Miguel A. Quiñones

Miguel A. Quiñones is a cardiologist credited as chair and first author of the American Society of Echocardiography's 2002 recommendations on quantifying Doppler echocardiography. The primary report's byline gives his name and role, while its technical sections explain how acquisition methods determine the interpretation of recorded velocities.^[ref]

The report distinguishes pulsed-wave Doppler echocardiography, which selects a sampling region but has pulse-rate aliasing limits, from continuous-wave Doppler echocardiography, which records high velocities without unique depth localization. This distinction is central when turning a spectral envelope into a physiological estimate: the measured signal must correspond to the anatomical quantity used in the model.^[ref]

An original sensitivity example illustrates another issue emphasized by the report. Under the simplified pressure-difference model $\Delta p\propto v^2$, a velocity underestimate by $10\%$ changes the calculated result byThe derived pressure difference is underestimated by $19\%$, even before other model errors are considered. For a stipulated estimate of $36\mathrm{mmHg}$ at the true velocity, the underestimated velocity gives $29.16\mathrm{mmHg}$. These numbers illustrate the quadratic mapping rather than provide a clinical threshold or a patient result.

The report explicitly notes this amplification when discussing beam orientation and pressure estimates.^[ref] The contribution documented here is a practical, quantitative measurement framework. Reproducibly tracing a waveform and establishing the accuracy of a derived physiological value remain different tasks.