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Echo & Doppler
Facts & terms from Doppler handout.
19
Anatomy
Professional
07/16/2012

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Term
Doppler Display in Echo
Definition
Above baseline= diastolic flow
Below baseline= systolic flow
Term
Spectral Waveform
Definition
1. Velocity/intensity: y axis
Bright: Strong Doppler shift (a large # of RBCs moving together).
Dark- weak shift.
2.Time: x axis
3. Audio:Doppler shifts are audible.
Strong well defined signals tell us we parallel & in right region.
Smooth tones= laminar,Harsh= turbulent.
Term
B.A.R.T.
Definition
Blue Away Red Toward transducer.
Term
TV Velocity
Definition
.3-.7m/s
Term
Tricuspid Valve Views
Definition
RV Tilt(RVIT), AV SAX, AP 4CH
Color in each view. Assess w/Doppler in each view. PW at tips.
CW to assess for high vel flow(regurge).
AP 4CH- can slide off axis to bring in RV/TV better.
Term
TV Flow
Definition
Normmal flow will be diastolic, above baseline w/E & A wave. Regurge will be systolic, below baseline.
Term
PV Velocity
Definition
.6-.9 m/s
Term
Pulmonic Valve Views
Definition
RVOT, AV SAX
Color in each view. Doppler in each view. PW Doppler in RVOT .
Switch to CW to R/O high velocity flow.
Term
PV Flow
Definition
Normal PV flow will be systolic, below baseline. PI will be diastolic, above baseline.
Term
MV Velocity
Definition
.6-1.3m/s
Term
Mitral Valve Views
Definition
AP 4
Can Doppler in AP 2 or AP Long but not necessary unless pathology present.
PLAX & SAX- not parallel, so will not use spectral. Color valve in each view.
Assess with Doppler, PW in LVIT at leaflet tips. Switch to CW to look for high velocity flow.
Term
MV Flow
Definition
Normal flow will be diastolic, above baseline w/ E & A wave.
MR will systolic & below baseline.
Term
AV Velocity
Definition
1-1.7 m/s
Term
LVOT Velocity
Definition
.7-1.1 m/s
Term
Aortic Valve Views
Definition
AP 5
Can assess in the AP Long if pathology.
PLAX & SAX not parellel, so will not spectral. Assess with color in all views. Assess with PW in LVOT.
Assess AV with CW to check for high velocity flow.
Term
AV Flow
Definition
Normal AV flow will be systolic and below baseline.
AI will be diastolic above baseline.
Term
Echo Doppler Angle
Definition
Parallel to flow (0° or 180°).
Term
Ghosting
Definition
Flashes of color due to structure movement. Increase filter to correct.
Term
Echo Velocities
Definition
MV- .6-1.3 m/s
TV- .3-.7 m/s
PV- .6-.9 m/s
AV- 1-1.7 m/s
LVOT- .7-1.1 m/s
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