This book sets echocardiography within a routine clinical context. It aims to synthesise guidelines into a pragmatic clinical approach to real patients providing a step-by-step guide to performing, reporting, and interpreting a study. We wrote it imagining we were the calm voice of a senior echocardiographer teaching a junior colleague. This edition has been extensively revised with an expansion of sections on acute, intensive care, and emergency medicine. COVID-19 has necessitated limiting exposure of both patient and operator to infection and caused a huge increase in waiting lists. This has sharpened the debate over matching the level of scan to the clinical question and also highlights the importance of collaboration between clinicians and echocardiographers.

Key Features

Expanded first chapter on levels of echocardiography
New sections on COVID-19, cardio-oncology, multivalve disease, and specialist valve clinics
Incorporation of new international guidelines, grading criteria and normal data
Guide to how cardiac CT and magnetic resonance can complement echocardiography
Reformatted text and extra diagrams and tables to improve understanding


1. Defining the study
2. Left ventricular dimensions and function
3. Acute coronary syndrome
4. The right ventricle
5. Pulmonary pressure and pulmonary hypertension
6. The atria and atrial septum
7. Cardiomyopathies
8. Aortic valve disease
9. Mitral valve disease
10. Right-sided valve disease
11. Mixed valve disease
12. Prosthetic heart valves
13. Endocarditis
14. The Heart valve clinic
15. The aorta and dissection
16. Adult congenital disease
17. Pericardial disease
18. Masses
19. Echocardiography in acute and critical care medicine
20. General clinical requests (Murmur, heart failure, stroke, cardiac arrhythmia, hypertension, cocaine, HIV, neuromuscular diseases, inflammatory diseases, hypereosinophilia, drugs causing valvopathy, radiation)
21. Appendices

Author(s)