Echocardiography is a diagnostic technique that uses ultrasound (high frequency sound) to produce an image of the heart in real time. The comprehensive echocardiographic exam uses multiple imaging formats to evaluate the heart. These include direct imaging of the heart with M‐mode, two‐dimensional, and three‐dimensional formats and direct interrogation of blood flow through cardiac chambers and across valves with pulsed Doppler, continuous wave Doppler, and color flow Doppler.
Echocardiographic transducers may be placed in multiple locations on the chest wall to obtain different views of the heart and also, using specialized devices, inside the esophagus and stomach and inside the heart mounted on special catheters that allow interrogation using a miniaturized transducer.
To achieve usable information the reflected ultrasound signal is intensively processed after it is detected in the transducer. Modern transducers have upward of 256 transmit and receive elements that process the ultrasound signal. The reflected ultrasound signal is manipulated in multiple selective ways to best display the wide range of cardiac anatomy and motion encountered in the exam. Similarly, several different techniques of processing are used to display and quantify Doppler analysis of blood flow.
Data from the echocardiographic exam is used to quantify anatomic size and shape of cardiac chambers, diagnose changes in cardiac structure characteristics of different kinds of cardiac disease, evaluate functional performance of the heart as a pump, characterize normal and abnormal anatomy, motion, and blood flow characteristics of heart valves, and determine the presence of various other abnormalities in and around the heart such as collections of fluid, blood clots, tumors, or areas of calcification.
Echocardiography is a powerful diagnostic tool that safely and noninvasively evaluates the heart.