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Echocardiogram Heart Test | Everything you need to know
20, May, 2025

Echocardiogram Dictionary & Glossary

๐Ÿ›๏ธ Heart Anatomy & Structures โˆ’
TermMeaning
Left Ventricle (LV)Main pumping chamber that sends blood to the body.
Right Ventricle (RV)Pumps blood to the lungs.
Left Atrium (LA)Receives oxygenated blood from the lungs.
Right Atrium (RA)Receives deoxygenated blood from the body.
Interventricular Septum (IVS)Wall between the left and right ventricles.
Interatrial Septum (IAS)Wall between the left and right atria.
PericardiumOuter lining of the heart.
๐Ÿšช Heart Valves โˆ’
TermMeaning
Mitral ValveValve between LA and LV.
Tricuspid ValveValve between RA and RV.
Aortic ValveValve between LV and aorta.
Pulmonic ValveValve between RV and pulmonary artery.
Valve RegurgitationLeaky valve causing backflow.
Valve StenosisNarrowed valve causing restricted flow.
๐Ÿฉบ Function & Motion โˆ’
TermMeaning
Ejection Fraction (EF)% of blood pumped from LV; normal is 55โ€“70%.
Wall Motion AbnormalityPart of heart wall not contracting normally.
HypokinesisReduced wall motion.
AkinesisNo wall motion.
DyskinesisAbnormal or paradoxical motion.
LV HypertrophyThickened LV wall.
Diastolic DysfunctionImpaired filling of the ventricle.
Systolic DysfunctionImpaired contraction of the ventricle.
๐ŸŒˆ Doppler & Flow Terms โˆ’
TermMeaning
Color DopplerShows direction and turbulence of blood flow.
Pulse Wave DopplerMeasures flow at a specific point.
Continuous Wave DopplerMeasures high velocity flow (across valves).
Spectral DopplerGraph showing velocity vs time.
E-wave / A-waveMitral inflow waves during diastole (early filling and atrial contraction).
E/A RatioHelps assess diastolic function.
VTI (Velocity Time Integral)Measures stroke distance from Doppler flow.
Pressure GradientDifference in pressure across a valve (calculated via velocity).
๐Ÿ“ˆ Normal Valve Velocity Ranges โˆ’
ValveNormal Peak Velocity (m/s)
Mitral Valve (E-wave)0.6 โ€“ 1.3 m/s
Mitral Valve (A-wave)0.2 โ€“ 0.7 m/s
Tricuspid Valve0.3 โ€“ 0.7 m/s
Aortic Valve1.0 โ€“ 1.7 m/s
Pulmonic Valve0.6 โ€“ 0.9 m/s
LVOT (Left Ventricular Outflow Tract)0.7 โ€“ 1.1 m/s
๐Ÿšฉ High Velocity = Possible Abnormality: โˆ’

  • Stenosis: Narrowing of a valve increases flow speed.
  • Regurgitation: Leaky valves cause abnormal backflow jets.
  • Hyperdynamic states: Fever, anemia, or stress can cause transiently elevated flow.
  • Pressure overload: Elevated pressure in heart chambers or vessels may raise velocity.
๐Ÿงช Measurements & Findings โˆ’
TermMeaning
LVEDD / LVESDLeft ventricular end-diastolic/systolic diameter.
LA Volume IndexNormal <34 mL/mยฒ; increased in atrial enlargement.
LV Mass IndexIndicates hypertrophy.
TAPSETricuspid Annular Plane Systolic Excursion โ€” RV function.
RVSPRight Ventricular Systolic Pressure โ€” pulmonary pressure estimate.
Pericardial EffusionFluid around the heart.
TamponadeCompression of the heart due to fluid.
ThrombusBlood clot, often in LV apex or LA.
๐Ÿ“Š Echo Types โˆ’
TermMeaning
TTETransthoracic Echo โ€” standard chest ultrasound.
TEETransesophageal Echo โ€” probe down the esophagus.
Stress EchoPerformed under physical or drug-induced stress.
Contrast EchoUses bubbles or dye to improve visibility.
3D EchoProvides three-dimensional view.
๐Ÿง  Advanced Concepts โˆ’
TermMeaning
Strain ImagingAssesses myocardial deformation.
GLSGlobal Longitudinal Strain โ€” early LV dysfunction indicator.
Speckle TrackingTechnique for measuring strain.
Tissue Doppler Imaging (TDI)Measures heart muscle motion velocity.
E/e' ratioUsed to estimate LV filling pressure.
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