deck_pressures Flashcards

1
Q

LV diameter for Women

a) normal range
b) mildly abnormal
c) moderately abnormal
d) severely abnormal

A

a) 39 - 53mm
b) 54 - 57 mm
c) 58 - 61mm
d) >62 mm

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2
Q

LV diameter for Men

a) normal range
b) mildly abnormal
c) moderately abnormal
d) severely abnormal

A

a) 42 - 59mm
b) 60 - 63 mm
c) 64 - 68mm
d) > 6.9 mm

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3
Q

LV volume for Women:

a) normal range
b) mildly abnormal
c) moderately abnormal
d) severely abnormal

A

a) 56 - 104ml
b) 105 - 117ml
c) 118 - 130ml
d) > 131ml

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4
Q

LV volume for Men:

a) normal range
b) mildly abnormal
c) moderately abnormal
d) severely abnormal

A

a) 67 - 155ml
b) 156 - 178ml
c) 179 - 201ml
d) > 202ml

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5
Q

Basal RV minor dimension (mm)

a) normal range
b) mild dilation
c) moderate dilation
d) severe dilation

A

a) 20 - 28mm
b) 29 - 33mm
c) 34 - 38mm
d) >3.9mm

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6
Q

Mid RV minor dimension (mm)

a) normal range
b) mild dilation
c) moderate dilation
d) severe dilation

A

a) 27 - 33mm
b) 34 - 37mm
c) 38 - 41mm
d) > 42mm

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7
Q

RV length (mm)

a) normal range
b) mild dilation
c) moderate dilation
d) severe dilation

A

a) 71 - 79mm
b) 80 - 85mm
c) 86 - 91mm
d) >92mm

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8
Q

Beam width in long axis:
Chest wall thickness:
Coronary sinus:

A

Beam width: ≈ 9 mm
Chest wall: ≈ 2-3 cm
C.S: ≈ 3-5 mm

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9
Q

RV wall thickness:
VS thickness:
MV leaflet thickness:

A

RV wall:
5 mm
IVS: 1 cm
MV: 3 mm

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10
Q
For Pulmonary vein flow use:
S wave: \_\_\_\_\_\_ 
D wave: \_\_\_\_\_\_
Ar reversal velocity: \_\_\_\_\_  
Ar duration: \_\_\_\_\_\_
RVOT/PA: \_\_\_\_\_\_\_\_
A
4 Chamber; Rt Superior Pulmonary vein
S wave:  0.56 m/sec 
D wave:  0.44 m/sec
Ar reversal: 0.32 - 0.35 m/s 
Ar duration
RVOT/PA: 0.6-0.9 m/s
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11
Q
MV Doppler flow
E velocity: \_\_\_\_\_ 
A velocity: \_\_\_\_\_\_
MV decel time: \_\_\_\_\_\_
E/A ratio: \_\_\_ young adult, \_\_\_ elderly
A

E velocity: .6 - 1.3 m/s
A velocity: .5 - .7 m/s
MV decel time: 150 - 240 msec
E/A ratio: > 1.0 -1.7 young, 0.7 - 1.3 elderly

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12
Q

LVOT Doppler flow
What view?
Where to place gate?
LVOT velocity: ________

A

Apical 5 chamber
1 cm away from Ao valve in center of flow.
LVOT velocity: 0.60 m/s to 1.8 m/s (however 1.1 m/sec is average)

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13
Q

Ao flow pattern:

Normal Ao velocity: _____

A

Accelleration and decelleration of flow

Ao velocity: 1 - 1.7 m/sec (can go up to 1.8 - 1.9)

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14
Q

TV Doppler flow pattern
E and A velocities: ____
E/A ratio: ___ young adults, ___ elderly
TV decel time: _____

A

E and A: .3 - .7 m/sec
E/A ratio: > 1 young, 1 elderly
TV decel time: 200 to 220 ms

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15
Q

RVOT and PA Doppler flow
Which view?
Where to place gate?
Normal velocities: _____

A

SAX at baseAbout 1 cm away from valve in center of flow.RVOT/PA velocities: .5 - 1.3 m/sec

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16
Q

RV end-diastolic area (cm2)

a) normal
b) mild dilation
c) moderate dilation
d) severe dilation

A

a) 11 - 28 cm2
b) 29 - 32 cm2
c) 33 - 37 cm2
d) > 38 cm2

17
Q

RV end-systolic area (cm2)

a) normal
b) mild dilation
c) moderate dilation
d) severe dilation

A

a) 7.5 - 16 cm2
b) 17 - 19 cm2
c) 20 - 22cm2
d) > 23 cm2

18
Q

Fractional area change (%)

a) normal
b) mild abnml
c) moderate abnml
d) severe abnml

A

a) 32 - 60%
b) 25 - 31%
c) 18 - 24%
d) 17%

19
Q

What are the filling pressures for the LA?

A

9-15 mmHg

20
Q

What are the filling pressures for the LV?

A

3-12 mmHg

21
Q

What are the filling pressures for the RV?

A

2-8 mmHg

22
Q

What are the filling pressures for the RA?

A

2-8 mmHg

23
Q

What are the diastolic pressures for the PA?

A

4-12 mmHg

24
Q

What are the systolic pressures for the PA?

A

9-18 mmHg

25
Q

What are the systolic pressures for the RV?

A

15-30 mmHg

26
Q

What are the Pressure grades for PHTN?

A

Normal: 15-25 mmHg ( 70mmHg
Eisenmengers: systemic pressures

27
Q

What is the Scale for LA Index

A

Normal 28 ml/m2 (22 +/- 6)
mild: 29-33 ml/m2
Moderate: 34-39 ml/m2
Severe: >40 ml/m2

28
Q

What is the Scale for MPI?

A

0.39 +/- 0.05 Normal

> 0.59 Abnormal

29
Q

Describe Tamponade Flow Characteristics

A

TV flow and Hepatic Vein Flow increase with Inspiration .

MV Flow increases and RA may collapse on Exhalation