Echo Board Review Flashcards
Abx PPX used for?
4 things
Prosthetic valves or material
H/o endocarditis
Heart transplant WITH abnl valve function
Cyanotic CHD not fully repaired or <6 mo within repair or residual defect after repair
Location of vegetation or mass
Marantic?
Infective?
Lambl
Pap fibroelastoma
Downstream
Upstream
Downstream
Downstream
When is E/e’ inaccurate?
5 things
MS
MAC
Prosthetic MV
MR
Diffuse severe LV dysfunction
BSA indexing is insensitive to what body measure
Obesity or BMI
Direction of jet in:
Prolapse
Restricted leaflet
Away
Toward
Coanda effect
Eccentric jets don’t occupy much LA area
ERO for mitral =
RF for mitral =
MR volume / MR VTI
MR vol / MV SV
Cutoffs for severe MR
MR volume
ERO
Vena Contracta
RF
60 cm3
- 4 mm2
- 7
50%
Syndrome a/w subaortic membrane
William syndrome
Aortic Root cutoff for surgery?
Woman with Marfan wants pregnant
LDS
BAV with Marfan
BAV change per year
Degenerative or BAV alone
4
- 2
- 5
> 0.5 per yr and 5.0 cm
5.5
Hypereosinophilic syndrome features
Treatment?
Restrictive CM
MR
Systemic manifestations
Peripheral eosinophilia
Almost looks like thrombus extending to MV annulus
Tx with AC and immunosuppressants
Carcinoid echo features
Thick fixed TV leaflets
Torrential TR
Poss TS
Possible PV involvement
Plaquenil induced CM features
Very similar to amyloid
Hemochromatosis CM features
Dilated CM
No LGE
Arrhythmias and conduction abnormalities
ARVD diagnosis
Regional akinesis/dyskinesia/aneurysm
AND
RVOT (prox) >= 32 mm PLAX
RVOT >= 36 mm PSAX
Or FAC <= 33%
Minor criteria
29 mm, 32 mm, 34-40%
