Echocardiography Pocket Guide: The Transthoracic Examination

Bernard E. Bulwer, MD, MSc, FASE-Noninvasive Cardiovascular Research, Brigham and Women’s Hospital, Boston, MassachusettsBernard E. Bulwer, MD, MSc, FASC trained at the Lown Cardiovascular Center and the Brigham and Women’s Hospital in Boston. After completing fellowship training in echocardiography at the Brigham and Women’s Hospital in Boston, his passion is to make echocardiography more accessible to non-cardiologist by developing educational tools that will assist in the implementation of pocket echocardiography—or the ultrasound stethoscope—into medical education and healthcare. He serves as the principal investigator of a global project to implement portable echocardiography throughout the world.


 Jose M Rivero, MD-Chief Cardiac Sonographer, Brigham and Women’s Hospital, Boston, MassachusettsForeword: Scott D. Solomon, MD-Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts

Echocardiography Pocket Guide: The Transthoracic Examination was recently awarded with 4 Stars for Doody's Book Review!

Developed for medical students, residents, cardiologists, and sonographers, Echocardiography Pocket Guide: The Transthoracic Examination presents a comprehensive, easy-to-understand, and practical guide to the performance and interpretation of the transthoracic examination.
Key features include:

  • Practical step-by-step approach to the transthoracic examination
  • Accurate depictions of echocardiographic anatomy
  • Basic principles of ultrasonography
  • Illustrated charts summarizing normal and abnormal cardiac structure and function


by Scott D. Solomon, MD Director, Noninvasive Cardiology at Brigham and Women’s Hospital

Echocardiography is a manual skill. Unlike other imaging techniques, where a patient is positioned and a technician may press a series of buttons, echocardiography requires that a skilled operator apply a transducer manually to a patient’s thorax. Moreover, as echocardiography is not a tomographic technique, the images obtained are neither uniform nor guaranteed to be of a certain quality or even spatial location. Hence, the quality of the images obtained is directly dependent on that operator’s skill and experience; the success of the examination begins and ends at the hands of the person holding the transducer.

Echocardiography Pocket Guide: The Transthoracic Examination by Bernard Bulwer and José Rivero, provides an introduction to cardiac imaging with echocardiography for anyone interested in learning this skill. It will appeal to sonographers in training and beyond. It will appeal to cardiology fellows, emergency physicians, and any physician or health professional interested in learning echocardiography from a hands-on perspective.

In addition to providing an expert introduction to the process of performing an echocardiographic examination, this book is expertly illustrated and will guide users through the first steps of interpreting echocardiographic images. A good sonographer needs to know what to look for, and how to look for it. While a solid understanding of the kinds of pathology that are typically seen are essential in an echocardiographers training, the most important thing an echocardiographer can learn is to recognize normal, as only then can he or she appreciate and understand deviations from normality.


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