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Jae K. Oh - The Echo Manual

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Ideal for residents, fellows, and others who need a comprehensive, clinically focused understanding of echocardiography, The Echo Manual, 4th Edition, has been thoroughly revised with updated information, new chapters, and new video clips online. Written primarily by expert authorities from the Mayo Clinic, this best-selling reference remains a practical guide to the performance, interpretation, and clinical applications of todays echocardiography.Features all-new chapters specifically devoted to 3D echo, interventional echocardiography, and hand-carried ultrasound.Includes new echo videos that provide a valuable learning experience of echocardiography in motion.Provides a concise, user-friendly summary of techniques, diagnostic criteria, and quantitative methods for echocardiography, Doppler echocardiography, and transesophageal echocardiography.Presents complex material in an approachable, visually appealing manner that focuses on the clinical application of echocardiography as a diagnostic tool.Covers the latest techniques, standards, and applications all highlighted by more than 900 high-quality, annotated images that are true to gray scale and color.Enhance Your eBook Reading Experience:Read directly on your preferred device(s), such as computer, tablet, or smartphone.Easily convert to audiobook, powering your content with natural language text-to-speech.

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The Echo Manual

FOURTH EDITION

Jae K. Oh, MD

Samsung Professor of Cardiovascular Diseases, Mayo Clinic

Director, Echocardiography Core Lab, Mayo Clinic

Co-Director, Integrated CV Imaging, Mayo Clinic

Director, Heart Vascular Stroke Institute, Samsung Medical Center, Korea

President, Asian-Pacific Association of Echocardiography

Garvan C. Kane, MD, PhD

Professor of Medicine, Mayo Clinic

Director, Stress Echocardiography, Mayo Clinic

Co-Director, Echocardiography Laboratory, Mayo Clinic

Vice Chair, Division of Cardiovascular Ultrasound, Mayo Clinic

James B. Seward, MD

Nasseff Professor of Cardiology (Emeritus) in Honor

of Dr. Burton Onofrio, Mayo Clinic

Director (Emeritus) Mayo Echocardiographic

Laboratory

Professor of Adult and Pediatric Cardiology

(Emeritus), Mayo Clinic

Professor (Emeritus) Department of Cardiovascular

Medicine, Mayo Clinic

A. Jamil Tajik, MD

Thomas J. Watson Jr Professor (Emeritus) in Honor

of Dr. Robert L. Frye, Mayo Clinic

Chairman (Emeritus), Department of Cardiovascular

Medicine, Mayo Clinic

Director (Emeritus), Mayo Echocardiographic

Laboratory

Director, Cardiac Specialty Center, Aurora St. Lukes

Medical Center, Milwaukee, Wisconsin

VSTEpubcontentReadywindow document VSTcfiBase4 Senior Acquisitions - photo 2

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Senior Acquisitions Editor: Sharon Zinner

Development Editor: Elizabeth Schaeffer

Editorial Coordinator: John Larkin

Marketing Manager: Rachel Mante Leung

Production Project Manager: Joan Sinclair

Design Coordinator: Holly McLaughlin

Manufacturing Coordinator: Beth Welsh

Prepress Vendor: SPi Global

Fourth Edition

Copyright 2019 by Wolters Kluwer

2019 Mayo Foundation for Medical Education and Research. All rights reserved.

This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form by any means, electronic, mechanical, recording, or otherwise, without written permission from Mayo Foundation, Section of Scientific Publications, Plummer 10,200 First Street SW, Rochester, MN 55905. Nothing in this publication implies that Mayo Foundation endorses any of the products mentioned in this book.

9 8 7 6 5 4 3 2 1

Printed in China

Cataloging in Publication data available on request from publisher

ISBN 978-1-4963-1219-8

This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

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To Pioneers of Echocardiography

To our Echo Colleagues
To our Families

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List of Contributors

Sahar S. Abdelmoneim, MD

Research Associate/Collaborator, Echo Core Lab

Department of Cardiovascular Medicine

Mayo Clinic

Rochester, Minnesota

Karima Addetia, MD

Assistant Professor of Medicine, Section of Cardiology

University of Chicago Medical Center

Chicago, Illinois

Naser Ammash, MD

Professor of Medicine

Consultant, Division of Structural Heart Disease Director, Heart Brain Clinic, Department of Cardiovascular Medicine

Mayo Clinic

Rochester, Minnesota

Lori A. Blauwet, MD, MA

Associate Professor of Medicine

Consultant, Department of Cardiovascular Medicine

Mayo Clinic

Rochester, Minnesota

Allison K. Cabalka, MD

Associate Professor of Pediatrics

Consultant, Division of Pediatric Cardiology

Mayo Clinic

Rochester, Minnesota

Frank Cetta, MD

Professor of Medicine and Pediatrics

Division of Pediatric Cardiology

Department of Cardiovascular Medicine

Mayo Clinic

Rochester, Minnesota

Sung-A Chang, MD, PhD

Associate Professor

Division of Cardiology

Department of Medicine

Heart Vascular Stroke Institute Imaging Center

Samsung Medical Center

Sungkyunkwan University School of Medicine

Seoul, Republic of Korea

Thais Coutinho, MD

Chief, Division of Cardiac Prevention and Rehabilitation

Chair, Canadian Womens Heart Health Centre

Division of Cardiology

University of Ottawa Heart Institute

Ottawa, Ontario, Canada

Michael W. Cullen, MD

Assistant Professor of Medicine

Consultant, Department of Cardiovascular Medicine

Mayo Clinic

Rochester, Minnesota

Ral E. Espinosa, MD

Assistant Professor of Medicine

Consultant, Department of Cardiovascular Medicine

Mayo Clinic

Rochester, Minnesota

Covadonga Fernndez-Golfn, MD

Director, Cardiac Imaging Unit

Department of Cardiology

University Hospital Ramn y Cajal

Madrid, Spain

David A. Foley, MD

Assistant Professor of Medicine

Consultant, Department of Cardiovascular Medicine

Mayo Clinic

Rochester, Minnesota

William K. Freeman, MD

Professor of Medicine

Consultant, Department of Cardiovascular Medicine

Mayo Clinic

Scottsdale, Arizona

Jeffrey B. Geske, MD

Associate Professor of Medicine

Consultant, Department of Cardiovascular Medicine

Mayo Clinic

Rochester, Minnesota

Ariana Gonzlez, MD

Director, Valvular Heart Diseases

Department of Cardiology

University Hospital Ramn y Cajal

Madrid, Spain

Donald J. Hagler, MD

Professor of Medicine and Pediatrics

Consultant, Division of Pediatric Cardiology

Department of Cardiovascular Medicine

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