This article needs more medical references for verification or relies too heavily on primary sources .(September 2018) |
Focus assessed transthoracic echocardiography | |
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Purpose | type of transthoracic echocardiogram, |
Focus assessed transthoracic echocardiography (or FATE) is a type of transthoracic echocardiogram, or sonogram of the heart, often performed by non-cardiologist. The protocol has been used since 1989 and has four projections; subcostal four-chamber, apical four-chamber, parasternal long axis and parasternal short axis.
The original focused cardiac ultrasound protocol for non-cardiologists was devised by Dr Erik Sloth in 1989 and has formed the basis of hands-on FATE courses ever since.
The success of the original protocol has inspired a surge of replicas in many shapes and the coining of many imaginative acronyms: FEER, FEEL, Focus, Bleep, HART, FUSE etc. These are all variations of the original theme [1].
Each figure contains a TTE with a black background, and a corresponding colored illustration. | Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006. | ||||||||||
Click on a figure to enlarge it and see some parts of the heart identified. RV, right ventricle; LV, left ventricle; RA, right atrium; LA, left atrium; TV, tricuspid valve; MV, mitral valve; AV, aortic valve;RVOT, right ventricular outflow tract; LVOT, left ventricular outflow tract |
An echocardiography, echocardiogram, cardiac echo or simply an echo, is an ultrasound of the heart. It is a type of medical imaging of the heart, using standard ultrasound or Doppler ultrasound.
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Radionuclide angiography is an area of nuclear medicine which specialises in imaging to show the functionality of the right and left ventricles of the heart, thus allowing informed diagnostic intervention in heart failure. It involves use of a radiopharmaceutical, injected into a patient, and a gamma camera for acquisition. A MUGA scan involves an acquisition triggered (gated) at different points of the cardiac cycle. MUGA scanning is also called equilibrium radionuclide angiocardiography, radionuclide ventriculography (RNVG), or gated blood pool imaging, as well as SYMA scanning.
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Fate most commonly refers to destiny, a predetermined course of events.
A transthoracic echocardiogram (TTE) is the most common type of echocardiogram, which is a still or moving image of the internal parts of the heart using ultrasound. In this case, the probe is placed on the chest or abdomen of the subject to get various views of the heart. It is used as a non-invasive assessment of the overall health of the heart, including a patient's heart valves and degree of heart muscle contraction. The images are displayed on a monitor for real-time viewing and then recorded.
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Fetal echocardiography, or Fetal echocardiogram, is the name of the test used to diagnose cardiac conditions in the fetal stage. Cardiac defects are amongst the most common birth defects. Their diagnosis is important in the fetal stage as it might help provide an opportunity to plan and manage the baby as and when the baby is born. Not all pregnancies need to undergo fetal echo.
Cardiothoracic anesthesiology is a subspeciality of the medical practice of anesthesiology, devoted to the preoperative, intraoperative, and postoperative care of adult and pediatric patients undergoing cardiothoracic surgery and related invasive procedures.
Howard Apfel is an American-Israeli Rabbi and Cardiologist practicing medicine at Columbia University Medical Center.
Cardiac imaging refers to non-invasive imaging of the heart using ultrasound, magnetic resonance imaging (MRI), computed tomography (CT), or nuclear medicine (NM) imaging with PET or SPECT. These cardiac techniques are otherwise referred to as echocardiography, Cardiac MRI, Cardiac CT, Cardiac PET and Cardiac SPECT including myocardial perfusion imaging.
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Govindan Vijayaraghavan is a cardiologist from India, credited with establishing the first 2D Echocardiography laboratory in India. He is the vice-chairman & Founder Director of the Kerala Institute of Medical Sciences and the President of the Society for Continuing Medical Education and Research, Trivandrum, Kerala. He was honoured by Government of India in 2009 for his services in the field of medical sciences by awarding him Padmashri.
Numerical manipulation of Doppler parameters obtain during routine Echocardiography has been extensively utilized to non-invasively estimate intra-cardiac pressures, in many cases removing the need for invasive cardiac catheterization.
The Relative Atrial Index (RAI) is a numeric parameter used to assess for cardiac shunt defects. It is calculated from the standard transthoracic Doppler echocardiogram measurements of the right atrial area divided by the left atrial area. RAI = right atrial area / left atrial area. These measurements are made from the apical four chamber view.
Harvey Feigenbaum is an American cardiologist known for his life-long work in the field of echocardiography. He wrote the first textbook on the subject in 1972, which is currently in its 8th edition, and has published over 300 articles. He has trained generations of cardiologists including many of the world's pioneers in the field through his numerous visitors, frequent workshops, annual courses in Indianapolis, Indiana beginning in 1968, the year when he started formal fellowship training He founded the field of cardiac sonography in 1965 and the American Society of Echocardiography in 1975. His seminal article on the diagnosis of pericardial effusions published in 1965 with his technique "brought echocardiography to the attention of thousands of practitioners".