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RAD fun > CVS > Flashcards

CVS Flashcards

1
Q

what is crista terminalis

A

ms ridge that runs from the SVC > IVC entrance

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2
Q

Wt is Eustaciahn v

A

IVC valve&raquo_space;» hooked up to the RA

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3
Q

Wt is the main draining v of the heart

A

Coronay sinus&raquo_space; RA near the TV

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4
Q

multiple cardiac lipoma ass w/?

A

TS.
PET HOT
arrythimia &raquo_space;> rare VS lipomatous hypertrophy

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5
Q

PDA supplies

A

inferior wall of the left ventricle

inferior part of the septum.

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6
Q

rhabdomyoma Px

A

ones with TS regress
no TS&raquo_space; does not regress
Loc: LV
angisarc: RA

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7
Q

MCL of cardiac fibroma

A

IV spetum

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8
Q

2nd mcc of 1ry CVS tumor in adult

A

fibroelastoma

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9
Q

MCC of intracardiac mass

A

thrombus

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10
Q

mcc of mets

A

lung

melanoma

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11
Q

study of choice for CA aneurysm/ kawasaki

A

cath angio

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12
Q

Mx of interarterial lipoma

A

no Mx

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13
Q

Wt is subaortic membrane

A

it is a membrane prox to the AV. results in obstruction of LVOT. RX> resection. can recur.
ass/ CHD: VSD, PDA amd Coarch
leads to increased afterload, increas MR, decrease EF. no impact on inotrope

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14
Q

what is EF?

A

EDV-ESV/EDV X100

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15
Q

what is cardiac myocardial mass ?

A

epicardial myocardial vol - enodcardial myocardial vol/X specific myocardium density.

= 1.05g/ml

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16
Q

what defines DCM?

A

LV > 5.5 cm
hetrogenous WT and wall thinning
variable LGE
preserved RV vol

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17
Q

AR dynamic

A

Increased preload > increased SV > increased LV size.
Increased afterload to eject extra blood.
loss of isovolumetric phase

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18
Q

changes in LesMills athelets

A

RV, LA, LV dil and increased myocardial mass

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19
Q

what is the 1ry determent of AS Sx?

A

S&S. not the surface area

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20
Q

what is mild AS?

A

> 1.5 cm2

vel: 2.0-2.9 m/sec
gradient: < 20 mmHg

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21
Q

what is mod AS?

A
  • 1.5 - 1.0 cm2
  • 3.0 - 3.9 m/sec
  • 20.0 - 39.0 mmHg
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22
Q

what is sever AS

A

< 1.0 cm2
> 4.0 m/sec
> 40 mmHg

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23
Q

MCC of PS?

A

cong > 95%. isolated

TOF

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24
Q

RHD ass w/

A

MS
AS.

Bicuspid AV&raquo_space; AS

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25
Q

what is classic Myxom. MV?

A

proplase > 2 mm beyond the annular plane.
thickening of the leaflet

non-classic: no thickness

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26
Q

Wt is MV Flail leaflet ?

A

rupture of the leaflet into > LA. 2/2 to pap. ms or chorida tendinous rupture.

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27
Q

TAVI comp?

A

LBBB

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28
Q

what is normla MV orifice area

A

4-6 cm2.

< 1cm&raquo_space;> sever MS

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29
Q

valve prosthesis MR saftey

A

safe if T< 1.5

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30
Q

DDX of sinotubular junction DDX

A 
1- Marfans
EHD syn
homoscytinuria
OI
Loeyes Dietz syn
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31
Q

does MV annulart calc results in valv dysfun or Cl S&S

A

NOOOOOO

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32
Q

how does carcniod syn affect valves

A

tethering
thickining
retraction
and DECREASED movement.

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33
Q

what is the size for endovascular access sheeth for TAVI ? in the periphral vessels

A

minimal 6-8 mm

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34
Q

MCC of ASCENDING Ao aneurysm

A

ATH.

MS&raquo_space;> sinotubular ectasia. they look differ than aneurysm

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35
Q

rapid progression of aneurysm seen w/

A

myocotic

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36
Q

what is the most diseased portion of the Ao in dissection

A

media

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37
Q

when do you treat pulm AVM?

A

> 3mm

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38
Q

MCC pul. v variant anatomy ?

A

common LT pul. v trunck

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39
Q

what is 1st line Rx of pt with SVC obstruction

A

stenting

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40
Q

in pt w/ Marfan’s syndrome wt size of the Ao that meet Sx indication?

A

> 5 cm

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41
Q

MC tupe of dissection ?

A

type A.

type B: from BCA !!!

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42
Q

failure of the LT ant cardinal v to involute results in ?

A

Lt SVC which drains into the LR throug v. of Marshell

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43
Q

GRE seq cons ?

A

use to create Bright blood seq but it is very Sn to suspeticbity&raquo_space; over estimate regional blood flow

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44
Q

mangement of anomalous CA?

A

RT > Sx if S&S
LT&raquo_space; SX

other concerning features» slit like, acute angle, anomalous is the dominant one, intramural one

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45
Q

Ebstien anomaly result from ?

A

1- the septal or the post. leaflet is inadequately separated or inadequately separated from chorda tendina.

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46
Q

how to differ Takayasu and GCA?

A

both are granulomatous vasculitis and large-mid vessels vasculitis&raquo_space; results in great vessels, CA PA involvement
naroowing not anueyrum
age is the differ

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47
Q

2nd mc 1ry cardiac tum ?

A

lipoma

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48
Q

painful blue LL edema??

A

2/2 RF&raquo_space; IVC thrombosis

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49
Q

TAPVR

A

supracardiac> drains to BCV
cardiac > common v > RA or cornary sinus
infradarciac > IVC or ductus v

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50
Q

how to tell it is LIMA graft?

A

look for SCA conncection

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51
Q

Rx of renal HTN 2/2 to ATH

A

medical. not angio or stent

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52
Q

Wt is the arc of Rilion ?

A

collateral from IMA to occluded SMA

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53
Q

short axis view is ?

A

perpendicular to the long axis of the heart/ 4 chamber views

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54
Q

prosepective

A

R wave

more susoptiable to HR variability & motion

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55
Q

what meds used in LBBB and perfusion study

A

adenosine&raquo_space; antidote: theophylline
ragadonson&raquo_space; gd safety profile
dyprimadole

avoid: exc. dobutamine, arbutamine&raquo_space; +ve iontropic agent

56
Q

any cardiac valve or annuloplasty are MRI safe/unsafe?

A

SAFE

57
Q

Wt is the normal size of the CEA?

A

up to 1.7 cm in male,
1.5 , female
> that&raquo_space;> ectasia

58
Q

Normal Av. orifice?

A

3-4 cm2

MCC of AS in USA&raquo_space; age related degeneration

59
Q

best seq to eval CVS anatomy?

A

black blood seq = FSE

bright blood = GRE

SSFP&raquo_space; cine&raquo_space; function. ( higher SNR, CNR, faster acquisition time than standard GRE)

60
Q

how to orient phase encoding img to measure velocity and flow?

A

alz perpendicular to the flow

61
Q

MC site of sinus of valsalva aneurysm?

A

Rt > noncornary > LT

62
Q

myocardial LGE thickness ?

A

< 50% revsculrize

> 50%: medical Rx

63
Q

optimal way to do myocard perfusion MR?

A

w/o

2nd option: ragadonson

64
Q

MV annular calc ass w/?

A

a marker for increased CA calc

65
Q

Wondering v?

A

common pul. v drains all Pul. v&raquo_space; LA

66
Q

Scimitar syn ass w/?

A

absence of IVC
horseshoe lung
CHD
A+ supply to lung

67
Q

Loffler enodcarditis LGE pattern ?

A

uniform subendo LGE

68
Q

MC comp of MI?

A

myocardial remodeling

69
Q

Most SN study to detect MI?

A

MR LGE

70
Q

fibroma loc?

A

IV spetum and lat LV wall

71
Q

MS staging

A

= AS

72
Q

hibernating vs stunned myocard ?

A

BOTH no contractility and normal FDG uptake
hiberanting&raquo_space; no perf
stunned&raquo_space; normal perf

73
Q

DDx of nodular LGE?

A

amylodosis
sarc
myocarditis.

Excpet: HOCM

74
Q

microvascular obstruction best seen on ?

A

1st 25 sec, early

75
Q

DiGeorge ass w/?

A

Trucus, VSD, TOF, pul atresia

76
Q

PAPVR ass w/

A

sinus venosus

77
Q

another name for ALCAPSA

A

White garland syn

presents 1-2 mo

78
Q

transmural if ?

A

> 50%

79
Q

Rx of adeniod cytic ca?

A

Sx + Rx
M = F
2nd MC trach ca

mucoepidermiod involves bronchi more

80
Q

PV stenosis MC ass w/

A

AF ablation

81
Q

MC of TR

A

RV dil not IE

82
Q

myocardial rupture timing post MI?

A

1st three D

83
Q

DCIS stage?

A

0

84
Q

Hematoma BIRAd

A

I 2 or 4 !!! If FU indicated

85
Q

temporal resolution =

A

rotation speed / 2

= TR X views per set

86
Q

multiseg recons

A

when the HR goes up
can be used w/ low pitch only
improves temp res

87
Q

what is curved planer reform

A

AKtay fav
see the vessel along its long axis
can result in motion artifact or pseudo lesion

88
Q

relationship of SAR and T and flip angle

A

double T, or Flip angle, or TR&raquo_space;» 4X SAR

89
Q

in SSFP?

A

Lm = Tm

90
Q

what is parallel imaging?

A

using multiple PEG steps to reduce scan time

might result in K space missing info&raquo_space; interpolation

91
Q

in RS study ?

A

modified mAs is used&raquo_space; low dose in sys but enough to calc fun

high dose in diastole&raquo_space; to eval CA

92
Q

MX of LAD w/ myocardial bridging?

A

BB to decrease after load

93
Q

indication for graft bypass?

A

RCA stenosis > 70%

LCA > 50%

94
Q

ATH plaque w/ high RF for rupture?

A 
\+ve remodeling
low HU
ulceration
spotty calc 
fatty
95
Q

Mx of CA stent?

A

drug eluting stent > AC for a yr

bare metal stent > AC X 1 mo

96
Q

adenosine dose for perfusion?

A

140ug/kg/min

97
Q

ARVD criteria

A

1- RV wall motion ab
2- RV EF < 40%
3- RV EDV > 110ml/m2

no fatty infil

98
Q

Mx of con pericardial?

A

Sx

but con mayo&raquo_space;> medical

99
Q

MX of noncompaction LV?

A

HTx.
arrhythmia meds, AC, ICD
MCC of death»arrthemia

100
Q

T2* in hemochromatosis

A

< 20msec

if sever < 10 msec

101
Q

Takabousu CM?

A 
acute reversible HF
basal hyperkinesia
apical akinesia
negative cath
could be life threatening 2/2 HF, arrhythmia,shock 
Mx: symptomatic
102
Q

Mx of HOCM?

A

low risk pt: BB, CCB&raquo_space; reduce risk of death
high risk pt: FHX of sudden death, LGE&raquo_space; ICD

ACEI, nifidpine, nitrates&raquo_space; CI&raquo_space; decrease afterload

LGE means&raquo_space; ab cell web&raquo_space; necrosis&raquo_space; arrhythmia&raquo_space; sudden death

103
Q

Constrictive myocarditis def?

A

normal LV size. normal sys fun
low LV, RV compliance\
biatrial enlargement
prominent early diastolic filling but small late one

104
Q

MC of 2ry infiltrative DCM?

A

amyoldosis
involves all the heart
CI for HTx

105
Q

MCC of HTx in adult and kids?

A

DCM

106
Q

MCC of DCM in infant?

A

idio

inborn error of met

107
Q

MCC of DCM in kids?

A

NM dys

myocarditis

108
Q

earliest S&S of Chagas diz?

A

conduction ab

109
Q

Mx of rhabdomyoma?

A

FU, will regress

but fibroma&raquo_space; HTx why&raquo_space; you can’t respect that big mass

110
Q

SGV aneurysm loc?

A

RCA
pay attention to sternotomy changes
no uptake in PET

111
Q

comp of IE AV?

A 
conduction ab
chordal rupture
aneurysm of the valve
abscess
no AS
112
Q

sever MS might result in ?

A

PV waveforms blunting

113
Q

MCL of rhabdomyoma

A

LV

114
Q

RHD app

A

thickening, calc, and fissures fusion of the MV and AV might involve chordae and pap ms

115
Q

indicator of MS severity

A

MV surface area # AS severity

it leads to P.HTN&raquo_space; decrease flow across PA

116
Q

how manage valves and MR?

A

they are safe < 1.5 T

wait 6-8 for newly weakly magnetic placed valves

117
Q

why pericardial thickness is overestimated in MR?

A

chemical shift artifact
motion
limited SR

118
Q

CI of ASD closure device?

A

small secundum, no HD sig
primum
no enough roof > sinus venous or unroofed etc.

HD sig = Qp/Qs> 2

119
Q

MCC of ASD device comp?

A

device embolization or malpositioning

arrthymeia
erosion
AF
SVT

120
Q

Ms of unroofed CS?

A

none unless HD sig

connection between RA and LA

121
Q

Mx of VSD?

A

membranous won’t go spontaneous closure
ms VSD > spontaneous
BOTH&raquo_space; needs IE prophylactic ABx

122
Q

Mx of similar?

A

if HD sig&raquo_space; Sx
left > right shunt
but other single PAPVR > no Rx

123
Q

what is Senning/ Mustard ?

A

Both are atrial switch
Mustard ass w/ resection of the atrial septum

SVC and IVC&raquo_space; LA, LV&raquo_space; PA
PV&raquo_space; RA, RV > Ao

botha are inferior to Arterial switch 2/2 arythemia

124
Q

TA ass w/?

A

tricuspid or quadricuspid valve.

125
Q

quadricuspid AV ass w/

A

AR

126
Q

what is ROSS procedure?

A

PV > AV

prosthetic > PV

127
Q

Ebstein valve morphology?

A

ant leaflet sail sign
apically orineted
ass/w ASD secundum
ass w/ BNZ

128
Q

Mx of anomalous RCA or LCA w/ malignant course?

A

if pt is old do stress test only

if young&raquo_space; Sx

129
Q

comp of baffle procedures : sending/ mustard?

A

baffle leak, obstruction
arrythemia
RV dysfunction&raquo_space; RV is not meant to bear sys pressure
TR

130
Q

MCL of sinus of Vals?

A

Rt and noncornary cusp.&raquo_space; rupture&raquo_space; RV > RA

131
Q

1st line Mx of SVC obstruction?

A

stenting

132
Q

BLOOD SUPLLY OF THE PAP ms

A

anteriolat > LAD and LCx. two vessels > less risk of rupture

postmedial&raquo_space; RCA&raquo_space; more risk of rupture 2/2 MI

133
Q

TI in STIR?

A

330 msec

134
Q

TAPVR ass w/

A

TV atresia

Asplenia

135
Q

MCC ass defect w coarcatation

A

Bicuspid

136
Q

Leaflet

A

B/l thrombus

TI needs to be long to detect thrombus

137
Q

TI for amylodosis

A

350 msec

Normally 200 Msec

RAD fun (17 decks)

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