This book sets echocardiography within a routine clinical context. It aims to synthesise guidelines into a pragmatic clinical approach to real patients providing a step-by-step guide to performing, reporting, and interpreting a study. We wrote it imagining we were the calm voice of a senior echocardiographer teaching a junior colleague. This edition has been extensively revised with an expansion of sections on acute, intensive care, and emergency medicine. COVID-19 has necessitated limiting exposure of both patient and operator to infection and caused a huge increase in waiting lists. This has sharpened the debate over matching the level of scan to the clinical question and also highlights the importance of collaboration between clinicians and echocardiographers.Key FeaturesExpanded first chapter on levels of echocardiographyNew sections on COVID-19, cardio-oncology, multivalve disease, and specialist valve clinicsIncorporation of new international guidelines, grading criteria and normal dataGuide to how cardiac CT and magnetic resonance can complement echocardiographyReformatted text and extra diagrams and tables to improve understanding