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Echo > Diastolic Dysfunction > Flashcards

Diastolic Dysfunction Flashcards

1
Q

Normal medial Eā€™

A

> =7

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2
Q

Normal lateral Eā€™

A

> =10

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3
Q

Normal E/Eā€™

A

Average <= 14

Medial <=15

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4
Q

Normal TR velocity

A

<=2.8 m/s

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5
Q

Normal LAVI

A

<=34

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6
Q

Normal IVRT

A

80-120 ms

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7
Q

Grade I IVRT

A

> 120 ms

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8
Q

Grade II IVRT

A

<80 ms

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9
Q

Grade III IVRT

A

<80 ms

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10
Q

Normal PV pattern

A

S>D

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11
Q

Grade I PV

A

S>D

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12
Q

Grade II PV

A

S < D

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13
Q

Grade III PV

A

S &laquo_space;D

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14
Q

Normal E wave decal time

A

<= 258

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15
Q

Grade I decal time

A

> 258

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16
Q

Pseudonormal decel time

A

160-258

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17
Q

Restrictive decal time

A

<160

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18
Q

GLS predictor of cardiotox

A

Drop in GLS >15% or 3% absolute value

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19
Q

EF definition of cardiotoxicity

A

Drop in EF of 10% to value <53%

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20
Q

Tissue doppler filters

A

High velocities

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21
Q

Strain rate equation

A

SR = (V1-V2)/L

22
Q

Negative radial strain

A

Relaxation if diastole

Dyskinesis if systole

23
Q

Postive radial strain

A

Contraction

24
Q

Torsion during isovolumic contraction

A

Apex clockwise

Base counterclockwise

25
Q

Torsion during ejection

A

Apex counterclockwise

Base clockwise

26
Q

E/eā€™ in diabetics

A

Correlates with A1c

27
Q

Better predictor than EF in acute HF

A

GCS

28
Q

Strain rate 0

A

akinesis

29
Q

Strain rate >0

A

Expansion

30
Q

Strain rate <0

A

Compression

31
Q

Annulus paradoxus

A

E/eā€™ has reverse correlation with PCWP in constrictive pericarditis

32
Q

Normal radial strain

A

40-60%

33
Q

PV S1

A

changes in LA pressure, LA relaxation or contraction

34
Q

PV S2

A

SV and pulse wave propagation in pulmonary tree

35
Q

PV D

A

Changes in LV compliance and filling, changes with mitral E velocity

36
Q

PV AR

A

LV late diastolic pressures, atrial preload, left atrial contractility

37
Q

PV AF or atrial stunning

A

Blunted S (S1), absent AR

38
Q

PV AR for elevated LV filling pressure

A

> 35

39
Q

V waves in absence of MR

A

Decreased LA compliance

40
Q

1st degree AVB and mitral inflow

A

May cause E-A fusion

41
Q

L wave

A

Markedly delayed relaxation mid diastolic filling

42
Q

LVEDP using AR

A

DBP - 4 end diastolic velocity ^2

43
Q

PV AR > a wave by 30

A

high lvedp

44
Q

HV S

A

Systolic forward flow

45
Q

HV D

A

diastolic forward flow

46
Q

HV SR

A

Systolic flow reversal

47
Q

HV AR

A

Atrial flow reversal

48
Q

Normal HV

A

S > D, no significant flow reversals

49
Q

HV Myopathy

A

Flow reversals increased with inspiration

50
Q

TR HV

A

prominent systolic reversal

51
Q

CP HV

A

augmented diastolic flow reversal with expiration

Echo (30 decks)

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