Panel A shows the four chamber view of the two dimensional echocardiogram and panel B is the pulsed Doppler image. The mitral inflow to annular ratio (E/Ea) is obtained using routine pulsed-Doppler of the mitral inflow and pulsed-tissue Doppler of the lateral mitral annulus.
E: peak early diastolic mitral inflow velocity; Ea: peak early diastolic mitral annular velocity.