Cath

Question 1

Arterial tracing

Answer 1

Question 2

Venous tracing

Answer 2

A wave
X
V wave
Y

Question 3

CVP or RAP

Answer 3

2-8 mmhg

Same as RV diastolic

Question 4

RV

Answer 4

15-30 / 2-8 mmhg

RV systolic = PA systolic
RV diastolic = CVP or RAP

Question 5

PA

Answer 5

15-30 / 4-12 mmhg

PA systolic = RV systolic

Question 6

PCWP

Answer 6

8-12 mmhg

Question 7

LVEDP

Answer 7

6-12 mmhg

Question 8

Central sv02

Answer 8

60-75%

Question 9

SVR

Answer 9

80 x (MAP-CVP) / CO
900-1200 dynes-sec/cm5

Question 10

High SVR

Answer 10

Sympathetic stimulation
Hypothermia
Vasopressors

Question 11

Low SVR

Answer 11

Vasodilators (PDEi, nitrates)
Sepsis
Spinal/epidural anesthesia
Hyperthermia

Question 12

PVR

Answer 12

mPAP-PCWP / CO = wood units

80 x mPAP-PCWP / CO = = dynes-s/cm5

< 2.0 wood units

< 250 dynes-s/cm5

Question 13

PAPI

Answer 13

PA systolic - PA diastolic / CVP

Question 14

CO

Answer 14

CI X BSA

4-8 L/min

Question 15

CI

Answer 15

2.5-4L/min

1250 / [1.34 * hgb *(Sa02-Sv02)]

Question 16

Pulm HTN

Answer 16

MPAP > 20 mmhg

Question 17

Precapillary pulm HTN

Answer 17

Mpap > 20
PVR > 2wu
PCWP < 15mmhg

Ddx: PAH, lung disease, CTEPH

Question 18

Post capillary pulm HTN

Answer 18

Mpap > 20 mmhg
PVR < 2wu

Ddx: L heart failure

Question 19

Combine pre and post pulm HTN

Answer 19

Mpap > 20
PVR > 2 wu
PCWP > 15 mmhg

Ddx: L heart + lung disease

Question 20

Combine pre and post pulm HTN

Answer 20

Mpap > 20
PVR > 2 wu
PCWP > 15 mmhg

Ddx: L heart + lung disease

Question 21

RAP / PCWP ratio

Answer 21

Question 22

Cardiac tamponade RA waveform

Answer 22

Question 23

Branches of RCA

Answer 23

Sinoatrial nodal
Conus
RV
Acute marginal
Posterior lateral
Posterior descending

Question 24

DAPT

Answer 24

Stent in ACS 12 months
Stent not in ACS 6 months
Plavix and brillianta hold 5 days before
Effient hold 7 days before

Question 25

Constrictive pericarditis RA waveform

Answer 25

Question 26

Constrictive pericarditis RA waveform

Answer 26

Question 27

What is positive FFR

Answer 27

Less than of equal to 0.8 Coronary revasculization recommended Class 2a

Question 28

What is positive FFR

Answer 28

Less than of equal to 0.8 Coronary revasculization recommended Class 2a

Question 29

What is positive iFR?

Answer 29

Less than or equal to 0.89 Coronary revascularization recommended Class 2a

Question 30

Class 1a rec for FFR or iFR

Answer 30

Obstructive CAD with stable CP despite optimal GDMT

Question 31

Non-hyperemic pressure ratios (IFR, DPR, RFR, DFR)

Answer 31

Noninferior to FFR Positive if less than or equal to 0.89

Question 32

FFR

Answer 32

Requires hyperemia (adenosine) Positive if less than or equal to 0.80 Independent of micro vascular diseas and hemodynamic status (unlike CFR and NHPR)

Question 33

IVUS

Answer 33

Intermediate stenosis of L main (Class 2a) to define lesion severity

Question 34

Non-invasive testing before cath

Answer 34

Anatomic: CT-CAC, CTA +/- FFR Functional: Exercise ekg, echo/stress echo, stress nuclear-MIBI/PET, cMRI

Question 35

P2Y12 in ACS

Answer 35

ACS with PCI (Class 1b) Ticagrelor, prasugrel, clopidogrel No prasugrel in patients with PCI and hx of CVA/TIA

Question 36

Afib undergoing PCI

Answer 36

Discontinue aspirin in 1-4 weeks but maintain P2Y12 and DOAC/warfarin (class 1) DOAC > warfarin (class 2a)