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surgery, the use of intraoperative transoesophageal echocardiography (TOE) is key in confirmation of valvular heart pathology and as a monitoring tool during surgery. There is paucity of data on quadruple valve replacement. Case presentation A 32

Introduction Stress echocardiography was initially employed as a non-invasive means of assessing patients with suspected coronary artery disease (CAD) by comparing regional and global left ventricular systolic function at rest and on stress

Background This is a rare case of Takotsubo syndrome presenting in the same manner as ACS. This highlights the use of echocardiography in the acute setting in differentiating acute valve pathology and other causes of cardiogenic shock with the

these cases are familial ( 5 ). Valve disease accounted for just over 10% of new cases in the 1990s, but this is likely to be increasing as our population ages, and senile aortic stenosis becomes increasingly common. Echocardiography is key to the

checklists (6) , (11) . In this issue, the BSE and ACTA have developed a specific checklist for transoesophageal echocardiography (TOE) (12) . This is relevant as TOE involves the use of sedation and there is the potential for harm to the patient. There is

(ECG) (2) . Although echocardiography can improve the specificity of cardiac screening, the implementation of echocardiography has been limited by cost and accessibility. The evolution of hand-held cardiac ultrasound (HHCU) devices is increasingly

volume. LA size and volume (indexed to body surface area) is therefore considered a marker for left ventricular diastolic function (LVDF) and is included in the LVDF echocardiographic protocol set out by the American Society of Echocardiography (ASE) ( 5

cardiovascular imaging (echocardiography, multi-detector cardiac computed tomography (MDCT), CMR) in pericardial conditions, focusing on the strengths and potential limitations of each imaging modality. Echocardiography Echocardiography is the mainstay

Introduction Speckle-tracking echocardiography (STE) is an almost new imaging technique that is used for the evaluation of myocardial deformation, expressed in terms of segmental and global longitudinal myocardial strain. STE is a mostly angle

unexplained arrhythmia, supported by non-invasive tests including cardiac imaging ( 4 , 5 ). Echocardiography is frequently used to support a diagnosis of lupus myocarditis ( 6 , 7 ). Accurate assessment of ventricular wall motion (velocity) is essential