Echocardiographic Recognition and Quantitation of Prosthetic Valve Dysfunction
- Prosthetic Valve Complications and Dysfunction
- Doppler Echocardiographic Evaluation of Prosthetic Valve Function
- Doppler Echocardiography for Managing Prosthetic Valve–Related Complications
- Conclusions
- Part VI. Vascular and Systemic Diseases
- 32. Acute Aortic Syndromes
- Basic Principles
- Clinical Presentation and Diagnostic Approach
- Echocardiographic Procedural Guidance
- Imaging Follow-Up After an Acute Aortic Syndrome
- 33. Inherited Connective Tissue Disorders
- Forms of Connective Tissue Disorders
- Histopathology
- Echocardiographic Findings
- Natural History
- Therapeutic Strategies
- Methods Of Assessment
- Limitations of Assessment
- Alternative Diagnostic Approaches
- 34. Hypertensive Heart Disease and Nutritional and Metabolic Disorders
- Hypertension
- Obesity
- Echocardiographic Findings
- Obstructive Sleep Apnea
- Type 2 Diabetes Mellitus and the Metabolic Syndrome
- Endocrinopathies
- Liver Diseases
- 35. The Athletic Heart on Echocardiography
- The Impact of Exercise on Cardiac Structure and Function
- Effect of Different Exercise Types
- Left Ventricle
- Right Ventricle
- Atria
- Aorta
- Electrical Remodeling
- Detraining Effects
- Screening Echocardiography in Athletes
- Stress Echocardiography in the Athlete
- Common Clinical Dilemmas
- 36. Pulmonary Hypertension
- General Principles
- Echocardiography in the Diagnostic Workup of Pulmonary Hypertension
- Exercise Stress Echocardiography and Pulmonary Hypertension
- Diagnostic Approach for a Patient with Suspected Pulmonary Hypertension
- Monitoring Pulmonary Hypertension and Rv Responses
- 37. Systemic Diseases Characterized by Immune-Mediated Injury
- Systemic Lupus Erythematosus
- Primary Antiphospholipid Syndrome
- Rheumatoid Arthritis
- Ankylosing Spondylitis
- Scleroderma
- Polymyositis And Dermatomyositis
- Selected Arteritides Affecting The Aorta And Branches
- Giant Cell Arteritis
- Behçet Disease
- 38. Echocardiographic Evaluation of Patients With a Systemic Embolic Event
- Background
- Basic Principles and Echocardiographic Approach
- Technical Aspects: TEE Versus TTE in Cryptogenic Cerebral Ischemia
- Clinical Utility and Outcome Data
- Potential Limitations and Alternative Approaches
- 39. Echocardiography in Patients With Atrial Fibrillation and Flutter
- Prevalence and Impact of Atrial Fibrillation
- Atrial Remodeling Associated With Atrial Fibrillation
- Echocardiography in the Workup of Patients with Atrial Fibrillation and Flutter
- Stroke and Atrial Fibrillation
- Intraprocedural Echocardiography
- Part VII. Adult Congenital Heart Disease and the Pregnant Patient
- 40. Heart Disease in Pregnancy
- Physiologic Changes During Pregnancy
- Echocardiographic Findings In Normal Pregnancy
- Pregnancy Risks
- Fetal And Neonatal Risk
- Management Principles
- Management of Complications
- Limitations of Echocardiography and Alternative Appoaches
- 41. Congenital Shunts
- Atrial-Level Shunts
- Ventricular Septal Defects
- Ruptured Sinus of Valsalva Aneurysm
- Patent Ductus Arteriosus
- Coronary Artery Fistula
- 42. Left Heart Anomalies
- Cor Triatriatum
- Congenital Mitral Valve Disease
- Congenital Lv Outflow Tract Obstruction
- Coarctation Of The Aorta
- Aortic Arch Anomalies
- Coronary Artery Anomalies
- 43. Right Heart Anomalies
- Pulmonic Valve, Subpulmonic, And Supravalvular Pulmonary Stenosis
- Ebstein Anomaly
- Review
- 44. Complex Conotruncal Anomalies
- Conotruncal Development
- Nomenclature for Congenital Heart Defects
- Genetics Considerations
- Aortopathy in Conotruncal Anomalies
- Specific Complex Conotruncal Anomalies
- Conclusions
- 45. Transposition of the Great Arteries
- Complete Transposition of the Great Arteries
- Congenitally Corrected Transposition of the Great Arteries
- 46. Single Ventricles
- Basic Principles
- Preparation For The Scan
- Sequential And Segmental Approach
- Echocardiographic Evaluation
- Conclusions
- Index
- No. of pages: 1024
- Language: English
- Edition: 6
- Published: May 22, 2021
- Imprint: Elsevier
- Hardback ISBN: 9780323697286
- eBook ISBN: 9780323697293
CO
Catherine M. Otto
Dr. Catherine Otto is currently the J. Ward Kennedy-Hamilton Endowed Chair in Cardiology and Professor of Medicine at the University of Washington School of Medicine in Seattle, Washington. She is also Editor-in-Chief of the journal Heart, published by the BMJ and the British Cardiovascular Society. Formerly head of the fellowship program at the University of Washington she is a highly prolific author with solid experience in teaching echocardiography skills and applications.
Affiliations and expertise
Editor-in-Chief, Heart, J. Ward Kennedy-Hamilton Endowed Chair in Cardiology, Professor of Medicine, University of Washington, Seattle, Washington