University of Missouri School of Medicine MU Health School of Medicine

Cardiovascular Medicine

UMC Echo Laboratory

Goals and Objectives:

The goals and objectives of the UMC and VA echo services are to gain an understanding of the diagnostic capabilities of echocardiography and Doppler. Specific goals include:

  • Gain understanding on instrumentation and controls on echo machines
  • Able to acquire 2-D and Doppler images and store and retrieve them
  • Able to carry out a comprehensive echocardiographic evaluation of a patient
  • Understand the indications of echocardiography especially in context of ACC/AHA and ASE guidelines
  • Interpret 2-D and Doppler echo and be able to identify structural and hemodynamic abnormalities
  • Understand the indications and complications of TEE
  • Interpret and perform TEE
  • Manage smooth workflow in the echo lab
  • Provide preliminary readings on studies
  • Understand the indications of contrast
  • Understand the principles and application of contrast echo
  • Understand tissue Doppler and its application (Strain and strain rate imaging)
  • Actively participate in Treadmill Stress testing with echocardiography including selection of digitized image looped immediately post exercise
  • Pharmacologic stress testing with echocardiography including selection of digitized image loops immediately post exercise
  • TEE guided cardioversion
  • Understand advanced echo: (a) AV optimization (b) Research applications
  • Be fluent in presentation of case based echocardiography in formal presentations
  • Formulate Research projects, echo related
  • Carry out research projects

In the Echo rotation fellows perform and interpret multidimensional echocardiography. Studies are performed between 8:30 am to 5:00 pm. Emergency procedures are provided through the "on call" cardiology fellow and attending. Studies are interpreted in conjunction with the Non-Invasive Cardiology attending or the Nuclear Medicine attending. Cardiology fellows are strongly encouraged to attend conferences in Nuclear Medicine during this rotation. With adequate numbers, certification for licensure to perform nuclear studies is available. The University echocardiographic laboratory is fully ICAEL accredited and is a fully digital lab. At the end of the required rotations, level II certification in echocardiography will be achieved.

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