Confidence with Small Animal Echocardiography
This programme is designed to build your confidence in echocardiography so that you can start obtaining diagnostic information immediately, right from your very first view.
Comes with lifelong access to expert mentors; scanning feedback or a second opinion, whenever you need it.


Now with Doppler walkthroughs
Finally understand the ‘why’ behind your Doppler studies, and how to interpret your results to make more confident diagnoses.
Lifelong access, even as we grow
Once you’re in, you’re in!
We are always adding more resources into the training portal, as well as keeping content up-to-date with the latest guidelines, best practice and research findings.
By enrolling into the Confidence in Echocardiography programme, you will have access to all new modules that we add, supported with lifelong expert mentorship via email or Zoom, as well as membership of the Veterinary Echocardiography community (currently hosted on Facebook).

Contents
Introduction
Module 1
- Introduction
- The Right Parasternal Inflow View
- The Right Parasternal Outflow View
- Preparation for scanning: Image Optimisation & Tissue Harmonic Imaging
Supplementary Information - Module 1
- Colour Doppler in Echocardiography
Module 2
- Visual assessment from the right parasternal long axis approach
- Visual assessment continued
- Colour Box Placement
- Roundup
- Roundup Quiz
Module 3
- The papillary muscle level or “mushroom view”
- The mitral valve level or “fish mouth view”
- The apical short axis view
- Introducing the short axis
- Obtaining B and M mode short axis images
- Performing your measurements: IVS, LVIDd, PW and LVIDs
- Left Ventricular Systolic Function
- Summary
Supplementary Information - Module 3
For those who want more detail, a closer look at how we quantify left ventricular systolic function in echocardiography.
- LV systolic function quantification: Fractional Shortening & Ejection Fraction
Module 4
- The Aortic Valve in Long Axis
- The Aortic Valve in Short Axis
- Visualising the Pulmonary Valve
- The Left Atrium
- Inspirion Exercise
Supplementary Information - Module 4
- An in-depth look at the history and evolution of the LA:Ao ratio measurement, and how to perform it.
- Familiarisation with pulmonary regurgitation.
- Calculating an LA:Ao ratio
- Left Atrial Diameter
- Slice Thickness Artifact
Module 5
- The Tricuspid Valve
- The Mitral Valve
- Mitral Stenosis
- Mitral Regurgitation
- Primary mitral regurgitation: myxomatous mitral valve disease
- Secondary mitral regurgitation: Functional mitral valve disease
- Colour Doppler in patients with mitral regurgitation
- Case walkthrough
- Inspirion exercise: mitral regurgitation
Module 6
- What is pulmonary hypertension?
- Assessing the right heart
- Pressure overload
- Volume overload
- Septal flattening
- Feline patients
- Summary
Supplementary Information - Module 6
For those who are ready to incorporate the first left-sided views into their examination.
- Introduction to the apical probe position
- Obtaining your apical 4 and 5 chamber views
- Quantifying RV longitudinal function with TAPSE
- Choosing an ultrasound machine for echocardiography
Module 7
A detailed examination of the two most common cardiomyopathies in small animals: hypertrophic cardiomyopathy (HCM) and dilated cardiomyopathy (DCM). We will look at:
Primary and secondary signs of cardiomyopathy on echocardiography
How to screen for cardiomyopathy with cardiac ultrasound
- Introduction to cardiomyopathies
- Hypertropic Cardiomyopathy
- Papillary Muscles
- Measuring wall thickness
- Obstructive HCM
- Diastolic Function & HCM
- Dilated Cardiomyopathy
- EPSS
Supplementary Information - Module 7
- Arrhythmogenic right ventricular cardiomyopathy
- Calculating Ejection Fraction from the apical and right parasternal views
Module 8
In this module, we will examine:
Pericardial effusions – what are they, and how can we identify them on echo?
Emergency echo and tamponade
Pleural effusions – differentiating pleural and pericardial effusions
- Pericardial effusions
- Reporting pericardial effusions
- Differentiating pericardial and pleural effusions
- Effusion examples
Getting started with spectral Doppler
- What are PW and CW Doppler?
- Using PW Doppler to pinpoint the site of narrowing or obstruction
- When only continuous wave will do!
- Summary
Doppler Module 1
- Introduction to Doppler and Apical Views
- How can Doppler help?
- Dynamic outflow tract obstruction and CW Doppler
- Your most important spectral Doppler controls
Doppler Module 2
Pulsed wave Doppler can be used to look at mitral inflow patterns. In this module, we learn about what this can tell you about your patient’s filling pressures. We also take our first look at Tissue Doppler Imaging (TDI) and how this can be combined with mitral inflow for a more complete understanding of diastolic function.
- Using Doppler for diastolic function assessment
- Diastolic dysfunction
- Isovolumic Relaxation time
Doppler Module 3
Doppler techniques for right heart assessment, and estimating the probability of pulmonary hypertension
- Understanding right ventricular systolic pressure and pulmonary artery systolic pressure
- Estimating pulmonary pressures
- TAPSE
- Obtaining S'
- Examining the right heart in a patient with mitral valve disease
- Fractional Area Change vs TAPSE
Echo Case Walkthroughs & Monthly Webinars
- Cat with a VSD
- VSD Quiz
- Global Longitudinal Strain in canine and feline echocardiography