Содержание

Предисловие

От авторов

Глава 1. Физические принципы ультразвуковой визуализации сердца

·  Физика ультразвука

·  Ультразвуковой датчик

·  Запись эхо-сигналов

·  Настройка эхокардиографического изображения

Глава 2. Стандартные эхокардиографические позиции

·  Парастернальный доступ

·  Апикальный доступ

·  Субкостальный доступ

·  Супрастернальный доступ

Глава 3. Допплер-эхокардиография: физические принципы и основные измерения

·  Физические принципы допплеровского исследования кровотока

·  Импульсная допплер-эхокардиография

·  Постоянно-волновая допплер-эхокардиография

·  Основные уравнения

·  Цветное допплеровское сканирование

Глава 4. Протокол стандартного эхокардиографического исследования взрослых

·  Общие замечания

·  Этапы исследования

·  Компьютерная обработка и архивирование изображений

Глава 5. Левый желудочек

·  Глобальная систолическая функция

·  Форма, толщина стенок и масса

·  Диастолическая функция

·  Ишемическая болезнь сердца и связанная с ней патология левого желудочка

·  Инфаркт миокарда и его осложнения

·  Кардиомиопатии

·  Патологические образования

·  Поражение сердца при СПИДе

Глава 6. Правый желудочек

·  Сократимость, объем и толщина стенок

·  Нарушения локальной сократимости

·  Патологические образования

·  Правый желудочек при кардиомиопатиях

·  Состояния, связанные с дилатацией правого желудочка

Глава 7. Предсердия

·  Левое предсердие

·  Межпредсердная перегородка

·  Правое предсердие

Глава 8. Митральный клапан

·  Общие вопросы

·  Нормальный митральный клапан

·  Митральный стеноз

·  Митральная недостаточность

Глава 9. Аортальный клапан и корень аорты

·  Нормальный аортальный клапан и корень аорты

·  Аортальный стеноз

·  Аортальная недостаточность

Глава 10. Трехстворчатый клапан

·  Нормальный трехстворчатый клапан

·  Трикуспидальная недостаточность

·  Стеноз трехстворчатого клапана

Глава 11. Клапан легочной артерии

Глава 12. Перикард

·  Выпот в полости перикарда

·  Тампонада сердца

·  Утолщение листков перикарда

·  Констриктивный перикардит

·  Опухоли и кисты перикарда

·  Отсутствие перикарда

Глава 13. Протезированные клапаны сердца

·  Типы протезов

·  Нормально функционирующие протезированные клапаны

·  Дисфункция протезированных клапанов

Глава 14. Врожденные пороки сердца у взрослых

·  Общие вопросы

·  Стенотические поражения и клапанная недостаточность

·  Комбинированные врожденные пороки сердца

·  Оперированные врожденные пороки сердца

Глава 15. Стресс-эхокардиография

·  Виды нагрузочных проб

·  Анализ двумерного изображения

·  Достоинства, недостатки и диагностическая ценность стресс-эхокардиографии

·  Стресс-допплер-эхокардиография

Глава 16. Чреспищеводная эхокардиография

·  Оборудование

·  Техника проведения исследования

·  Эхокардиографические позиции

·  Амбулаторная чреспищеводная эхокардиография

·  Чреспищеводная эхокардиография в блоке интенсивной терапии

·  Интраоперационная чреспищеводная эхокардиография

Цветные рисунки

Приложение. Эхокардиографическое заключение

Литература

Кнопка

Клиническая эхокардиография

Литература

1. Acquatella H., Schiller N.B. Echocardiographic recognition of Chagas' disease and endomyocardial fibrosis. J. Am. Soc. Echo. 1:60, 1988

2. Acquatella H., Rodriguez-Salas L.A., Gomez-Mancebo J.R. Doppler echocardiography in dilated and restrictive cardiomyopathies. Cardiol. Clin. 8:349, 1990

3. Appleton C.P., Hatle L.K., Popp R.L. Relation of transmitral flow velocity patterns to left ventricular diastolic function: new insights from a combined hemodynamic and Doppler echocardiographic study. J. Am. Coll. Cardiol. 12:426, 1988

4. Appleton C.P., Hatle L.K., Popp R.L. Demonstration of restrictive ventricular physiology by Doppler echocardiography. J. Am. Coll. Cardiol. 11:757, 1988

5. Bessen M., Gardin J.M. Evaluation of left ventricular diastolic function. Cardiol. Clin. 8:315, 1990

6. Bouchard A., Blumlein S., Schiller N.B., Schlitt S., Byrd B.F. 3d, Ports T., Chatterjee K. Measurement of left ventricular stroke volume using continuous wave Doppler echocardiography of the ascending aorta and M-mode echocardiography of the aortic valve. J. Am. Coll. Cardiol. 9:75, 1987

7. Bouchard A., Sanz N., Botvinick E.H., Phillips N., Heilbron D., Byrd B.F. 3d, Karam J.H., Schiller N.B. Noninvasive assessment of cardiomyopathy in normotensive diabetic patients between 20 and 50 years old. Am. J. Med. 87:160, 1989

8. Byrd B.F. 3d, Finkbeiner W., Bouchard A., Silverman N.H, Schiller N.B. Accuracy and reproducibility of clinically acquired two-dimensional echocardiographic mass measurements. Am. Heart J. 118:133, 1989

9. Child J.S., Perloff J.K. The restrictive cardiomyopathies. Cardiol. Clin. 6:289, 1988

10. Crawford M.H., Petru M.A., Amon K.W. et al. Comparative value of 2-dimensional echocardiography and radionuclide angiography for qualitative changes in left ventricular performance during exercise limited by angina pectoris. Am. J. Cardiol. 53:42, 1984

11. DeMaria A.N., Wisenbaugh T.W., Smith M.D., Harrison M.R., Berk M.R. Doppler echocardiographic evaluation of diastolic dysfunction. Circulation 84(Suppl 3):I-288, 1991

12. Diethelm L., Simonson J.S., Dery R., Gould R.G., Schiller N.B., Lipton M.J. Determination of left ventricular mass with ultrafast CT and two-dimensional echocardiography. Radiology 171:213, 1989

13. Gardin J., Dabestani A., Matin K. et al. Reproducibility of Doppler aortic valve blood flow measurements: Studies of intraobserver, interobserver and day to day variability in normal subjects. Am. J. Cardiol. 54:1092, 1984

14. Gardin J., Dabestani A., Takenaka K. et al. Effect of imaging view and sample volume location on evaluation of mitral flow velocity by pulsed Doppler echocardiography. Am. J. Cardiol. 57:1335, 1986

15. Gibson D.G. Measurement of left ventricular volumes in man by echocardiography — comparison with biplane angiography. Br. Heart J. 33:614, 1971

16. Himelman R.B., Chung W.S., Chernoff D.N., Schiller N.B., Hollander H. Cardiac manifestations of human immunodeficiency virus infection: a two-dimensional echocardiographic study. J. Am. Coll. Cardiol. 13:1030, 1989

17. Izumi S., Miyatake K., Beppu S., Park Y.D., Nagata S., Kinoshita N., Sakakibara H., Nimura Y. Mechanism of mitral regurgitation in patients with myocardial infarction: a study using real-time two-dimensional Doppler flow imaging and echocardiography. Circulation 76:777, 1987

18. Kuecherer H.F., Kee L.L., Modin G., Cheitlin M.D., Schiller N.B. Echocardiography in serial evaluation of left ventricular systolic and diastolic function: importance of image acquisition, quantitation, and physiologic variability in clinical and investigational applications. J. Am. Soc. Echo. 4:203, 1991

19. Levy W.S., Simon G.L., Rios J.C., Ross A.M. Prevalence of cardiac abnormalities in human immunodeficiency virus infection. Am. J. Cardiol. 63:86, 1989

20. Massie B.M., Schiller N.B., Ratshin R.A., Parmley W.W. Mitral septal separation: New echocardiographic index of left ventricular function. Am. J. Cardiol. 39:1008, 1977

21. Moulinier L., Venet T., Schiller N.B., Kurtz T.W., Morris R.C. Jr, Sebastian A. Measurement of aortic blood flow by Doppler echocardiography: day to day variability in normal subjects and applicability in clinical research. J. Am. Coll. Cardiol. 17:1326, 1991

22. Natello G.W., Nanda N.C., Zachariah Z.P. Color Doppler recognition of left ventricular pseudoaneurysm. Am. J. Med. 85:432, 1988

23. Nishimura R.A., Abel M.D., Hatle L.K., Tajik A.J. Assessment of diastolic function of the heart: background and current applications of Doppler echocardiography. Part II. Clinical studies. Mayo Clin. Proc. 64:181, 1989

24. Nishimura R.A., Callahan M.J., Schaff H.V. et al. Noninvasive measurement of cardiac output by continuous-wave Doppler echocardiography: Initial experience and review of the literature. Mayo Clin. Proc. 59:484, 1984

25. Rich S., Sheikh A., Gallastegui J. et al. Determination of left ventricular fraction by visual estimation during real-time two-dimensional echocardiography. Am. Heart J. 104:603, 1982

26. Roelandt J.R., Sutherland G.R., Yoshida K., Yoshikawa J. Improved diagnosis and characterization of left ventricular pseudoaneurysm by Doppler color flow imaging. J. Am. Coll. Cardiol. 12:807, 1988

27. Sahn D.J., DeMaria A., Kisslo J., Weyman A. Recommendations regarding quantitation in M-mode echocardiography: Results of a survey of echocardiographic measurements. Circulation 58:1072, 1978

28. Sasson Z., Rakowski H., Wigle E.D., Popp R. Echocardiographic and Doppler studies in hypertrophic cardiomyopathy. Cardiol. Clin. 8:217, 1990

29. Schiller N.B. Two-dimensional echocardiographic determination of left ventricular volume, systolic function, and mass. Summary and discussion of the 1989 recommendations of the American Society of Echocardiography. Circulation 84(Suppl 3):I-280, 1991

30. Schiller N.B. Considerations in the standardization of measurement of left ventricular myocardial mass by two-dimensional echocardiography. Hypertension 9:II-33, 1987

31. Schiller N.B., Acquatella H., Ports T.A. et al. Left ventricular volume from paired biplane two-dimensional echocardiography. Circulation 60:547, 1979

32. Schiller N.B., Shah P.M., Crawford M., DeMaria A., Devereux R., Feigenbaum H., Gutgesell H., Reichek N., Sahn D., Schnittger I. Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. J. Am. Soc. Echo. 2:358, 1989

33. Schnittger I., Gordon E.P., Fitzgerald P.J., Popp R.L. Standardized intracardiac measurements of two-dimensional echocardiography. J. Am. Coll. Cardiol. 2:5, 1983

34. Silverman N.H., Ports T.A., Snider A.R., Schiller N.B. et al. Determination of left ventricular volume in children — echocardiographic and angiographic comparisons. Circulation 62:548, 1980

35. Simonson J.S., Schiller N.B. Descent of the base of the left ventricle: an echocardiographic index of left ventricular function. J. Am. Soc. Echo. 2:25, 1989

36. Starling M.R., Crawford M.H., Sorensen S.G. et al. Comparative accuracy of apical biplane cross-sectional echocardiography and gate equilibrium radionuclide angiography for estimating left ventricular size and performance. Circulation 63:1075, 1981

37. Teichholz L.E., Kreulen T., Herman M.V., Gorlin R. Problems in echocardiographic volume determinations: Echocardiographic-angiographic correlations in presence or absence of asynergy. Am. J. Cardiol. 37:7, 1976

38. Trail T.A., Gibson D.G., Brown D.J. Study of left ventricular wall thickness and dimension changes using echocardiography. Br. Heart J. 40:162, 1978

39. Wahr D.W., Wang Y., Schiller N.B. Left ventricular volume determined by two-dimensional echocardiography in normal adult population. J. Am. Coll. Cardiol. 1:3, 863, 1983

40. Weiss J.L., Eaton L.W., Kallman C.H., Maughan W.L. Accuracy of volume determination by two-dimensional echocardiography: Defining requirements under controlled conditions in the ejecting canine left ventricle. Circulation 67:889, 1983

41. White R.D., Cassidy M.M., Cheitlin M.D., Emilson B., Ports T.A., Lim A.D., Botvinick E.H., Schiller N.B., Higgins C.B. Segmental evaluation of left ventricular wall motion after myocardial infarction: magnetic resonance imaging versus echocardiography. Am. Heart J. 115:166, 1988

42. Wyatt H.L., Haendchen R.V., Meerbaum S., Corday E. Assessment of quantitative methods for 2-dimensional echocardiography. Am. J. Cardiol. 52:396, 1983

43. Wyatt H.L., Meerbaum S., Heng M.K. et al. Cross-sectional echocardiography. III. Analysis of mathematic models for quantifying volume of symmetric and asymmetric left ventricles. Am. Heart J. 100:821, 1980

44. Zhang Y., Nitter-Hauge S., Ihlen H., Myhre E. Doppler echocardiographic measurement of cardiac output using the mitral orifice method. Br. Heart J. 53:130, 1985

45. von Bibra H., Hartmann F., Petrik M., Schlief R., Renner U., Blomer H. Contrast-color Doppler echocardiography. Improved right heart diagnosis following intravenous injection of Echovist. Z. Kardiol., 78:101, 1989

46. Child J., Perloff J., Francoz R., Yeatman L., Benze E., Schelbert H., Laks H. Uhl's anomaly (parchment right ventricle). Clinical, echocardiographic, radionuclide, hemodynamic and angiocardiographic features in two patients. Am. J. Cardiol. 53:635, 1984

47. Currie P., Seward J., Chan K., Fyfe D., Hagler D., Mair D., Reeder G., Nishimura R., Tajik J. Continuous wave Doppler determination of right ventricular pressure. A simultaneous Doppler-catheterization study in 127 patients. J. Am. Coll. Cardiol. 6:750, 1985

48. Gibson T., Miller S., Aretz T., Hardin N., Weyman A.E. Method for estimating right ventricular volume by planes applicable to cross-sectional echocardiography. Correlation with angiographic formulas. Am. J. Cardiol. 55:1584, 1985

49. Goldberger J.J., Himelman R.B., Wolfe C.L., Schiller N.B. Right ventricular infarction: recognition and assessment of its hemodynamic significance by two-dimensional echocardiography. J. Am. Soc. Echo. 4:140, 1991

50. Himelman R.B., Dohrmann M., Goodman P., Schiller N.B., Starksen N.F., Warnock M., Cheitlin M.D. Severe pulmonary hypertension and cor pulmonale in the acquired immunodeficiency syndrome. Am. J. Cardiol. 64:1396, 1989

51. Himelman R.B., Struve S.N., Brown J.K., Namnum P., Schiller N.B. Improved recognition of cor pulmonale in patients with severe chronic obstructive pulmonary disease. Am. J. Med. 84:891, 1988

52. Klein A.L., Hatle L.K., Burstow D.J., Taliercio C.P., Seward J.B., Kyle R.A., Bailey K.R., Gertz M.A., Tajik A.J. Comprehensive Doppler assessment of right ventricular diastolic function in cardiac amyloidosis. J. Am. Coll. Cardiol. 15:99, 1990

53. Lange P., Seiffert P., Pries F., Wessel A., Onnasch W., Hahne H., Heintzen P. Value of image enhancement and injection of contrast medium for right ventricular volume determination by two-dimensional echocardiography in congenital heart disease. Am. J. Cardiol. 55:152, 1985

54. Levine R., Gibson T., Aretz T., Gillam L., Guyer D., King M., Weyman A.E. Echocardiographic measurement of right ventricular volume. Circulation 69:497, 1984

55. Manyard D.E., Klein G.J., Gulamgusein S., Boughner D., Guiraudon G.M., Wyse G., Mitchell L.B., Kostuk W.J. Arrhythmogenic right ventricular dysplasia. A generalized cardiomyopathy? Circulation 68:251, 1983

56. Marcus F.I., Fontaine G.H., Guiraudon G. et al. Right ventricular dysplasia. A report of 24 adult cases. Circulation 65:384, 1982

57. Moreno F., Hagan A., Holmen J., Pryor T., Strickland R., Castle C. Evaluation of size and dynamics of the inferior vena cava as an index of right-sided cardiac function. Am. J. Cardiol. 53:579, 1985

58. Popp R., Yock P.G. Noninvasive intracardiac pressure measurement using Doppler ultrasound. J. Am. Coll. Cardiol. 6:757, 1985

59. Schiller N.B. Pulmonary artery pressure estimation by Doppler and two-dimensional echocardiography. Cardiol. Clin. 8:277, 1990

60. Starling M.R., Crawford M.H., Sorensen S.G., O'Rourke R.A. A new two-dimensional echocardiographic technique for evaluating right ventricular size and performance in patients with obstructive lung disease. Circulation 66:612, 1982

61. Armstrong W., Feigenbaum H., Dillon J. Echocardiographic detection of right atrial thromboembolism. Chest 87:801, 1985

62. Black I.W., Hopkins A.P., Lee L.C., Walsh W.F. Left atrial spontaneous echo contrast: a clinical and echocardiographic analysis. J. Am. Coll. Cardiol. 18:398, 1991

63. Castello R., Pearson A.C., Labovitz A.J. Prevalence and clinical implications of atrial spontaneous contrast in patients undergoing transesophageal echocardiography. Am. J. Cardiol. 65:1149, 1990

64. Felner J., Churchwell A., Murphy D. Right atrial thromboemboli. Clinical, echocardiographic and pathophysiologic manifestations. J. Am. Coll. Cardiol. 4:1041, 1984

65. Goldberg S., Pizzarello R., Goldman M., Padmanabhan V. Echocardiographic diagnosis of right atrial thromboembolism resulting in massive embolization. Am. Heart J. 108:1371, 1984

66. Gutman J., Wann Y., Wahr D., Schiller N.B. Normal left atrial function determined by 2-dimensional echocardiography. Am. J. Cardiol. 51:337, 1983

67. Higgins J.R., Strunk BL., Schiller N.B. Diagnosis of paradoxical embolism with contrast echocardiography. Am. Heart J. 107:375, 1984

68. Keidar S., Grenadier E., Binenboim C., Palant A. Transient right to left atrial shunt detected by contrast echocardiography in the acute stage of pulmonary embolism. J. Clin. Ultrasound. 12:417, 1984

69. Kircher B., Abbott J.A., Pau S., Gould R.G., Himelman R.B., Higgins C.B., Lipton M.J., Schiller N.B. Left atrial volume determination by biplane two-dimensional echocardiography: validation by cine computed tomography. Am. Heart J. 121:864, 1991

70. Kircher B.J., Himelman R.B., Schiller N.B. Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am. J. Cardiol. 15, 66:493, 1990

71. Langholz D., Louie E.K., Konstadt S.N., Rao T.L., Scanlon P.J. Transesophageal echocardiographic demonstration of distinct mechanisms for right to left shunting across a patent foramen ovale in the absence of pulmonary hypertension. J. Am. Coll. Cardiol. 18:1112, 1991

72. Obarski T.P., Salcedo E.E., Castle L.W., Stewart W.J. Spontaneous echo contrast in the left atrium during paroxysmal atrial fibrillation. Am. Heart J. 120:988, 1990

73. Rosenzweig M.S., Nanda N.C. Two dimensional echocardiographic detection of circulating right atrial thrombi. Am. Heart J. 103:435, 1982

74. Schabelman S., Schiller N.B., Silverman N.H., Ports T.A. Left atrial estimation by two-dimensional echocardiography. Cath. Cardiovasc. Diagn. 7:165, 1981

75. Simonson J.S., Schiller N.B. Sonospirometry: a new method for noninvasive estimation of mean right atrial pressure based on two-dimensional echocardiographic measurements of the inferior vena cava during measured inspiration. J. Am. Coll. Cardiol. 11:557, 1988

76. Spirito P., Bellotti P., Chiarella F., Spagnolo S., Vecchio C. Right atrial thrombus detected by two-dimensional echocardiography after acute pulmonary embolism. Am. J. Cardiol. 54:467, 1984

77. Starkey I.R., DeBono D.P. Echocardiographic identification of right-sided cardiac intracavitary thromboembolus in massive pulmonary embolism. Circulation 66:1322, 1982

78. Strunk B.L., Cheitlin M.D., Stulbarg M.S., Schiller N.B. Right-to-left interatrial shunting through a patent foramen ovale despite normal intracardiac pressures. Am. J. Cardiol. 60:413, 1987

79. Wann Y., Zatzkis M.A., Schiller N.B. Noninvasive measurement of interatrial conduction time and atrial contraction time. J. Cardiovasc. Ultrasound 3:3, 1984

80. Agatston A., Chengot M., Rao A., Hildner F., Samet P. Doppler diagnosis of valvular aortic stenosis in patients over 60 years of age. Am. J. Cardiol. 56:106, 1985

81. Appleton C.P., Hatle L.K., Nellessen U., Schnittger I., Popp R.L. Flow velocity acceleration in the left ventricle: a useful Doppler echocardiographic sign of hemodynamically significant mitral regurgitation. J. Am. Soc. Echo. 3:35, 1990

82. Becher H., Schlief R. Improved sensitivity of color Doppler by SH U 454. Am. J. Cardiol. 64:374, 1989

83. Blumlein S., Bouchard A., Schiller N.B. et al: Mitral regurgitation quantitation by Doppler echocardiography. Circulation 74:306, 1986.

84. Botvinick E.H., Schiller N.B., Wickramasekaran R., Klausner S., Gertz E. Echocardiographic demonstration of early mitral valve closure in severe aortic insufficiency. Circulation 51:836, 1975.

85. Bouchard A., Yock P.G., Schiller N.B., Blumlein S., Botvinick E.H., Greenberg B., Cheitlin M., Massie B.M. Value of color Doppler estimation of regurgitant volume in patients with chronic aortic insufficiency. Am. Heart J. 117:1099, 1989

86. Carabello B.A. Timing of surgery in mitral and aortic stenosis. Cardiol. Clin. 9:229, 1991

87. Cheitlin M.D. Valvular heart disease: management and intervention. Clinical overview and discussion. Circulation 84(Suppl 3):I-259, 1991

88. Delaye J., Beaune J., Gayet J.L. et al. Current etiology of organic mitral insufficiency in adults. Arch. Mal. Coeur. 76:1072, 1983

89. Diebold B., Touati R., Blanchard D., Colonna G., Guermonprez J.L. Peronneau P., Forman J., Maurice P. Quantitative assessment of tricuspid regurgitation using pulsed Doppler echocardiography. Br. Heart J. 50:443, 1983

90. Fan P.H., Kapur KK., Nanda N.C. Color-guided Doppler echocardiographic assessment of aortic valve stenosis. J. Am. Coll. Cardiol. 12:441, 1988

91. Fioretti P., Roelandt J.R., Bos R.J. et al. Echocardiography in chronic aortic insufficiency. Is valve replacement too late when left ventricular end-systolic dimension reaches 55mm? Circulation 67:216, 1983

92. Fisher E.A., Goldman M.E. Simple, rapid method for quantification of tricuspid regurgitation by two-dimensional echocardiography. Am. J. Cardiol. 63:1375, 1989

93. Forman M.B., Myrd B.F., Oates J.A., Robertson R.M. Two-dimensional echocardiographic features of carcinoid heart disease. Am. Heart J. 107:801, 1984

94. Freed C.R., Schiller N.B. Echocardiographic evaluation of aortic root enlargement in mitral valve prolapse in patients with Marfan's syndrome. West J. Med. 126:87, 1977

95. Hatle L.K. Doppler echocardiographic evaluation of mitral stenosis. Cardiol. Clin. 8:233, 1990

96. Hatle L.K., Brubakk A., Tromsdal A., Angelsen B. Noninvasive assessment of pressure drop in mitral stenosis by Doppler ultrasound. Br. Heart J. 40:131, 1978

97. Helmcke F., Nanda N.C., Hsiung M.C., Soto B., Adey C.K., Goyal R.G., Gatewood R.P. Jr. Color Doppler assessment of mitral regurgitation with orthogonal planes. Circulation 75:175, 1987

98. Himelman R.B., Schiller N.B. Clinical and echocardiographic comparison of patients with the carcinoid syndrome with and without carcinoid heart disease. Am. J. Cardiol. 63:347, 1989

99. Henry W.L., Bonow R.O., Borer J.S., Ware J.H., Kent K.M., Redwood D.R., McIntosh C.L., Morrow A.G., Epstein S.E. Observations on the optimum time for operative intervention for aortic regurgitation. 1. Evaluation of the results of aortic valve replacement in symptomatic patients. Circulation 61:471, 1980

100. Isaaz K., Munoz L., Ports T., Schiller N.B. Demonstration of postvalvuloplasty hemodynamic improvement in aortic stenosis based on Doppler measurement of valvular resistance. J. Am. Coll. Cardiol. 18:1661, 1991

101. Judge K.W., Otto C.M. Doppler echocardiographic evaluation of aortic stenosis. Cardiol. Clin. 8:203, 1990

102. Kitabatake A., Ito H., Onoue M. et al. A new approach to noninvasive evaluation of aortic regurgitant fraction by two-dimensional Doppler echocardiography. Circulation 72:523, 1985

103. Kratz J. Evaluation and management of tricuspid valve disease. Cardiol. Clin. 9:397, 1991

104. Labovitz A., Nelson J., Windhorst D., Kennedy H., Williams G. Frequency of mitral valve dysfunction from mitral annular calcium as detected by Doppler echocardiography. Am. J. Cardiol. 55:133, 1985

105. Levine R.A., Stathogiannis E., Newell J.B., Harrigan P., Weyman A.E. Reconsideration of echocardiographic standards for mitral valve prolapse: lack of association between leaflet displacement isolated to the apical four chamber view and independent echocardiographic evidence of abnormality. J. Am. Coll. Cardiol. 11:1010, 1988

106. Lundin L., Norheim I., Landelius J., Oberg K., Theodorsson-Norheim E. Carcinoid heart disease: relationship of circulating vasoactive substances to ultrasound-detectable cardiac abnormalities. Circulation 77:264, 1988

107. Masuyama T., Kitabatake A., Kodama K., Uematsu M., Nakatani S., Kamada T. Semiquantitative evaluation of aortic regurgitation by Doppler echocardiography: effects of associated mitral stenosis. Am. Heart J. 117:133, 1989

108. Nair C.K., Aronow S., Sketch M.H. et al. Clinical and echocardiographic characteristics of patients with mitral annular calcification. Am. J. Cardiol. 51:992, 1983

109. Nair C.K., Aronow W.C., Stokke K., Mohiuddin S.M., Thomson W., Sketch M.H. Cardiac conduction defects in patients older than 60 years with and without annular calcium. Am. J. Cardiol. 53:169, 1984

110. Nishimura R.A., McGoon M.D., Shu C., Miller F.A., Ilstrup D.M., Tajik A.J. Echocardiographically documented mitral valve prolapse. Long-term follow-up of 237 patients. N. Engl. J. Med. 313:1305, 1985

111. Nitta M., Nakamura T., Hultgren H.N., Bilisoly J., Tovey D.A. Progression of aortic stenosis in adult men. Detection by noninvasive methods. Chest 92:40, 1987

112. Otto C.M., Pearlman A.S. Doppler echocardiography in adults with symptomatic aortic stenosis. Diagnostic utility and cost-effectiveness. Arch. Intern. Med. 148:2553, 1988

113. Pearson A.C., St. Vrain J., Mrosek D., Labovitz A.J. Color Doppler echocardiographic evaluation of patients with a flail mitral leaflet. J. Am. Coll. Cardiol. 16:232, 1990

114. Perloff J.K., Child J.S. Mitral valve prolapse. Evolution and refinement of diagnostic techniques. Circulation 80:710, 1989

115. Perloff J.K., Child J.S. Clinical and epidemiologic issues in mitral valve prolapse: overview and perspective. Am. Heart J. 113:1324, 1987

116. Perry G.J., Bouchard A. Doppler echocardiographic evaluation of mitral regurgitation. Cardiol. Clin. 8:265, 1990

117. Perry G.J., Helmcke F., Nanda N.C., Byard C., Soto B. Evaluation of aortic insufficiency by Doppler color flow mapping. J. Am. Coll. Cardiol. 9:952, 1987

118. Pflugfelder P.W., Landzberg J.S., Cassidy M.M., Cheitlin M.D., Schiller N.B., Auffermann W., Higgins C.B. Comparison of cine MR imaging with Doppler echocardiography for the evaluation of aortic regurgitation. Am. J. Roentgen. 152:729, 1989

119. Pflugfelder P.W., Sechtem U.P., White R.D., Cassidy M.M., Schiller N.B., Higgins C.B. Noninvasive evaluation of mitral regurgitation by analysis of left atrial signal loss in cine magnetic resonance. Am. Heart J. 117:1113, 1989

120. Rahimtoola S.H., Cheitlin M.D., Hutter A.M. Jr. Cardiovascular disease in the elderly. Valvular and congenital heart disease. J. Am. Coll. Cardiol. 10(Suppl 2A):60A, 1987

121. Robertson W.S., Stewart J., Armstrong W.F., Dillon J.C., Feigenbaum H. Reverse doming of the anterior mitral leaflet with severe aortic regurgitation. J. Am. Coll. Cardiol. 3:431, 1984

122. Sahn D.J. Instrumentation and physical factors related to visualization of stenotic and regurgitant jets by Doppler color flow mapping. J. Am. Coll. Cardiol. 12:1354, 1988

123. Sahn D.J., Maciel B.C. Physiological valvular regurgitation. Doppler echocardiography and the potential for iatrogenic heart disease. Circulation 78:1075, 1987

124. Sanfilippo A.J., Picard M.H., Newell J.B., Rosas E., Davidoff R., Thomas J.D., Weyman A.E. Echocardiographic assessment of patients with infectious endocarditis: prediction of risk for complications. J. Am. Coll. Cardiol. 18:1191, 1991

125. Simpson I.A., Valdes-Cruz L.M., Sahn D.J., Murillo A., Tamura T., Chung K.J. Doppler color flow mapping of simulated in vitro regurgitant jets: evaluation of the effects of orifice size and hemodynamic variables. J. Am. Coll. Cardiol. 13:1195, 1989

126. Skjaerpe T., Hegrenaes L., Hatle L.K. Noninvasive estimation of valve area in patients with aortic stenosis by Doppler ultrasound and two-dimensional echocardiography. Circulation 72:810, 1985

127. Smith M.D. Evaluation of valvular regurgitation by Doppler echocardiography. Cardiol. Clin. 9:193, 1991

128. Smith M.D., Grayburn P.A., Spain M.G., DeMaria A.N. Observer variability in the quantitation of Doppler color flow jet areas for mitral and aortic regurgitation. J. Am. Coll. Cardiol. 11:579, 1988

129. Stamm R.B., Martin R.P. Quantification of pressure gradients across stenotic valves by Doppler ultrasound. J. Am. Coll. Cardiol. 2:707, 1983

130. Teague S.M. Doppler echocardiographic evaluation of aortic regurgitation. Cardiol. Clin. 8:249, 1990

131. Touche T., Prasquier R., Nitenberg A., Zuttere D., Gourgon R. Assessment and follow-up of patients with aortic regurgitation by an updated Doppler echocardiographic measurement of the regurgitant fraction in the aortic arch. Circulation 72:819, 1985

132. Vandenbossche J.L., Massie B.M., Schiller N.B., Karliner J.S. Relation of left ventricular shape to volume and mass in patients with minimally symptomatic chronic aortic regurgitation. Am. Heart J. 116:1022, 1988

133. Veyrat C., Lessana A., Abitbol G., Ameur A., Benaim R., Kalmanson D. New indexes for assessing aortic regurgitation with two-dimensional Doppler echocardiographic measurement of the regurgitant aortic valvular area. Circulation 68:998, 1983

134. Williams G., Labovitz A., Nelson J., Kennedy H. Value of multiple echocardiographic views in the evaluation of aortic stenosis in adults by continuous-wave Doppler. Am. J. Cardiol. 55:445, 1985

135. Wong M., Matsumura M., Suzuki K., Omoto R. Technical and biological sources of variability in the mapping of aortic, mitral and tricuspid color flow jets. Am. J. Cardiol. 60:847, 1987

136. Yock P.G., Popp R.L. Noninvasive estimation of right ventricular systolic pressure by Doppler ultrasound in patients with tricuspid regurgitation. Circulation 70:657, 1984

137. Yoshida K., Yoshikawa J., Shakudo M., Akasaka T., Jyo Y., Takao S., Shiratori K., Koizumi K., Okumachi F., Kato H. Color Doppler evaluation of valvular regurgitation in normal subjects. Circulation 78:840, 1987

138. Zile M.R. Chronic aortic and mitral regurgitation. Choosing the optimal time for surgical correction. Cardiol. Clin. 9:239, 1991

139. Diseases of the pericardium. Cardiol. Clin. 8, 579-716, 1990

140. Altman C.A., Ettedgui J.A., Wozney P., Beerman L.B. Noninvasive diagnostic features of partial absence of the pericardium. Am. J. Cardiol. 63:1536, 1989

141. Appleton C.P., Hatle L.K., Popp R.L. Cardiac tamponade and pericardial effusion: respiratory variation in transvalvular flow velocities studied by Doppler echocardiography. J. Am. Coll. Cardiol. 11:1020, 1988

142. Armstrong W.F., Schilt B.F., Helper D.J., Dillon F.C., Feigenbaum H. Diastolic collapse of the right ventricle with tamponade. An echocardiographic study. Circulation 65:1491, 1982

143. Borganelli M., Byrd BF. 3d. Doppler echocardiography in pericardial disease. Cardiol. Clin. 8:333, 1990

144. Burstow D.J., Oh J.K., Bailey K.R., Seward J.B., Tajik A.J. Cardiac tamponade: characteristic Doppler observations. Mayo Clin. Proc. 64:312, 1989

145. Eisenberg M.J., Schiller N.B. Bayes' theorem and the echocardiographic diagnosis of cardiac tamponade. Am. J. Cardiol. 68:1242, 1991

146. Feigenbaum H., Waldhausen J.A., Hyde S.P. Ultrasound diagnosis of pericardial effusion. J.A.M.A. 191:107, 1965

147. Gillam L.D., Guyer D.E., Gibson T.C., King M.E., Marshall J.E., Weyman A.E. Hydrodynamic compression of the right atrium. A new echocardiographic sign of cardiac tamponade. Circulation 68:294, 1983

148. Hatle L.K., Appleton C.P., Popp R.L. Differentiation of constrictive pericarditis and restrictive cardiomyopathy by Doppler echocardiography. Circulation 79:357, 1989

149. Himelman R.B., Abbott J.A., Schiller N.B. Diagnosis of mediastinal lesions by echocardiography. Echocardiography 5:219, 1988

150. Himelman R.B., Kircher B., Rockey D.C., Schiller N.B. Inferior vena cava plethora with blunted respiratory response: a sensitive echocardiographic sign of cardiac tamponade. J. Am. Coll. Cardiol. 12:1470, 1988

151. Himelman R.B., Lee E., Schiller N.B. Septal bounce, vena cava plethora, and pericardial adhesion: informative two-dimensional echocardiographic signs in the diagnosis of pericardial constriction. J. Am. Soc. Echo. 1:333, 1988

152. Horowitz M.S., Schultz C.S., Stinson E.B. et al. Sensitivity and specificity of echocardiographic diagnosis of pericardial effusion. Circulation 50:239, 1974

153. Labib S.B., Udelson J.E., Pandian N.G. Echocardiography in low pressure cardiac tamponade. Am. J. Cardiol. 63:1156, 1989

154. Leimgruber P.P., Klopfenstein S., Wann L.S., Brooks H.L. The hemodynamic derangement associated with right ventricular diastolic collapse in cardiac tamponade: An experimental echocardiographic study. Circulation 68:612, 1983

155. Reydel B., Spodick D.H. Frequency and significance of chamber collapses during cardiac tamponade. Am. Heart J. 119:1160, 1990

156. Schiller N.B., Botvinick E.H. Right ventricular compression as a sign of cardiac tamponade. Circulation 56:774, 1977

157. Williams G.J., Partridge J.B. Right ventricular diastolic collapse: An echocardiographic sign of tamponade. Br. Heart J. 49:292, 1983

158. Assey M.E., Spann J.F. Jr. Indications for heart valve replacement. Clin. Cardiol. 13:81, 1990

159. Chaudhry F.A., Herrera C., DeFrino P.F., Mehlman D.J., Zabalgoitia M. Pathologic and angiographic correlations of transesophageal echocardiography in prosthetic heart valve dysfunction. Am. Heart J. 122:1057, 1991

160. Dittrich H., Nicod P., Hoit B., Dalton N., Sahn D. Evaluation of Bjork-Shiley prosthetic valves by real-time two-dimensional Doppler echocardiographic flow mapping. Am. Heart J. 115:133, 1988

161. Dzavik V., Cohen G., Chan K.L. Role of transesophageal echocardiography in the diagnosis and management of prosthetic valve thrombosis. J. Am. Coll. Cardiol. 18:1829, 1991

162. Flachskampf F.A., O'Shea J.P., Griffin B.P., Guerrero L., Weyman A.E., Thomas J.D. Patterns of normal transvalvular regurgitation in mechanical valve prostheses. J. Am. Coll. Cardiol. 18:1493, 1991 163. Jones M., Eidbo E.E. Doppler color flow evaluation of prosthetic mitral valves: experimental epicardial studies. J. Am. Coll. Cardiol. 13:234, 1989

164. Kapur K.K., Fan P., Nanda N.C., Yoganathan A.P., Goyal R.G. Doppler color flow mapping in the evaluation of prosthetic mitral and aortic valve function. J. Am. Coll. Cardiol. 13:1561, 1989

165. Labovitz A.J. Assessment of prosthetic heart valve function by Doppler echocardiography. A decade of experience. Circulation 80:707, 1989

166. Nanda N.C., Cooper J.W., Mahan E.F. 3d, Fan P. Echocardiographic assessment of prosthetic valves. Circulation 84(Suppl 3):I-228, 1991

167. Nellessen U., Masuyama T., Appleton C.P., Tye T., Popp R.L. Mitral prosthesis malfunction. Comparative Doppler echocardiographic studies of mitral prostheses before and after replacement. Circulation 79:330, 1989

168. Nellessen U., Schnittger I., Appleton C.P., Masuyama T., Bolger A., Fischell T.A., Tye T., Popp R.L. Transesophageal two-dimensional echocardiography and color Doppler flow velocity mapping in the evaluation of cardiac valve prostheses. Circulation 78:848, 1988

169. Mahan E.F. 3d, Nanda N.C. Echocardiographic evaluation of prosthetic cardiac valves. Cardiol. Clin. 8:369, 1990

170. Vandenberg B.F., Dellsperger K.C., Chandran K.B., Kerber R.E. Detection, localization, and quantitation of bioprosthetic mitral valve regurgitation. An in vitro two-dimensional color-Doppler flow-mapping study. Circulation 78:529, 1988

171. Weintraub W.S., Clements S.D., Dorney E.R., Corrigan V.E., Cohen C.L., Hendren W.G., Perkins J.V., Jones E.L., Craver J.M. Clinical, echocardiographic, continuous wave and color Doppler evaluation of bioprosthetic cardiac valves in place for more than ten years. Am. J. Cardiol. 65:935, 1990

172. Wernly J.A., Crawford M.H. Choosing a prosthetic heart valve. Cardiol. Clin. 9:329, 1991

173. Barron J.V., Sahn D.J., Valdes-Crux L.M. et al. Clinical utility of two-dimensional Doppler echocardiographic techniques for estimating pulmonary to systemic blood flow ratios in children with L to R shunting ASD, VSD and PDA. J. Am. Coll. Cardiol. 3:169, 1984

174. Child J.S. Echo-Doppler and color flow imaging in congenital heart disease. Cardiol. Clin. 8:289, 1990

175. Friedman D.M., Schmer V., Rutkowski M. Two-dimensional color Doppler in discrete membranous subaortic stenosis. Am. Heart J. 115:688, 1988

176. Hagler D.J., Tajik A.J., Seward J.B., Schaff H.V., Danielson G.K., Puga F.J. Intraoperative two-dimensional Doppler echocardiography. A preliminary study for congenital heart disease. J. Thor. Cardiovasc. Surg. 95:516, 1988

177. Hess L.W., Hess D.B., McCaul J.F., Perry K.G. Fetal echocardiography. Obst. Gyn. Clin. N. Am. 17:41, 1990

178. Kleinman C.S., Huhta J.C., Silverman N.H. Doppler echocardiography in the human fetus. J. Am. Soc. Echo. 1:287, 1988

179. Muhiudeen I.A., Roberson D.A., Silverman N.H., Haas G., Turley K., Cahalan M.K. Intraoperative echocardiography in infants and children with congenital cardiac shunt lesions: transesophageal versus epicardial echocardiography. J. Am. Coll. Cardiol. 16:1687, 1990

180. Meyer R.A., Hagler D., Huhta J., Smallhorn J., Snider R., Williams R., Kleinman C., Silverman N.H. Guidelines for physician training in fetal echocardiography: recommendations of the Society of Pediatric Echocardiography Committee on Physician Training. J. Am. Soc. Echo. 3:1, 1990

181. Perloff J.K. Congenital heart disease in adults. A new cardiovascular subspecialty. Circulation 84:1881, 1991

182. Perloff J.K. Pregnancy and congenital heart disease. J. Am. Coll. Cardiol. 18:340, 1991

183. Perloff J.K., Rosove MH., Child J.S., Wright G.B. Adults with cyanotic congenital heart disease: hematologic management. Ann. Intern. Med. 109:406, 1988

184. Ports T.A., Silverman N.H., Schiller N.B. Two-dimensional echocardiographic assessment of Ebstein's anomaly. Circulation 58:336, 1978

185. Roberson D.A., Muhiudeen I.A., Silverman N.H., Turley K., Haas G.S., Cahalan M.K. Intraoperative transesophageal echocardiography of atrioventricular septal defect. J. Am. Coll. Cardiol. 18:537, 1991

186. Sahn D.J. Applications of color flow mapping in pediatric cardiology. Cardiol. Clin. 7:255, 1989

187. Sanders S.P., Parness I.A., Colan S.D. Recognition of abnormal connections of coronary arteries with the use of Doppler color flow mapping. J. Am. Coll. Cardiol. 13:922, 1989

188. Silverman N.H., Schmidt K.G. The current role of Doppler echocardiography in the diagnosis of heart disease in children. Cardiol. Clin. 7:265, 1989

189. Simpson I.A., Sahn D.J., Valdes-Cruz L.M., Chung K.J., Sherman F.S., Swensson R.E. Color Doppler flow mapping in patients with coarctation of the aorta: new observations and improved evaluation with color flow diameter and proximal acceleration as predictors of severity. Circulation 77:736, 1988

190. Swensson R.E., Murillo-Olivas A., Elias W., Bender R., Daily P.O., Sahn D.J. Noninvasive Doppler color flow mapping for detection of anomalous origin of the left coronary artery from the pulmonary artery and for evaluation of surgical repair. J. Am. Coll. Cardiol. 11:659, 1988

191. Armstrong W.F. Stress echocardiography for detection of coronary artery disease. Circulation 84(Suppl 3):I-43, 1991

192. Armstrong W.F., O'Donnell J., Ryan T., Feigenbaum H. Effect of prior myocardial infarction and extent and location of coronary disease on the accuracy of exercise echocardiography. J. Am. Coll. Cardiol. 10:531, 1987

193. Bedotto J.B., Eichhorn E.J., Grayburn P.A. Effects of left ventricular preload and afterload on ascending aortic blood velocity and acceleration in coronary artery disease. Am. J. Cardiol. 64:856, 1989

194. Broderick T., Sawada S., Armstrong W.F., Ryan T., Dillon J.C., Bourdillon P.D., Feigenbaum H. Improvement in rest and exercise-induced wall motion abnormalities after coronary angioplasty: an exercise echocardiographic study J. Am. Coll. Cardiol. 15:591, 1990

195. Harrison M.R., Smith M.D., Friedman B.J., DeMaria A.N. Uses and limitations of exercise Doppler echocardiography in the diagnosis of ischemic heart disease. J. Am. Coll. Cardiol. 10:809, 1987

196. Harrison M.R., Smith M.D., Nissen S.E., Grayburn P.A., DeMaria A.N. Use of exercise Doppler echocardiography to evaluate cardiac drugs: effects of propranolol and verapamil on aortic blood flow velocity and acceleration. J. Am. Coll. Cardiol. 11:1002, 1988

197. Himelman R.B., Stulbarg M., Kircher B., Lee E., Kee L., Dean N.C., Golden J., Wolfe C.L., Schiller N.B. Noninvasive evaluation of pulmonary artery pressure during exercise by saline-enhanced Doppler echocardiography in chronic pulmonary disease. Circulation 79:863, 1989

198. Himelman R.B., Stulbarg MS., Lee E., Kuecherer H.F., Schiller N.B. Noninvasive evaluation of pulmonary artery systolic pressures during dynamic exercise by saline-enhanced Doppler echocardiography. Am. Heart J. 119:685, 1990

199. Iliceto S., Caiati C., Ricci A., Amico A., D'Ambrosio G., Ferri G.M., Izzi M., Lagioia R., Rizzon P. Prediction of cardiac events after uncomplicated myocardial infarction by cross-sectional echocardiography during transesophageal atrial pacing. Intern. J. Cardiol. 28:95, 1990

200. Iliceto S., Amico A., Marangelli V., D'Ambrosio G., Rizzon P. Doppler echocardiographic evaluation of the effect of atrial pacing-induced ischemia on left ventricular filling in patients with coronary artery disease. J. Am. Coll. Cardiol. 11:953, 1988

201. Iliceto S., Papa A., D'Ambrosio G., Amico A., Sorino M., Coluccia P., Rizzon P. Prediction of the extent of coronary artery disease with the evaluation of left ventricular wall motion abnormalities during atrial pacing. A cross-sectional echocardiographic study. Intern. J. Cardiol. 14:33, 1987

202. Iwase M., Yokota M., Maeda M., Kamihara S., Miyahara T., Iwase M., Hayashi H., Saito H. Noninvasive detection of exercise-induced markedly elevated left ventricular filling pressure by pulsed Doppler echocardiography in patients with coronary artery disease. Am. Heart J. 118:947, 1989

203. Labovitz A.J., Pearson A.C., Chaitman B.R. Doppler and two-dimensional echocardiographic assessment of left ventricular function before and after intravenous dipyridamole stress testing for detection of coronary artery disease. Am. J. Cardiol. 62:1180, 1988

204. Lazarus M., Dang T.Y., Gardin J.M., Allfie A., Henry W.L. Evaluation of age, gender, heart rate and blood pressure changes and exercise conditioning on Doppler measured aortic blood flow acceleration and velocity during upright treadmill testing. Am. J. Cardiol. 62:439, 1988

205. Lane R.T., Sawada S.G., Segar D.S., Ryan T., Lalka S.G., Williams R., Brown S.E., Armstrong W.F., Feigenbaum H. Dobutamine stress echocardiography for assessment of cardiac risk before noncardiac surgery. Am. J. Cardiol. 68:976, 1991

206. Maeda M., Yokota M., Iwase M., Miyahara T., Hayashi H., Sotobata I. Accuracy of cardiac output measured by continuous wave Doppler echocardiography during dynamic exercise testing in the supine position in patients with coronary artery disease. J. Am. Coll. Cardiol. 13:76, 1989

207. Martin GR., Soifer S.J., Silverman N.H., Dae M.W., Stanger P. Effects of activity on ascending aortic velocity in children with valvular aortic stenosis. Am. J. Cardiol. 59:1386, 1987

208. Mehdirad A.A., Williams G.A., Labovitz A.J., Bryg R.J, Chaitman B.R. Evaluation of left ventricular function during upright exercise: correlation of exercise Doppler with postexercise two-dimensional echocardiographic results. Circulation 75:413, 1987

209. Mehta N., Boyle G., Bennett D., Gilmour S., Noble M.I., Mills C.M., Pugh S. Hemodynamic response to treadmill exercise in normal volunteers: an assessment by Doppler ultrasonic measurement of ascending aortic blood velocity and acceleration. Am. Heart J. 116:1298, 1988

210. Mitchell G.D., Brunken R.C., Schwaiger M., Donohue B.C., Krivokapich J., Child J.S. Assessment of mitral flow velocity with exercise by an index of stress-induced left ventricular ischemia in coronary artery disease. Am. J. Cardiol. 61:536, 1988

211. Picano E., Lattanzi F. Dipyridamole echocardiography. A new diagnostic window on coronary artery disease. Circulation 83(Suppl 5):III-19, 1991

212. Picano E., Severi S., Michelassi C., Lattanzi F., Masini M., Orsini E., Distante A., L'Abbate A. Prognostic importance of dipyridamole-echocardiography test in coronary artery disease. Circulation 80:450, 1989

213. Presti C.F., Armstrong W.F., Feigenbaum H. Comparison of echocardiography at peak exercise and after bicycle exercise in evaluation of patients with known or suspected coronary artery disease. J. Am. Soc. Echo. 1:119, 1988

214. Ryan T., Armstrong W.F., O'Donnell J.A., Feigenbaum H. Risk stratification after acute myocardial infarction by means of exercise two-dimensional echocardiography. Am. Heart J. 114:1305, 1987

215. Ryan T., Vasey C.G., Presti C.F., O'Donnell J.A., Feigenbaum H., Armstrong W.F. Exercise echocardiography: detection of coronary artery disease in patients with normal left ventricular wall motion at rest. J. Am. Coll. Cardiol. 11:993, 1988

216. Sawada S.G., Ryan T., Conley M.J., Corya B.C., Feigenbaum H., Armstrong W.F. Prognostic value of a normal exercise echocardiogram. Am. Heart J. 120:49, 1990

217. Sawada S.G., Ryan T., Fineberg N.S., Armstrong W.F., Judson W.E., McHenry P.L., Feigenbaum H. Exercise echocardiographic detection of coronary artery disease in women. J. Am. Coll. Cardiol. 14:1440, 1989

218. Sawada S.G., Segar D.S., Ryan T., Brown S.E., Dohan A.M., Williams R., Fineberg N.S., Armstrong W.F., Feigenbaum H. Echocardiographic detection of coronary artery disease during dobutamine infusion. Circulation 83:1605, 1991

219. Sawada S.G., Judson W.E., Ryan T., Armstrong W.F., Feigenbaum H. Upright bicycle exercise echocardiography after coronary artery bypass grafting. Am. J. Cardiol. 64:1123, 1989

220. Watters T.A., Botvinick E.H., Dae M.W., Cahalan M., Urbanowicz J., Benefiel D.J., Schiller N.B., Goldstone G., Reilly L., Stoney R.J. Comparison of the findings on preoperative dipyridamole perfusion scintigraphy and intraoperative transesophageal echocardiography: implications regarding the identification of myocardium at ischemic risk. J. Am. Coll. Cardiol. 18:93, 1991

221. Zachariah Z.P., Hsiung M.C., Nanda N.C., Kan M.N., Gatewood RP. Jr. Color Doppler assessment of mitral regurgitation induced by supine exercise in patients with coronary artery disease. Am. J. Cardiol. 59:1266, 1987

222. Adachi H., Omoto R., Kyo S., Matsumura M., Kimura S., Takamoto S., Yokote Y. Emergency surgical intervention of acute aortic dissection with the rapid diagnosis by transesophageal echocardiography. Circulation 84(Suppl 5):III-14, 1991

223. Alam M., Sun I. Transesophageal echocardiographic evaluation of left atrial mass lesions. J. Am. Soc. Echo. 4:323, 1991

224. Alam M., Sun I., Castello R., Pearson A.C., Fagan L., Labovitz A.J. Spontaneous echocardiographic contrast in the descending aorta. Am. Heart J. 120:915, 1990

225. Ballal R.S., Nanda N.C., Gatewood R., D'Arcy B., Samdarshi T.E., Holman W.L., Kirklin J.K., Pacifico A.D. Usefulness of transesophageal echocardiography in assessment of aortic dissection. Circulation 84:1903, 1991

226. Cahalan M.K., Lurz F.C., Schiller N.B. Transesophageal two-dimensional echocardiographic evaluation of anesthetic effects on left ventricular function. Br. J. Anaesthesia 60(Suppl 8-1):99S, 1988

227. Foster E., Kusumoto F.M., Sobol S.M., Schiller N.B. Streptococcal endocarditis temporally related to transesophageal echocardiography. J. Am. Soc. Echo. 3:424, 1990

228. Fisher E.A., Stahl J.A., Budd J.H., Goldman M.E. Transesophageal echocardiography: procedures and clinical application. J. Am. Coll. Cardiol. 18:1333, 1991

229. Kuecherer H.F., Kusumoto F., Muhiudeen I.A., Cahalan M.K., Schiller N.B. Pulmonary venous flow patterns by transesophageal pulsed Doppler echocardiography: relation to parameters of left ventricular systolic and diastolic function. Am. Heart J. 122:1683, 1991

230. Kuecherer H.F., Lee E., Schiller N.B. Role of transesophageal echocardiography in diagnosis and management of cardiovascular disease. Cardiol. Clin. 8:377, 1990

231. Kuecherer H.F., Muhiudeen I.A., Kusumoto F.M., Lee E., Moulinier L.E., Cahalan M.K., Schiller N.B. Estimation of mean left atrial pressure from transesophageal pulsed Doppler echocardiography of pulmonary venous flow. Circulation 82:1127, 1990

232. Lee E., Schiller N.B. Ambulatory and intraoperative transesophageal echocardiography. Cardiol. Clin. 7:511, 1989

233. Lee R.J., Bartzokis T., Yeoh T.K., Grogin H.R., Choi D., Schnittger I. Enhanced detection of intracardiac sources of cerebral emboli by transesophageal echocardiography. Stroke 22:734, 1991

234. Leung J.M., Schiller N.B., Mangano D.T. Transesophageal echocardiographic assessment of left ventricular function. Intern. J. Cardiac Imaging 5:63, 1989

235. Mays J.M., Nichols B.A., Rubish R.C., O'Meara K.W., Koverman P.A. Transesophageal echocardiography: a sonographer's perspective. J. Am. Soc. Echo. 4:513, 1991

236. Mohr-Kahaly S., Erbel R., Rennollet H., Wittlich N., Drexler M., Oelert H., Meyer J. Ambulatory follow-up of aortic dissection by transesophageal two-dimensional and color-coded Doppler echocardiography. Circulation 80:24, 1989

237. Mugge A., Daniel W.G., Frank G., Lichtlen P.R. Echocardiography in infective endocarditis: reassessment of prognostic implications of vegetation size determined by the transthoracic and the transesophageal approach. J. Am. Coll. Cardiol. 14:631, 1989

238. Mugge A., Daniel W.G., Klopper JW., Lichtlen P.R. Visualization of patent foramen ovale by transesophageal color-coded Doppler echocardiography. Am. J. Cardiol. 62:837, 1988

239. Muhiudeen I.A., Kuecherer H.F., Lee E., Cahalan M.K., Schiller N.B. Intraoperative estimation of cardiac output by transesophageal pulsed Doppler echocardiography. Anesthesiology, 74:9, 1991

240. Obeid A.I., Marvasti M., Parker F., Rosenberg J. Comparison of transthoracic and transesophageal echocardiography in diagnosis of left atrial myxoma. Am. J. Cardiol. 63:1006, 1989

241. Oh J.K., Seward J.B., Khandheria B.K., Gersh B.J., McGregor C.G., Freeman W.K., Sinak L.J., Tajik A.J. Transesophageal echocardiography in critically ill patients. Am. J. Cardiol. 66:1492, 1990

242. O'Shea J.P., Southern J.F., D'Ambra M.N., Magro C., Guerrero J.L., Marshall J.E., Vlahakes G.V., Levine R.A., Weyman A.E. Effects of prolonged transesophageal echocardiographic imaging and probe manipulation on the esophagus — an echocardiographic-pathologic study. J. Am. Coll. Cardiol. 17:1426, 1991

243. Pearson A.C., Castello R., Labovitz A.J. Safety and utility of transesophageal echocardiography in the critically ill patient. Am. Heart J. 119:1083, 1990

244. Roizen M.F., Beaupre P.N., Alpert R.A., Kremer P., Cahalan M.K., Schiller N.B. et al. Monitoring with two-dimensional transesophageal echocardiography: Comparison of myocardial function in patients undergoing superceliac-infrarenal, or infraenal aortic occlusion. J. Cardiovasc. Surg. 1:300, 1984

245. Schiller N.B., Maurer G., Ritter S.B., Armstrong W.F., Crawford M., Spotnitz H., Cahalan M., Quinones M., Meltzer R., Feinstein S. Transesophageal echocardiography. J. Am. Soc. Echo. 2:354, 1989

246. Seward J.B., Khandheria B.K., Edwards W.D., Oh J.K., Freeman W.K., Tajik A.J. Biplanar transesophageal echocardiography: anatomic correlations, image orientation, and clinical applications. Mayo Clin. Proc. 65:1193, 1990

247. Seward J.B., Khandheria B.K., Oh J.K., Abel M.D., Hughes R.W. Jr, Edwards W.D., Nichols B.A., Freeman W.K., Tajik A.J. Transesophageal echocardiography: technique, anatomic correlations, implementation, and clinical applications. Mayo Clin. Proc. 63:649, 1988

248. Shapiro S.M., Bayer A.S. Transesophageal and Doppler echocardiography in the diagnosis and management of infective endocarditis. Chest 100:1125, 1991

249. Shively B.K., Gurule F.T., Roldan C.A., Leggett J.H., Schiller N.B. Diagnostic value of transesophageal compared with transthoracic echocardiography in infective endocarditis. J. Am. Coll. Cardiol. 18:391, 1991

250. Taams M.A., Gussenhoven E.J., Cahalan M.K., Roelandt J.R., van Herwerden LA., The H.K., Bom N., de Jong N. Transesophageal Doppler color flow imaging in the detection of native and Bjork-Shiley mitral valve regurgitation. J. Am. Coll. Cardiol. 13:95, 1989

251. Urbanowicz J.H., Shaaban M.J., Cohen N.H., Cahalan M.K., Botvinick E.H., Chatterjee K., Schiller N.B., Dae M.W., Matthay M.A. Comparison of transesophageal echocardiographic and scintigraphic estimates of left ventricular end-diastolic volume index and ejection fraction in patients following coronary artery bypass grafting. Anesthesiology 72:607, 1990

252. Yamagishi M., Miyatake K., Beppu S., Kumon K., Suzuki S., Tanaka N., Nimura Y. Assessment of coronary blood flow by transesophageal two-dimensional pulsed Doppler echocardiography. Am. J. Cardiol. 62:641, 1988

253. Zenker G., Erbel R., Kramer G., Mohr-Kahaly S., Drexler M., Harnoncourt K., Meyer J. Transesophageal two-dimensional echocardiography in young patients with cerebral ischemic events. Stroke 19:345, 1988

254. Zwicky P., Daniel W.G., Mugge A., Lichtlen P.R. Imaging of coronary arteries by color-coded transesophageal Doppler echocardiography. Am. J. Cardiol. 62:639, 1988

255. Cardiac imaging and image processing; ed. Collins S.M., Skorton D.J., New York: McGraw-Hill, 1986.

256. Clements F.M., de Bruijn N.P. Transesophageal echocardiography. 1st ed. Boston: Brown and Co, 1991

257. Color Doppler flow imaging and other advances in Doppler echocardiography; ed. Roelandt J.R. Dordrecht, Boston: Martinus Nijhoff, 1986.

258. Congenital heart disease: echocardiography and magnetic resonance imaging; ed. Higgins C.B. et al. New York: Raven Press, 1990

259. Contrast echocardiography; ed. Meltzer R.S., Roelandt J.R. Boston: Martinus Nijhoff, 1982.

260. Digital techniques in echocardiography; ed. Roelandt J.R. Dordrecht, Boston: Martinus Nijhoff, 1987

261. Doppler echocardiography; ed. Goldberg S.J. et al. 2nd ed. Philadelphia: Lea & Febiger, 1988

262. Doppler echocardiography; ed. Schiller N.B. Philadelphia: Saunders, Cardiology Clinics 8:1, 1990

263. Doppler echocardiography in heart disease; ed. Berger M. New York: Decker, 1986

264. Echocardiography and Doppler in cardiac surgery; ed. Maurer G., Mohl W. New York: Igaku-Shoin, 1989

265. Echocardiography in coronary artery disease; ed. Visser C., Kan G., Meltzer R. Boston: Kluwer Academic Publ., 1988

266. Echocardiography in coronary artery disease; ed. Kerber R.E. Mount Kisco, New York: Futura Publ., 1988

267. Feigenbaum H. Echocardiography. 4th ed. Philadelphia: Lea & Febiger, 1986

268. Foley D. Color doppler flow imaging. Boston: Andover Medical Publ., 1991

269. Hagan AD., DeMaria A.N. Clinical applications of two-dimensional echocardiography and cardiac Doppler. 2nd ed. Boston: Little, Brown, 1989

270. Hatle L.K., Angelsen B. Doppler ultrasound in cardiology. 2nd ed. Philadelphia: Lea & Febiger, 1985

271. Intraoperative use of echocardiography; ed. DeBruijn N.P., Clements F.M., Philadelphia: Lippincott, 1991

272. Iwase M., Sotobata I. Clinical echocardiography. Dordrecht, Boston: Kluwer Academic Publ., 1989. Developments in cardiovascular medicine, v. 95.

273. Kisslo J.A., Adams D.B., Belkin R.N. Doppler color flow imaging. New York: Churchill Livingstone, 1988

274. Labovitz A., Williams G.A. Doppler echocardiography: the quantitative approach. 2nd ed. Philadelphia: Lea & Febiger, 1988

275. Myocardial contrast two-dimensional echocardiography; ed. Meerbaum S., Meltzer R.S. Dordrecht, Boston: Kluwer Academic Publ., 1989

276. Nanda N.C. Atlas of color Doppler echocardiography. Philadelphia: Lea & Febiger, 1989

277. Nanda N.C. Clinical echocardiography. Saint Louis: Mosby, 1978

278. Noninvasive cardiac imaging: recent developments; ed. Meltzer R.S., Vered Z., Neufeld HN. Mount Kisco, New York: Futura Publ., 1988

279. Perez J.E. Doppler echocardiography: a case studies approach. New York: McGraw-Hill, 1987

280. Phillips J.H. Practical quantitative Doppler echocardiography. Boca Raton: CRC Press, 1991

281. Redel D. Color blood flow imaging of the heart. Berlin, New York: Springer-Verlag, 1988

282. Reed KL. Fetal echocardiography: an atlas. New York: Liss, 1988

283. Salcedo E.E. Atlas of echocardiography. 2nd ed. Philadelphia: Saunders, 1985

284. Silverman N.H. Snider R. Two-dimensional echocardiography in congenital heart disease. New York: Appleton-Century-Crofts, 1982

285. Echocardiography in pediatric heart disease; ed. Snider R., Serwer G.A. Year Book Medical Publ., 1990

286. Textbook of adult and pediatric echocardiography and doppler; ed. Sutton M., Oldershaw P. Boston: Blackwell Scientific Publ., 1989

287. Textbook of color Doppler echocardiography; ed. Nanda N.C. Philadelphia: Lea & Febiger, 1989

288. Two-dimensional echocardiographic atlas; ed. Seward J.B. New York: Springer-Verlag, 1987

289. Two-dimensional echocardiography and cardiac Doppler; ed. Schapira J.N., Harold J.G., 2nd ed. Baltimore: Williams & Wilkins, 1990

290. Ultrasound in coronary artery disease: present role and future perspectives; ed. Iliceto S., Rizzon P., Roelandt J.R. Dordrecht, Boston: Kluwer Academic Publ., 1991

291. Weyman A.E. Cross-sectional echocardiography; Philadelphia: Lea & Febiger, 1982