Palpitation echocardiography and ultrasound

Palpitation Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]

Overview

An echocardiography is a second line investigation that is employed in the diagnosis of patients presenting with palpitations when there is an increased suspicion of structural heart disease.

Echocardiography

• An echocardiography is a second line investigation that is employed in the diagnosis of patients presenting with palpitations when there is an increased suspicion of structural heart disease.
• These include conditions such as:
  1. Mitral Valve Prolapse
  2. Severe aortic regurgitation
  3. Severe mitral regurgitation
  4. Congenital heart diseases
  5. Mechanical prosthetic valves
  6. Hypertrophic cardiomyopathy
     

Mitral Regurgitation with Aortic Regurgitation

• Hyperdynamic left ventricle, mildly dilated (LVIDd = 61 mm), stroke volume = 50 mL.
• Large vegetation on the ventricle side of the aortic cusp (30 × 15 mm).
• Severe aortic regurgitation.
• Dense continuous-wave Doppler signal with a steep slope (pressure half time <150 ms) indicating severe aortic regurgitation.
• Moderate mitral regurgitation.

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