Article Text

“Like a sound and its echo”
  1. Piotr Szymański,
  2. Magdalena Lipczyńska,
  3. Anna Klisiewicz,
  4. Piotr Hoffman
  1. Echocardiographic Laboratory, Adult Congenital Heart Disease Department, Institute of Cardiology Warsaw, Warszaw, Poland
  1. Correspondence to Dr Piotr Szymański, Echocardiographic Laboratory, Valvular Heart Disease Department, Institute of Cardiology, Alpejska 42, Warszawa 04-628, Poland; p.szymanski{at}

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A young patient with dilated cardiomyopathy and a history of pulmonary embolism presented with severe heart failure. An echocardiographic study showed both left and right ventricular dilatation and severe systolic dysfunction of both ventricles (see online supplementary video). The Doppler recordings of left and right ventricular outflow tract velocities, pulse wave Doppler and colour M-mode Doppler recordings of transmitral flow as well as tissue Doppler recordings of mitral and tricuspid annulus velocities are presented in Figure 1.

Figure 1

Doppler recordings of left and right ventricular outflow tract velocities (top panels), mitral and tricuspid annular velocities (mid-panels) and transmitral …

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