diastolic dysfunction shorten Flashcards

1
Q

what is diastolic dysfunction ?

A

problem w/ diastole

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2
Q

Diastolic dysfunction occurs

A

lower chamber don’t relax properly

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3
Q

Diastolic dysfunction leads to ….

A

diastolic HF

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4
Q

Diastolic dysfunction best viewed > ….

A

apical 4 chamber

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5
Q

E Wave or AKA …..

A

Early diastolic filling

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6
Q

In E Wave, MV are … & blood >

A

open / passively filling

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7
Q

A Wave or AKA ….

A

atrial contraction phase

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8
Q

In A Wave, Lt atrial pressure ……

A

increase

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9
Q

LT ………> …… than LT …….

A

ventricle / higher / atrium

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10
Q

In A Wave, MV > ….

A

closed

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11
Q

normal E/A ratio

A

E velocity > greater than A velocity

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12
Q

normal range : E/A ratio

A

0.75-1.5

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13
Q

In older age …… wave >

A

E / smaller ( hypertrophy)

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14
Q

In E/A ratio, ……. becomes …… & causes

A

Lt vent / stiff slowing down E wave / reduced E/A ratio

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15
Q

tissue doppler index

A

2nd component used > assess diastolic dysfunction

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16
Q

TDI measures

A

velocity : myocardium through cardiac cycle

17
Q

how do we get TDI ? USE …..

A

PW > medial / lateral annulus

18
Q

TDI gives us

A

E ( E prime) & A ( A prime)

19
Q

In normal diastolic dysfunction …
… Wave …. than … Wave
E/A ratio =
TDI =

A

E / Greater / A
0.75 - 1.5
E greater than A

20
Q

Impaired relaxation is what grade of DD

A

1

21
Q

what is the name : grade 1 DD

A

Impaired relaxation

22
Q

Grade 1 : Impaired relaxation
… Wave = … velocity than … wave
….. E/A ratio =
TDI =

A

E / lower / A
reduced / < 1
E less than A

23
Q

Pseudonormal is grade what : DD

A

2

24
Q

what is the name : grade 2 DD

A

Pseudonormal

25
Q

grade 2 : Pseudonormal
… Wave > …. than …. Wave
E/A ratio = , but TDI
…….. manuver shows > E/A ……

A

E / Greater / A
Normal / E Less than A
valsalva / reversal

26
Q

restrictive filling is what grade DD

A

3

27
Q

what is the name : grade 3 DD

A

restrictive filling

28
Q

Grade 3 : restrictive filling
E/A ratio =
DT =
TDI

A

Greater than 2
reduced / less than 150 m/s
E&A velocities low