Apical Doppler: Part II Flashcards

1
Q

RT heart dopple rmostly consists of colour and spectral doppler on the ______

A

tricuspid valve (TV)

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2
Q

the _____ is rarely seen from the apical view due to its _____ position

A

PV
anterior

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3
Q

closr to ____ of people have some degree of TR

A

80%

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4
Q

do athletes have more or less TR than average? Why/

A

more
slight TV annular dilation

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5
Q

physiological/trace TR is usually seen during the _____

A

first half of systole

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6
Q

CW is able to capture both _____ and ____ on the same window

A

inflow
regurg

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7
Q

do we measure TV inflow normally

A

no

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8
Q

TR is highest at what

A

at the valve

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9
Q

A4C CW measurement and what it is used to calculates

A

peak velocity
RVSP

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10
Q

RVSP

A

right ventricular systolic pressure

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11
Q

A4C TV CW baseline placement

A

1/4-1/3 from top

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12
Q

scale is set to what for A4C TV CW

A

2.3 m/s below baseline

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13
Q

normal E wave velocity (TV inflow)

A

< 1m/s

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14
Q

A4C TV annulus TDI SV is on the Tv annulus of the ____

A

RV free wall

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15
Q

A4V TV Annulus TDI measures

A

s’

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16
Q

is s’ below or above basline (A4C TV annulus TDI)

17
Q

s’ meausre the _______ function

A

RV systolic

18
Q

do we measure e’ and a’ on A4C TV annulus TDI

19
Q

order of assessing A5C Doppler (3)

A

LVOT/AV/Ao. colour doppler
LVOT PW
AV CW

20
Q

LVOT used ____ doppler and assesses for ______ and obtains _____ for calculation

A

PW
LVOT obstruction
VTI

21
Q

AV used ___ doppler and assesses _____ and _____

A

regurgitation
stenosis
(if present)

22
Q

is some aliasing allowed in A5C colour? why?

A

yes as it has the highest V in heart

23
Q

how to adjust 2D A5C image before PW

A

place SV at AV
may slide laterally and dig in indicator so LVOT = 0 degrees
walk PW into LVOT until the veolcity decreases and waveform rounds

24
Q

A5C LVOT PW baseline set

A

1/4-1/3 from top

25
Q

what should you see in the A5C LVOT PW

A

AV closing click

26
Q

what do we measure in the A5C LVOT PW

27
Q

VTI

A

velocity time integral

28
Q

AI

A

aortic insufficiency (AR)

29
Q

A5C AV CW traces

30
Q

normal Av peak velocity

31
Q

AV peak PG

32
Q

AV mean PG

33
Q

PG

A

pressure gradient

34
Q

A5C PW traces:
vs
A5C CW traces:

A

LVOT VTI
vs
AV VTI

35
Q

AI is shown ____ the baseline (A5C)

36
Q

A3C AV colour must show colour into

A

ascending aorta

37
Q

all the A3C spectral parameters are _____ as the A5C

A

exactly the same