Cardiac Flashcards

1
Q

Commonest cardiac tumour associated with valves

A

Papillary Fibroelastoma

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2
Q

Contra-indication to Adenosine Stress MRI (rhythm)

A

2nd or 3rd degree heart block,
Uncontrolled arrhythmia

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3
Q

Contra-indication to Adenosine Stress MRI (other)

A

Bronchospasm,
Systolic BP <90,
MI within 48hrs,
Severe/critical aortic stenosis

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4
Q

Amyloid cardiac enhancement pattern

A

Global endocardial enhancement

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5
Q

Sarcoid cardiac enhancement pattern

A

Epicardial or midwall delayed hyperenhancement

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6
Q

Ischaemic cardiomyopathy cardiac enhancement pattern

A

Subendocardial delayed hyperenhancement

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7
Q

HCM cardiac enhancement

A

Midwall enhancement at the junction between right and left ventricles

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8
Q

Normal thickness of pericardium

A

2mm. Thickened by pericarditis

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9
Q

Only vascular anomaly to run between oesophagus and trachea

A

Aberrant left pulmonary artery

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10
Q

Causes of posterior indentation of the oesophagus (3)

A

Right sided arch with aberrant left subclavian,
Left sided arch with aberrant right subclavian,
Double aortic arch

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11
Q

Where does the aortic arch commence

A

Posterior to manubriosternal joint, level of 2nd costal cartilage

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12
Q

Global ventricular hypokinesia associated with

A

Dilated cardiomyopathy

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13
Q

Acute myocarditis enhancement pattern

A

Epicardial or delayed midwall enhancement

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14
Q

Optimal time (in cardiac cycle) for imaging >70bpm

A

End systole

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15
Q

Optimal time (in cardiac cycle) for imaging <70bpm

A

End diastole

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16
Q

Reasons to terminate dobutamine stress MRI (BP)

A

BP >240/220
SBP falls by 40

17
Q

Reasons to terminate dobutamine stress MRI (non BP)

A

Heart rate >85% of (200-age)
New persistent arrhythmia
New wall motion abnormality
Too symptomatic to continue

18
Q

Truncus arteriosus associations (4)

A

Right sided arch
VSD
DiGeorge syndrome
CHARGE syndrome

19
Q

Contra-indications to GTN (5)

A

SBP <100
HOCM
Sildenafil within 24-48hrs
Aortic stenosis
Profound anaemia

20
Q

Dilated cardiomyopathy enhancement pattern

A

Septal midwall enhancement

21
Q

Septum appearance in constrictive pericarditis

A

Can become flattened or even push towards left

22
Q

Atrial thrombus

A

Atrial mass, low T1 & T2, non enhancing

23
Q

Inter-arterial left main coronary artery

A

Often repaired even if no symptoms
Likely to cause symptoms (chest pain after exertion)

24
Q

Cardiac anomaly associated with asplenia

A

tricuspid atresia

25
Q

Benefit of retrograde gated cardiac CT

A

Provides functional info