2.5.2 Introduction to Echocardiography Flashcards

1
Q

What is ultrasound?

A

A sound with a frequency higher than the audible range (>20,000cyles/second)

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2
Q

What is echocardiography?

A

The use of ultrasound for cardiac diagnosis

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3
Q

What are the four stand transducer positions for 2-D echocardiography?

A

Left parasternal, Apical, Subcostal, Suprasternal notch

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4
Q

What are these structures?

A
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5
Q

What are these structures in the parasternal short axis view?

A
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6
Q

Identify the four chambers

A
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7
Q

Identify the four chambers

A
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8
Q

Where is the transducer in relation to the image sector?

A

The apex

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9
Q

In apical four chamber view, what is always true about the left side of the heart?

A

It is on the right side of the image

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10
Q

What are two important characteristics of the L ventricle in echocardiography?

A

Smooth-walled septum and mitral valve

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11
Q

What are two important charactertistics of the R ventricle in echocardiography?

A

Coarse trabeculations and tricuspid valve positioned more apically than mitral

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12
Q

What are some important characteristics of the R atrium in echocardiography?

A

Eustachian valve, Os of coronary sinus, concavity of fossa ovalis

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13
Q

What does doppler echocardiography state?

A

The frequency of a sound wave changes (shifts) when it strikes a moving object (like an RBC)

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14
Q

In doppler echocardiography, if the movement is above the baseline in what direction is the movement of the object?

A

Towards the transducer

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15
Q

In doppler echocardiography, if the movement is below the baseline in what direction is the movement of the object?

A

Away from the transducer

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16
Q

This doppler echo is showing what?

A

Left ventricular inflow

17
Q

This doppler echo is showing what?

A

Left ventricular outflow

18
Q

In color flow mapping of doppler echocardiography, what is the acronym for what the colors represent?

A

BART

Blue Away, Red Toward

19
Q

What is this doppler showing?

A

Aortic stenosis (note the rate of ejection is ~4m/s, whereas normal is ~2m/s)

20
Q

What are some types of stress echocardiography?

A

Treadmill exercise, supine bicycle exercise, dobutamine infusion

21
Q

What are some causes of suboptimal transthoracic image quality?

A

Body habitus (obesity, COPD, narrow intercostal spaces)

Burns/bandages on abdomen

Subcutaneous emphysema

Mechanical ventilation

Shadowing from prosthetic valve

22
Q

What is transesophageal echocardiography?

A

Small, high-frequency transducer modified on endoscope that is swallowed and allows for 180 degree image plane.

23
Q
A