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Diagnostic imaging and Radiology > Cardio and Vascular for Radio (myocardial ischemia, acute chest pain, vascular, and general) > Flashcards

Cardio and Vascular for Radio (myocardial ischemia, acute chest pain, vascular, and general) Flashcards

1
Q

What is the 1st level investigation for suspected ischemia of the heart ?

A

Echocardiogram (by Holter monitor 24/72h) and stress test

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2
Q

In a pharmacological stress test, if a patient has bronchospasm/COPD, what do we give ?

A

Dobutamine

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3
Q

In a pharmacological stress test, if a patient has no bronchospasm/COPD, what do we give ?

A

Dipyridamole

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4
Q

what is the 2nd level diagnostic tool for cardiac suspected ischemia ?

A

Myocardial scintigraphy (location and extent)

this is done with gated SPECT

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5
Q

First line imaging for acute chest pain ?

A

CXR

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6
Q

why do we measure troponin and perform ECG in acute chest pain ?

A

to exclude MI

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7
Q

Why do we measure D-dimer in acute chest pain ?

A

to exclude PE

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8
Q

What is the gold standard imaging for acute chest pain ?

A

CT with contrast

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9
Q

What is the first line imaging for Abdominal aortic aneurysm ?

A

Echo (to see size and the plaque)

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10
Q

what is the 2nd line imaging for the Abdominal aortic aneurysm ?

A

CT

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11
Q

what is the gold standard for ischemic heart disease ?

A

Coronary CT angiography

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12
Q

what are the two types of coronary CT angiography ?

A

Direct and angiographic

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13
Q

In coronary CT angiography, what type is with contrast media and what type is without ?

A

Direct- w/o contrast media

Angiographic- W/ contrast media (iodinated)

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14
Q

In order to perform Angiographic (with contrast) coronary CT, what criteria must be fulfilled ?

A

HR must be <60 bpm

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15
Q

What is the use of Direct-coronary CT angiography ?

A

Evaluation of Calcium content of plaques and risk stratification

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16
Q

What is the scoring system we use for the stratification of ischemic heart disease in Coronary CT angiograpy ?

A

Agatston score

17
Q

what is the contrast media in Coronary CT angiography ?

A

Iodine

18
Q

What is the use of Angiographic coronary CT with contrast ?

A

Coronary anatomy study with the study of coronary lumen plaque/stenosis status

19
Q

What imaging is used for patient with with intermediate risk for CAD ?

A

coronaro-CT angiography

20
Q

What are the main indication for Myocardial scintigraphy ?

A

Ischemia and Dilated cardiomyopathies, HF

21
Q

What is the indication of PET in CAD ?

A

Evaluation of flow/ metabolism coupling

whether it’s ; stunned/hibernating/ necrotic myocardiums

22
Q

what are the 3rd line tools for CAD ?

A

MRI

CT

23
Q

what is the imaging tool we use for gaining information about coronary flow (perfusion) ?

A

SPECT

24
Q

What are the tracers we use with SPECT when imaging the coronary flow ?

A

Sestamibi and Thalium

25
Q

What is the use of SPECT in CAD ?

A

Risk stratification, therapeutic strategy, and px management.

26
Q

How invasive is cCTA (Coronary CT Angiography) ?

A

Minimally invasive

27
Q

what are the indication of MRI as 3rd level tool ?

A

cardiac / paracardiac masses and intracardiac thrombi

28
Q

what are the indication of MRI as 1st level tool in cardiac pathologies ?

A

Hypertrophic cardiomyopathy, myocarditis

29
Q

How do we define ectasia of the aorta ?

A

increase in the diameter of the aorta that is up to 3cm

30
Q

How do we define Aneurysm of the Abdominal Aorta ? (AAA)

A

dilatation of the vessel that is 3cm and larger

31
Q

what are the layers involved in Pseudoaneurysm ?

A

Muscularis and the Adventitia tunica

32
Q

what layers are involved in True aneurysm ?

A

All three layers

33
Q

What tool do we use in order to perform screening for AAA ?

A

Abdominal Echo —> CT

Diagnostic imaging and Radiology (6 decks)

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