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Ultrasound is an established technique for studying cardiac structure and function. Tissue Doppler echocardiography (TDE) is a new method with potential advantages in the real-time assessment of myocardial contractility. Tissue velocity is measured by pulsed Doppler and displayed in color-coded fashion. As a consequence, a new window to detect wall motion abnormalities has been opened. This atlas offers, with text and extensive color figures, a comprehensive review of the background and emerging clinical applications of tissue Doppler echocardiography. It is directed towards physicians and sonographers involved in echocardiography but should also be of interest to clinicians who have interest in noninvasive diagnostic methods.