ECHO-Diastolic Stress Echocardiogaphy

Question 1

Cut off TR Vmax for post exercise normal RVSP

Answer 1

TR Vmax of 3.2 m/s

Question 2

Proposed algorithm for Diastolic function assessment

Answer 2

for grade 1 and 2&2 - suggest Diastolic Exercise

Question 3

T/F? Elevated LV filling pressure at rest r during exercise confirms the HFpEF diagnosis

Answer 3

True

Question 4

T/F? E/e’ >10 is sensitive for grade 2 and 3 dysfunction especially if TR > 2.8m/sec

Answer 4

True, considered elevated filling pressure

Question 5

T/F? N o change in Medial e’ after exercise

Answer 5

True

Question 6

after exercise, PWCP cut off for diagnosis with eleavted filling pressure

Answer 6

PCWP ≥ 25mmHg

Question 7

T/F? Grade 1 diastolic function is the best candidate for exertional diastolic function asseesment

Answer 7

True

Question 8

T/F? Use of dobutamine stress echo in assessing diastolic dysfunction.

Answer 8

FALSE! Dobutamine, with its effect on the beta2 effect and vasodilatory effect, it makes the filling pressure better.

Question 9

Echo diagnosis of HFpEF

Answer 9

see pic