Echocardiography

An Echocardiography Fellowship is a prestigious, advanced training program for cardiologists who have completed their general cardiology training and wish to become sub-specialty experts in using ultrasound to diagnose and manage heart disease. This imaging technique, called echocardiography or an “echo,” is a cornerstone of modern cardiology.

This intensive one-to-two-year program provides the highest level of training in all aspects of cardiac ultrasound.

What Does an Echo Fellow Learn?

Fellows develop master-level skills in performing and interpreting every type of echocardiogram:

Advanced Imaging Techniques:

  • Transthoracic Echocardiography (TTE): The standard, non-invasive ultrasound performed on the chest wall.

  • Transesophageal Echocardiography (TEE): A more invasive procedure using a probe down the esophagus to get highly detailed, close-up images of the heart—crucial for guiding procedures and diagnosing complex issues.

  • Stress Echocardiography: Imaging the heart before and immediately after exercise or pharmacological stress to detect blockages in coronary arteries and assess heart function under strain.

  • 3-Dimensional Echocardiography: Creating detailed 3D models of the heart’s structures, invaluable for planning valve repairs and understanding complex anatomy.

Expert-Level Diagnosis:

Fellows learn to diagnose and manage a vast spectrum of cardiac conditions, including:

  • Valvular Heart Disease: Assessing leaky (regurgitant) or narrow (stenotic) heart valves with precise measurements.

  • Heart Failure & Cardiomyopathies: Determining the cause of weak heart muscle and guiding therapy.

  • Congenital Heart Disease: Diagnosing and planning treatment for complex heart defects in adults.

  • Pericardial Disease: Identifying fluid around the heart (effusions) or constrictive physiology.

  • Cardiac Source of Embolus: Hunting for blood clots or other sources of strokes.

Mastering Doppler Technology:

A huge part of the training is mastering Doppler techniques, which allow the fellow to:

  • Measure blood flow speeds and directions through valves and vessels.

  • Calculate pressures inside the heart’s chambers non-invasively.

  • Quantify the severity of valve problems and shunts.

The Fellowship Experience

The program is a blend of:

  • Hands-On Clinical Training: Performing hundreds of studies under the supervision of expert echocardiographers.

  • Research: Contributing to the advancement of the field through clinical research projects, often presented at national conferences and published.

  • Multidisciplinary Integration: Learning to combine echo findings with data from other tests (like cardiac MRI or catheterization) to form a complete picture for patient care and treatment planning.

The Goal: Creating a Cardiac Imaging Leader

Completion of this fellowship prepares a cardiologist for a career as an imaging authority. Graduates are equipped to:

  • Lead echo labs in major academic hospitals or private practices.

  • Serve as the go-to expert for interpreting the most complex studies.

  • Guide heart teams (including cardiac surgeons) in making critical decisions, especially for valve repairs and structural heart interventions.

  • Drive innovation in ultrasound technology and techniques.

In short, this fellowship creates the leading experts who use sound waves to see the heart’s deepest secrets, directly impacting life-saving diagnoses and treatments.

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Shadi Shekarkhar

Shadi Shekarkhar

Cardiologist

Dr. Shadi Shekarkhar is a highly respected cardiologist based in Tehran, Iran. She completed her general medical degree at Shahid […]

Iran, Tehran