M-Mode Echocardiography John N. Hamaty D.O. SJHG M-Mode Echo • Used in combination with 2-dimentional • Rapid sampling of a region results in placing sequential parallel data lines so close together that individual points of brightness appear as continuous horizontal lines. • 90 degrees to sample- “ice pick” M-Mode Echo • This narrow field allows fewer pulses with a higher frame rate and therefore better temporal resolution • Factors that shorten the time required to make a frame will act to improve temporal resolution. Improving Temporal Resolution • • • • • Minimize depth of view Use single focus Narrow sector Minimize line density As temporal resolution improves, image quality may degrade. Mitral Valve Disease M-Mode Echo Anterior Mitral Valve Prolapse(MidLate Systole) Mitral Stenosis Aortic Insufficiency with fluttering of Mitral Valve Mitral Valve Endocarditis Aortic Valve Disease M-Mode Echo Critical Aortic Stenosis Early closure of AV due to Severe LV dysfun St Jude Prosthetic Aortic Valve Pulmonic Valve Disease M-Mode Echo Pulmonary HTN with “Flying W sign” Left Ventricle M-Mode Echo Dilated Cardiomyopathy “B” bump due to elevated EDP Hypertrophic Cardiomyopathy Paradoxic Septal Motion