Prediction of Intracardiac Pressures and Assessment of Ventricular Function with Doppler Echocardiography

Summary Doppler echocardiography has had a profound influence on the clinical practice of cardiology. With the use of the modified Bernoulli equation, Doppler echocardiography provides a noninvasive technique for calculating intracardiac pressures. Compared to invasive measurements, the Doppler estimates of intracardiac pressures are accurate and reproducible. By the evaluation of intracardiac blood flow, Doppler echocardiography provides a technique for the evaluation of ventricular performance that is independent of ventricular geometry. This application of the Doppler technique is in its infancy and much investigative work is needed to correlate the invasive and noninvasive measurements of ventricular function and to determine the effect of factors such as heart rate, loading conditions, and cardiac drugs on the Doppler indexes of function. In the future, it is very likely that Doppler color flow mapping techniques will provide additional information on ventricular emptying and filling patterns that will be important in the noninvasive assessment of cardiac function.