Illustrative Video Manual of Echocardiography: A Step by Step Approach (Part I) Rajesh Shah
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Illustrative Video Manual of ECHOCARDIOGRAPHY A Step by Step Approach PART I
Second Edition
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  1. Echo Physics—The Basics
  2. Image Optimization
  3. Introduction to Echocardiography
  4. Basics of Color Flow Imaging and Doppler Echocardiography
  5. Mitral Valve and Mitral Stenosis
  6. Mitral Regurgitation
  7. Aortic Valve and Aortic Stenosis
  8. Aortic Regurgitation
  9. Pulmonary Valve
  10. Tricuspid Valve
  11. Pulmonary Hypertension
Illustrative Video Manual of ECHOCARDIOGRAPHY A Step by Step Approach PART I
Second Edition
Rajesh Shah MD (Medicine) Director Shri Krishna Hospital Chief Physician and Noninvasive Cardiologist Tapadia Diagnostic Centre Hitech Critical Care Centre Sai ICCU and Critical Care Centre Krupamayee Hospital and ICCU Aurangabad, Maharashtra, India Foreword Satish C Govind
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Illustrative Video Manual of Echocardiography: A Step by Step Approach (Part I)
First Edition: 2016
Second Edition: 2019
Printed at
My mother, Mrs Snehalata Shah and Father, Late Dr KR Shah My wife Dr Rekha Shah and my daughters Dr Nikita Mashru and Dr Ankita Shah
There has been a tremendous and rising interest in the field of echocardiography over the last few decades. Echocardiography as we see today is no more the domain of cardiologists, as new users from other specialties of medicine have started to embrace and become skilled in echocardiography. With this ever-increasing pool of practitioners in echocardiography, there is also a parallel requirement of an easily available and practical teaching content that can be an invaluable source of reference for these practitioners.
This requirement is admirably filled in with Dr Rajesh Shah's thoughtful DVD compilation on echocardiography Illustrative Video Manual of EchocardiographyA Step by Step Approach with its neat and well-planned chapters with abundant images. The narrative slides and a step-by-step approach is easy-to-comprehend and has been designed in such a way that will appeal to a new user as well as an experienced echocardiographer. It is commendable the manner in which the author has presented this compilation. The well-illustrated and informative slides and images are smartly interspersed with practical tips making it for an extremely useful resource for the echo practitioner. The variety of case studies and the quality images are very good and with information added from the latest guidelines, it further makes it more wholesome.
Dr Shah has always been very passionate and committed to echocardiography and this nice compilation is evidence of that. He brings in his experience and skillful insights to describe the various aspects of echocardiography. The compilation which is on a DVD is a delight to watch and has a well-balanced look about it, consisting of images, slides, sketches, figures and tables. The images which are separate and combined with a booklet which contains text presented in the form of slides. It starts with basic topics like physics and knobology followed by introduction to echocardiography in the form of M-mode, 2D and Doppler echocardiography followed by valvular heart disease. All valvular lesions are dealt with in an easy and straightforward manner, detailed but at the same time concise. There is focus on pulmonary hypertension underscoring its great importance whenever valvular heart disease is evaluated.
Kudos to Dr Shah, for this sterling effort which will be much appreciated by all those who come across this. The echocardiography practitioner will find this DVD compilation an easily accessible and handy tool to learn the basics and also to tackle the various intricacies of conventional echocardiography.
Satish C Govind
Chief Noninvasive Cardiologist
Fortis Hospitals
Bengaluru, Karnataka, India
Editor-in-chief, JIAE
The fact that the first edition has been totally sold out, is a proof of the credibility of the DVDs. Rather than going in for reprint, I am coming out with a new edition. This is due to the fact that each day new research material is published, and brought into practice. New guidelines such as those for valvar heart disease, the chamber quantification and diastolic dysfunction are introduced, and one has to be abreast of time.
As we know, the echocardiography training courses and trainers are not conveniently available to enhance the competence of the physicians in this discipline, the present DVD would come handy and serve the purpose more efficiently.
It is a fact that unless one knows about the properties of ultrasound, one cannot utilize it to its outmost capacity. Hence, I have added one chapter of related ‘Echo Physics’. I have tried to explain the basic physical principles in a very lucid and simple manner with a lot of illustrations so that the doctors who are usually afraid of physics, can understand it.
Another important chapter that I have added is the ‘Image optimization’, which nowadays has come to be known as “knobology”. I have tried to explain the different technical adjustments required to have a crisp image. I have covered this for all entities like 2D, and M-mode echocardiography, color Doppler and pulsed and continuous wave Doppler examinations.
Pulmonary hypertension, as we all know is the end result of all cardiac and respiratory ailments, and the degree helps in decision making for different management strategies. I have tried to cover the different aspects of ‘Pulmonary Hypertension’, by adding a new chapter on it.
I have presented Mitral Regurgitation and Aortic Regurgitation into two separate chapters as I have included all the recent guidelines for stenotic and regurgitant valve evaluation.
I hope this second edition of the Illustrative Video Manual of EchocardiographyA Step by Step Approach, will help all the aspirants of echocardiography to remain abreast with the time and do echoes in the proper, required fashion maintaining the level of competence.
I am also bringing out an “Atlas” of video clips comprising a variety of unusual and challenging cardiac delicacies and intricacies. This will reach you as soon as the time is a little soft and kind to me. It is already under publication.
Rajesh Shah
Science and technology has radically changed the means and the methods of diagnosis. Until the recent past, stethoscope alone was the source of diagnosis. As simple a matter, like ‘murmur’ would initiate long debates and discussions comprising various opinions. And the final word, certainly, would be that of the professor. The magic of stethoscope does not carry that grandeur any more. It has been, now, replaced by Echocardiography. Echocardiography has really revolutionized the management of patient from diagnostic, therapeutic and even prognostic point of view.
It is performing wonders, in literally all branches of the medical faculty. It plays a pivotal role in intensive care unit (ICU), intensive cardiac-care unit (ICCU), obstetrics and gynecology (Obs/Gyn), surgery, anesthesiology, oncology, etc. You name the branch and echo will be required for some or the other purpose.
It is cost effective, easily available at the bedside, noninvasive, with immediate results, with a world of information that can be recalled and reproduced as many times as is required for the follow-up of the patient.
There are fairly a large number of physicians desiring to learn echocardiography, its delicacies and performative strategies. But not much is available in this regard, there are a few teaching courses for the beginners to make the skills conveniently easy and accessible for them. The physicians are extremely busy and cannot leave their clinics for a couple of weeks; and, no short-term courses are available. Moreover, the entire amount of basics is not taught in such courses. And, to make the matter worse, if a topic is missed, there is no provision to repeat or recapitulate it. The aspiring physicians are dissuaded and discouraged and consequently, keep postponing their admission to such a course in echocardiography.
The difficulties which I personally experienced in learning echocardiography inspired me to come out with this Illustrative Video Manual of Echocardiography for Beginners — A Step by Step Approach which I feel would be useful for students and physicians who wish to learn and develop skills on the finer points of echocardiography right from the beginning.
This DVD would be immensely useful in providing preliminary exposure, prior to attending the different teaching courses and workshops, as all topics somehow are not covered here, and once the link is missed, the topic is lost.
In this context, learning echo by visual impression creates a permanent impact in comparison to the books on echo techniques. Hence, attempt has been made to translate the experience gained, into appropriate visuals and illustrations. In the DVD, I have incorporated as many illustrations as possible of the normal as well of the abnormal conditions to arrive at an accurate diagnosis.
This DVD does not take into account the fundamentals of physics and other technical details. I have, therefore, mainly focused on the essentials of echocardiography that would enhance the perceptions and basic competence of the physicians highly desirous of acquiring skills in this field. I, sincerely, believe that Illustrative Video Manual of Echocardiography for Beginners — A Step by Step Approach will cater to their needs and open-up fresh avenues to seek proficiency in the realms of echocardiography.
Rajesh Shah
I am grateful to my wife, whose constant encouragement and persuasion made me complete the task. I cannot forget my both doctor daughters, who were a constant inspiration to me and whose constant daunting made me complete the DVDs faster, so that I could give them their due attention.
I am really indebted to my teachers without whom I could never have reached the status I have this day.
I thank all my patients on whom I did the echocardiography and learnt from their sufferings and ailments.
Last but not least, I am thankful to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director) and Mr MS Mani (Group President) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, who helped and guided me in publishing these DVDs.