This chapter will build upon the foundational knowledge provided in the core cardiac section, delving deeper into the principles and applications of advanced echocardiography. Specifically, it aims to enhance the learner’s understanding of the complexities in assessing cardiac function, with a focus on the nuances of diastolic dysfunction, valvular pathologies, and Doppler techniques. The scope of the chapter includes both qualitative and quantitative methods for evaluating hemodynamics, ventricular function, and valvular lesions. By progressing through these topics systematically, the reader will be equipped to diagnose and manage complex cardiac conditions with greater precision, all while integrating this knowledge with core cardiac principles. This structured approach will also explore emerging technologies and techniques that complement standard practices.