Introduction

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	2004 The Changing Left Ventricle 2003 Aortic Valve Disease: New Dimensions in Evaluation and Management 2002 Heart Failure: Echo's Role in and Emerging Health Crisis 2001 Chest Pain in Children & Adults: The Role of Echo 2000 Mitral Regurgitation: New Concept 1998 The Falling Left Ventricle: Diastolic & Systolic Function 1997 Changing the Outcome of Coronary Artery Disease


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JOSEPH A. KISSLO, MD: Duke Center for Echo DAVID B. ADAMS, RDCS: Duke Center for Echo	Download this document as a .pdf

Introduction

Some of the earliest uses for Doppler echocardiography were in detection of valvular insufficiencies. The first Doppler echocardiography studies of valvular regurgitation were, however, focused outside the heart. As early as 1971, it was demonstrated that retrograde blood flow could be detected during diastole in the subclavian arteries of patients with aortic insufficiency. At about the same time, certain abnormalities were detected in the jugular veins of patients with tricuspid insufficiency. Since then, there have been many studies using direct evaluation of the heart valves for insufficiency, and it is now becoming generally accepted that Doppler is a fairly sensitive and specific method for the detection of valvular insufficiency.

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