deck_diastology2

Question 1

What are the units of IVRT

Answer 1

Milliseconds

Question 2

What are the values for:Normal IVRTStage I (Impaired Relaxation)Stage II (Pseudonormal)Stage III (Reversible Restrictive Filling)Stage IV (Irreversible Restrictive Filling)

Answer 2

Normal: 70-90Stage I: >90Stage II 60-90Stage III

Question 3

What are the Parameters of Diastolic Dysfunction?

Answer 3

IVRTE/A Ratio % change with ValsalvaDeceleration Timee’ (septum)e’ (lateral)E/e’ Ratio (septum)E/e’ Ratio (lateral) Pulmonary Venous Flow-S/D-Ar-A Propagation VelocityLA Volume Index

Question 4

What are the Values for Normal Diastolic Function?

Answer 4

IVRT: 70-90msE/A Ratio: 0.9-1.5 % change with Valsalva: both values decreased, ratio same.Deceleration Time: 160-240mse’ (septum): >10 cm/sece’ (lateral): >12 cm/secE/e’ Ratio (septum): 5-10 cm/secE/e’ Ratio (averaged): -Pulmonary Venous Flow-S/D Ratio: S ≥ D-Ar-A: 50 cm/secLA Volume Index: 16-28 mL/m2

Question 5

What are the Values for Stage I Diastolic Dysfunction?Impaired Relaxation

Answer 5

IVRT: > 90ms E/A Ratio: 240mse’ (septum): D-Ar-A: variesPropagation Velocity: 28 mL/m2

Question 6

What are the Values for Stage II Diastolic Dysfunction?Psuedonormal

Answer 6

IVRT: 60-90ms E/A Ratio: 0.9-1.5Deceleration Time: 140-200mse’ (septum): 30msPropagation Velocity: 28 mL/m2

Question 7

What are the Values for Stage III Diastolic Dysfunction?Restrictive FillingReversible

Answer 7

IVRT: 1.8Deceleration Time: 15cm/sPulmonary Venous Flow-S/D Ratio: S 30msPropagation Velocity: 35 mL/m2

Question 8

What are the Values for Stage IV Diastolic Dysfunction?Restrictive FillingIrreversible

Answer 8

IVRT: 2.0Deceleration Time: 15cm/sPulmonary Venous Flow-S/D Ratio: S 30msPropagation Velocity: 35 mL/m2

Question 9

What is the E/A Ratio for Stage I with Valsalva?

Answer 9

Both E and A decreased, Ratio unchanged

Question 10

What is the E/A Ratio for Normal?

Answer 10

0.9 -1.5 (unit-less ratio)

Question 11

What is the E/A Ratio for Stage l?

Question 12

What is the E/A Ratio for Stage lI?

Answer 12

0.9-1.5

Question 13

What is the E/A Ratio for Stage lII?

Answer 13

> 1.8

Question 14

What is the E/A Ratio for Stage lV?

Answer 14

> 2.0

Question 15

What is the E/A Ratio for Stage II with Valsalva?

Answer 15

E decreases, A increases, Ratio reverses

Question 16

What is the E/A Ratio for Stage III with Valsalva?

Answer 16

Ratio decreases, but still >1

Question 17

What is the E/A Ratio for Stage IV with Valsalva?

Answer 17

No Response

Question 18

What is the E/A Ratio for Normal Diastolic Function with Valsalva?

Answer 18

Both E and A decreased, Ratio unchanged

Question 19

What is the DT for Normal Diastolic Function?

Answer 19

160-240ms

Question 20

What is the DT for Stage I?

Answer 20

> 240ms

Question 21

What is the DT for Stage II?

Answer 21

140-200ms

Question 22

What is the DT for Stage III?

Question 23

What is the DT for Stage IV?

Question 24

What is the LA Volume Index for both Stage III and Stage IV?

Answer 24

> 35 mL/m2

Question 25

What is the LA Volume Index for both Stage I and Stage II?

Answer 25

> 28 mL/m2

Question 26

What is the LA Volume Index for Normal Diastolic Function?

Answer 26

16-28 mL/m2

Question 27

At which stage does the Pulmonary Flow S/D relationship reverse?

Answer 27

Stage IIPseudonormal

Question 28

What is the Normal E/e’ Ratio

Answer 28

5-10 cm/sec

Question 29

What is the Stage I, Impaired Relaxation E/e’ Ratio?(Averaged)

Question 30

What is the Stage II, Pseudonormal E/e’ Ratio?(Averaged)

Answer 30

9-12 cm/sec

Question 31

What is the Stage III Restrictive Filling (Reversible) E/e’ Ratio?(Averaged)

Answer 31

> 15cm/sec

Question 32

What is the Stage IV Restrictive Filling (Irreversible) E/e’ Ratio?(Averaged)

Answer 32

> 15cm/sec