1. Introduction of ECHOCARDIOGRAPHY
Amiliana Mardiani Soesanto, MD
Non Invasive and Cardiac Imaging Division
Department of Cardiology and Vascular Medicine
Medical Faculty University of Indonesia
National Cardiac Center Harapan Kita

2. Echocardiography procedure
Cardiac Ultrasound
Non Invasive Diagnostic Test
Trans-thoracic Echocardiography
Semi Invasive Diagnostic Test
Trans-Esophageal Echocardiography

3. Echocardiography
Cardiac Imaging  extension of the physical examination
Ultra sound principal
2 MHz – 7.5 MHz
Operator dependent technique

4. The modality M-mode 2 dimension echocardiography Doppler : colour
spectral
tissue
3 dimension echocardiography

5. M-mode and 2-D

6. Colour Doppler

7. Spectral Doppler

8. Spectral Doppler and Tissue Doppler
The hemodynamic
Late 70’s
Mid 90’s

9. 3 dimension echocardiography

10. 3 dimension echocardiography

11. Cardiac Imaging Transthoracic Echo

15. Indication of Echo examination
Cardiac Anatomy and function
Valves morphology and function
Cardiac structural abnormality
Cardiac Masses / Abnormal structures
Haemodynamic conditions

16. 1. Cardiac Anatomy and Function

17. 1. Cardiac Anatomy and Function
Systolic function :
Ejection Fraction
LVEDD, LVESD

18. 1. Cardiac Anatomy and Function
Diastolic function
E/A rasio

19. 2. Valve Morphology and Function

20. 2. Valve Morphology and Function

21. 2. Valve Morphology and Function

22. 2. Valve Morphology and Function

23. 3.Cardiac Structural Abnormality

24. 4.Cardiac Masses / Abnormal Structural

25. 5. Hemodynamc Assessment

26. Specific Procedures Stress Echocardiography
Transoesophageal Echocardiography

27. Stress Echocardiography
Exercise Stress Test
Pharmacological Stress Test
Diagnostic study
for CAD
Viability Study
for CAD
Intervention Strategy

28. Stress Echocardiography

29. Transoesophageal echocardiography
Pemeriksaan semi invasif echocardiography melalui esofagus

30. The end