This is the
world of the technological advancements and the innovation. Almost everything
is equipped with the latest and the advanced technology. So as is the case with
the medical field. The current research work is related to Echocardiography.
Echocardiography is the examination which makes use of the sound waves. It
tends to produce the live images of the heart, where the image is the
echocardiogram. Recording
of the continuous wave Doppler is supposed the optimal for the systematic
examination for the local signals which has also highest auditable frequency,
and the maximum velocity along with spectral velocity.
Keywords: Medical field, Echocardiography, sound
waves.
Introduction of Echocardiography
Echocardiography
is the test which is used the sound waves and it is also produced the live
images of the heart, where the image is the echocardiogram. Then this test is
also referring to the doctor which monitor the heart as well as valves like the
functioning and then the images could also help to spots;
·
Clots of blood in heart
·
In Sac there is fluid around the heart
·
Difficult with an aorta
Therefore, the echocardiogram is the significant key which is calculating
the health of the heart muscles, especially in the heart attacks.
Echocardiography is also reveals the heart defects in the unborn babies.
The test of the Echocardiogram is painless but there are the following
risks with the types of the Echocardiograms;
Thus the Echocardiograms is supposed to be very safe and it’s the
imagining techniques like the X-rays of the echocardiograms which is not used
the radiation. Echocardiograms are the transthoracic which carries no risk, and
then it also has the chances for the slight of discomforts and the electrodes
is also removed from the skin. Whereas
the exercise as well as medication is used to get the heart rate where the
stress is the echocardiogram and can temporally causes the irregular
heartbeats. Thus the transthoracic echocardiogram also needs the special
preparations. Echo could also detect the possible blood clots inside the heart
where the fluid is buildup in a pericardium along with the problem of the
aorta. The main artery is the aorta which also carries the oxygen for the rich
blood from the heart into the body (Nhlbi.nih.gov, 2019).
The 2D and the M-mode of the Echocardiogram was recorded by the standard
cross sectional where the images is available for the scan planes by electronic
sensors sectors of Diatonic , Alto , Palo as well as Toshiba. In the fasting
states the transoesophageal of the Echocardiography was done then it assessing
the history of patient for the esophageal as well as pulmonary disorder. The
studies of emergences without the fastening are also done, and then the patient
by the bradycardia which is also received the sedative as well as analgebnices
intravenously.
Pulse wave Doppler to assess pathological Echocardiography
To assess the long axis
function for the both ventricles in the neonatal period by using the pulse wave
Doppler (PWD) Echocardiography. The PWD Echocardiography is recorded form a
lateral sites where the tricuspid as well as mitral annuluses along with the
interventricualr tips in the 130 neonates in the 24 hours (Schwammenthal & al,
2004).
The pulsed Doppler for the Echocardiography with the both tricuspid along with
the flow of mitral which is also used to determine the ventricular diastolic
filling for the invasively. Then there are different reports which is
concerning by the changes of the tricuspid along with the flow of mitral
tissues in the neonatal periods. The examination of the Echocardiography is
performed by the Aloka SSD with the 3.75 to 5 MHz transducers (Mori & al, 2004)
The velocity of the blood flow
is measured which is the critical understanding states of disease. Then the
pulse wave Doppler is used the principle of the moving objects by the features
of sound waves. Through the quick pluses of sound as well as the short pulse of
sounds it becomes accurate and measures the velocity of blood which is very
precise along with the real time and locations as shown in the below appendix 1.
Continuous wave Doppler to assess
pathological Echocardiography
The continuous wave Doppler for
the Echocardiograph examination is performed in the IREX model for the 3B
system by the use of the 2.0 MHz nominating of transducers. Then it is
occasionally 2.5 MHz dimensional imaging for the Doppler transducer which is
used for the orientation and the Doppler examination is in the cardio
catheterization which is performed through same examiner (REEDER, 1990).
Recording of the continuous
wave Doppler is supposed the optimal for the systematic examination for the
local signals which has also highest auditable frequency, and the maximum
velocity along with spectral velocity.
Discussion of Echocardiography
In the above paragraphs, a detailed
view of Echocardiography can be discussed. Now a discussion can be held as the
above diagnostic criteria showed the high rate of specificity for the nominated
pathologies and findings of the result show the high rates of specificity which
mean that they were very low in proportion. as well as having a low proportion
of aortic dissection of pulmonary diseases despite different pathologies. Most
of the pathologies were very sensitive in nature with the exclusions of atrial
septal, atrial thrombi, PE and these all have lower sensitivity with them.
Although they had a high chance of occurrence of having ischaemic heart
disease, heart failure and valvular heart disease present in the patients who
have AF and this was also included in the dominance of different studies. The
TTE has the appropriate diagnostic tool for the pathologies, and this tool also
includes the extra screening of PE for the scanning of lungs as well as the
screening of septal hypertrophy by the TOE and atrial thrombi to avoid such
kinds of FNs related to these pathologies.
The results can find out through a
mathematical model which designates the new ways for the diagnosis of the
patient. these diagnostic criteria did not receive rivaroxaban, warfarin, and
dabigatran which would be cost-effective in use. The TTE provides help to
inform with the exact outcome of warfarin. This is the new diagnostic criteria
that were used between patients and would bring quite cost-effective as well as
TTE help the doctors to assist and recommended the dabigatran. A simple
perspective can be used to identify the small number of QALY that had been
needed to consider a TTE would be economical and gives the benefit more then
sny other diagnostic criteria.
Strength and
Limitations in the Assessment of Echocardiography
A wide range of studies had been investigated the
excellent quality and relevance among the sample population. It has been
probable that most of the studies had missed and owing to the Limitations to
the study, as the research was published in International language and it was
based on the database that was searched for the diagnostic studies of accuracy.
Data was the alternate for the trail of routine
screening. In the pathologies practice, it would be investigated that these
practices can lead us toward the different strategies of treatment. The patient
has visited more pathologies in the accumulation of SF. this would be
preferable for the diagnosis of other conditions as compared to the diagnostic
criteria of AF. It is also essential to examine the performance of the
individual personally to receive satisfactory training to reduce the bias and
enhance the quality of screening procedures. The Findings of screening of
treatment would be resulted in an amendment and had a complex influence on the
subsequent prognosis. Getting diagnoses may consequence in the patient had to
make changes in his lifestyle as well as a need to attain proper medical
treatment. Moreover, the patient may have an emotional effect on in terms of
experiencing testing, getting supplementary diagnoses or being calmed where
comorbidities did not analyze.
It is necessary for the patient to have complete
information about his screening regarding their limitations and Implementations
before determining what kind of test should he have to take first. The trail
can be done in a normal routine on a daily basis to find out the new diagnosis
through TTE screening as well as it will also mention the effect of AF on the
patient. However, the trial has been costly owing to the large sample size and a
wide follow-up required to explore the findings.
the literature review of our study identified that
there is was no economic evaluation would be found in the screening of AF with
the patients of TTE. The strength of the model was to utilize the current data for
the evaluation of sensitivity and specificity of TTE in classifying
abnormalities and uncertainties in the patients and it was categorized by CHADS2 score
with authorization provided by TOE.
Uncertainties
of Echocardiography
There were many uncertainties presented in the
economic evaluation of TTE. the model was driven from the data. as this was a
recent, internally consistent study using the CHADS2 tool, and
it had also conducted TOE. However, the study was conducted on a small
population but the study needed a large scale. This means that data on the
specificity and sensitivity of TTE would be recognized as the LA abnormality
and this would be light.
Other related
factors of Echocardiography
As the TTE would comparatively available easily, and was
safe and gives the non-invasive diagnostic, no other relevant factors had been
acknowledged. The results might have been changed or varying in case the
variables for the current study are more available. It is all related to the
population of the data. Also, the sample size is a corresponding factor. It
tends to provide with the varying results for the same study.
Implications for service provision of
Echocardiography
In the conclusion of the study, there would be few
implications were presented for service provision. It would also be recommended
that TTE will be considered better for the patients who have CHADS as well as
this would be unlikely to place a great burden on hospitals who were likely to
have staff trained for the access of TTE machines. the Capacity would be contingent
toward scheduling the use of the TTE equipment and extra staff time should also
be needed. The more the efforts of the staff are used the better it helps to
make the significant contributions for achieving the desired outputs.
Conclusion of Echocardiography
Echocardiography
is the test which is used the sound waves and it is also produced the live
images of the heart, where the image is the echocardiogram. Then this test is
also referring to the doctor which monitor the heart as well as valves like the
functioning and then the images could also help to spots clots of blood in
heart, in Sac there is fluid around the heart and the Difficulty with an aorta.
Echocardiograms are the transthoracic which carries no risk, and then it also
has the chances for the slight of discomforts and the electrodes is also
removed from the skin. Whereas the
exercise as well as medication is used to get the heart rate where the stress
is the echocardiogram and can temporally causes the irregular heartbeats to the
patients.
The studies of emergences without the fastening are
done, and then the patient by the bradycardia which is also received the
sedative as well as analgebnices intravenously. This is the new diagnostic
criteria that were used between patients and would bring quite cost-effective
as well as TTE help the doctors to assist and recommended the dabigatran. A
simple perspective can be used to identify the small number of QALY that had
been needed to consider a TTE would be economical and gives the benefit more
than other diagnostic criteria.
. In the pathologies practice, it would be
investigated that these practices can lead us toward the different strategies
of treatment. The patient has visited more pathologies in the accumulation of
SF. this would be preferable for the diagnosis of other conditions as compared
to the diagnostic criteria of AF. It is also essential to examine the
performance of the individual personally to receive satisfactory training to
reduce the bias and enhance the quality of screening procedures.
There were many uncertainties presented in the
economic evaluation of TTE. the model was driven from the data. as this was a
recent, internally consistent study using the CHADS2 tool, and
it had also conducted TOE. The study was conducted on a small population but
the study needed a large scale. This means that data on the specificity and
sensitivity of TTE would be recognized as the LA abnormality and this would be
light.
As far as the uses of echocardiogram are concerned
then it is better suggested by the doctors due to many reasons. Some kind of
abnormality might have been discovered. It is also the case when the heartbeat
is listened by making use of the stethoscope. In case the patient has the
irregularity to the heartbeat, the doctor performs varying types of the
diagnosis. It can include inspection for the valves of the heart of the patient,
or may be the chambers of the heart. It case also include as a part the pumping
ability of the heart or its valves. In case there are shown the signs for the
breath shortness or the pain in the chest the doctors may also order for one of
the same. This is how it is tried to examine the patient by making use of the
advanced and the latest technology.
Suggestions of
Echocardiography
The results can find out through a
mathematical model which designates the new ways for the diagnosis of the
patient. In the pathologies practice, data was the alternate for the trail of
routine screening. It has been probable that most of the studies had missed and
owing to the Limitations to the study. There were many uncertainties presented
in the economic evaluation of TTE. There were many uncertainties presented in
the economic evaluation of TTE. As well as the above patients were diagnosed
with the new screening test of AF to study and find better results for the
treatment and diagnosis of the cardiovascular and related diseases to find out
the powerful benefits for a daily checkup to prevent the stroke from happening.
It can be said that the more the advanced as well as the latest techniques are used
the better it helps to examine the patients for the specified diseases along
with the cure from the specified diseases.
Mori, K., & al, e. (2004). Pulsed wave Doppler
tissue echocardiography assessment of the long axis function of the right and
left ventricles during the early neonatal period. Hear, 90(2), 175–180.
Nhlbi.nih.gov. (2019). Echocardiography.
Retrieved from https://www.nhlbi.nih.gov/health-topics/echocardiography
REEDER, G. S. (1990). Use of Doppler
Techniques (Continuous-Wave, Pulsed-Wave, and Color Flow Imaging) in the
Noninvasive Hemodynamic Assessment of Congenital Heart Disease. 725–744.
Schwammenthal, E., & al, e. (2004).
Association of left ventricular filling parameters assessed by pulsed wave
Doppler and color M-mode Doppler echocardiography with left ventricle
Pathology, Pulmonary Congestion, and Left. The American Journal of
Cardiology , 488-491.