Apical Doppler: Part II Flashcards
RT heart dopple rmostly consists of colour and spectral doppler on the ______
tricuspid valve (TV)
the _____ is rarely seen from the apical view due to its _____ position
PV
anterior
closr to ____ of people have some degree of TR
80%
do athletes have more or less TR than average? Why/
more
slight TV annular dilation
physiological/trace TR is usually seen during the _____
first half of systole
CW is able to capture both _____ and ____ on the same window
inflow
regurg
do we measure TV inflow normally
no
TR is highest at what
at the valve
A4C CW measurement and what it is used to calculates
peak velocity
RVSP
RVSP
right ventricular systolic pressure
A4C TV CW baseline placement
1/4-1/3 from top
scale is set to what for A4C TV CW
2.3 m/s below baseline
normal E wave velocity (TV inflow)
< 1m/s
A4C TV annulus TDI SV is on the Tv annulus of the ____
RV free wall
A4V TV Annulus TDI measures
s’
is s’ below or above basline (A4C TV annulus TDI)
above
s’ meausre the _______ function
RV systolic
do we measure e’ and a’ on A4C TV annulus TDI
no
order of assessing A5C Doppler (3)
LVOT/AV/Ao. colour doppler
LVOT PW
AV CW
LVOT used ____ doppler and assesses for ______ and obtains _____ for calculation
PW
LVOT obstruction
VTI
AV used ___ doppler and assesses _____ and _____
regurgitation
stenosis
(if present)
is some aliasing allowed in A5C colour? why?
yes as it has the highest V in heart
how to adjust 2D A5C image before PW
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
A5C LVOT PW baseline set
1/4-1/3 from top
what should you see in the A5C LVOT PW
AV closing click
what do we measure in the A5C LVOT PW
trace VTI
VTI
velocity time integral
AI
aortic insufficiency (AR)
A5C AV CW traces
VTI
normal Av peak velocity
< 2m/s
AV peak PG
<10 mmHg
AV mean PG
<5 mmHg
PG
pressure gradient
A5C PW traces:
vs
A5C CW traces:
LVOT VTI
vs
AV VTI
AI is shown ____ the baseline (A5C)
above
A3C AV colour must show colour into
ascending aorta
all the A3C spectral parameters are _____ as the A5C
exactly the same