Echocardiography, also known as cardiac ultrasound, is one of the most
useful
diagnostic techniques in veterinary cardiology. Sound waves
are directed into the body using a transducer, or probe. These
sound waves then interact with the tissues in the body. Some
of the sound waves are reflected back to the transducer. By
analyzing these reflected sound waves,
the ultrasound machine is able to create images of the heart that
are then displayed on the monitor. This allows non-invasive
visualization of the heart muscle, the heart valves, and the great
arteries. In addition to producing images of the heart,
echocardiography can also tell us about heart function by using the
various features described below.
2-Dimensional Echocardiography
This mode produces black and white images
of the heart and great vessels. These images can be still frames,
or moving images, which show near real-time cardiac motion.
2-Dimensional Echocardiography is used to get an overall impression of
cardiac size. Measurements of specific cardiac chambers can be
made using the still frame images. This mode also allows rapid
detection of free fluid in the chest cavity (pleural effusion) or
surrounding the heart (pericardial effusion).
M-Mode Echocardiography
M-Mode is the oldest form of cardiac
ultrasound. M-Mode provides a cross-sectional view of the heart
shown over time. This allows precise measurement of cardiac
chambers through the different phases of the cardiac cycle. Modern
echocardiograph machines allow for a combination of 2-Dimensional and
M-Modes using a split screen display. This helps guide optimal
placement of the M-Mode cursor, thereby obtaining the most accurate
measurements.
Color Flow
Doppler
The color flow feature provides
a visual display of blood flow within the heart, using
Doppler-based technology to map both the
direction and speed of blood flow. The
colors are superimposed on the 2-dimensional image, giving an easy
way
to interpret representation
of blood flow within the heart. Abnormal blood flow patterns are
readily seen using this feature.
Pulsed Wave and Continuous Wave Doppler
These Doppler features allow us to graph
the speed and direction of blood flow within the heart. These
modes are used with the color flow Doppler to document leaks in heart
valves, abnormal flow between chambers though defects in the heart, and
high-speed flow secondary to narrowed regions within the
heart.
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