The diastole is the period of relaxation in the cardiac cycle which alternates with systole. During diastole, the ventricles fill and the aortic and pulmonary valves are closed. On a Doppler spectrum analysis, diastole can be identified as beginning at the dicrotic notch (a small abrupt upswing in the deceleration phase of systole) and ending with the systolic upstroke.

See also Echocardiography and Cardiac Ultrasound.

Echocardiography is the ultrasound examination of the heart. Depending on the used ultrasound system, echocardiograms can be two-dimensional slices or 3D real-time images of the heart. Based on the ultrasound principles the direction and speed of blood flow can be utilized e.g., to diagnose a leaking or stenosed valve or to identify intracardiac shunts.

Different types of echocardiography:
The transthoracic echocardiogram (images are taken through the chest wall) is a non-invasive, highly accurate and quick assessment of the overall health of the heart.
A more invasive method is to insert a specialized scope containing an echocardiography transducer (TEE probe) into the esophagus, and record images from there. The advantages are clearer images, since the transducer is closer to the heart.
Contrast echocardiogram (CE) is already a valuable tool to delineate endocardial borders, direct invasive procedures, detect intracardiac shunts, assess myocardial perfusion and viability, and quantify coronary flow reserve and blood volumes (see also hemoglobin). The mechanism of microbubble CE is based on the physical principles of rarefaction and compression, leading to volume pulsations of microbubbles, and it is this change that results in CE signal.
Stress echocardiograms are echocardiography exams used for detection of coronary artery disease.

See also Diastole, Bicycle Stress Echocardiography, Resistive Index, and M-Mode Echocardiography.

The frame rate is the number of images displayed per second. One frame represents one complete sweep of the ultrasound beam and contains many pulse-listen cycles. The frame rates decrease with an increased dwell time.

(Hz) The standard SI unit of frequency.
Definition: The number of repetitions of a periodic process per unit time. It is equal to the old unit cycles or oscillations each second of a simple harmonic motion. The unit is named for the German physicist Heinrich Rudolf Hertz.
Larger units are
kilohertz (kHz) = 1 000 Hz
megahertz (MHz) = 1 000 kHz
gigahertz (GHz) = 1 000 MHz

Contrast microbubbles can be destroyed by intense ultrasound and the scattered signal level can increase abruptly for a short time during microbubble destruction, resulting in an acoustical flash (sudden increase in echogenicity).
Intermittent imaging with high acoustic output utilizes the properties of contrast microbubbles to improve blood-to-tissue image contrast by imaging intermittently at very low frame rates.
The frame rate is usually reduced to about one frame per second, or it is synchronized with cardiac cycles so that enough contrast microbubbles can flow into the imaging site where most microbubbles have been destroyed by the previous acoustic pulse. Because bubbles are destroyed by ultrasound, controlling the delay time between frames produces images whose contrast emphasizes regions with rapid blood flow rate or regions with high or low blood volume.