Echocardiography Flashcards
What is the image produced in echocardiography?
Echocardiogram
TRUE OR FALSE:
ECG alone can determine the ability of the pumping action of the heart
FALSE
it needs echocardiography
What is the other term for echocardiography?
Diagnostic cardiac ultrasound
Echocardiogram utilizes _________________ to create live images of the patient’s heart
Sound waves
What are few that can be detected in echocardiography?
coagulation disorders in heart, fluid accumulation in pericardium, disorders involving aorta
TRUE OR FALSE:
Determination of gestational age requires ECG
FALSE:
Echocardiography is used
Transducer used in echocardiography serves like a ____________ because it sends out sound waves
microphone
Echocardiography utilizes _____________ that cannot be heard by human.
very high frequency
What is the difference between ECG and echo?
- ECG/EKG = test check hearts’ rhythm and heart activity
- Echo = assess heart’s function and structure
This is the most widely utilized imaging test in cardiology outside x-ray
Echocardiogram
TRUE OR FALSE:
Echocardiogram is a non-invasive, no radiation/damage = relatively harmless procedure
TRUE
Which echo use sound waves to measure direction and velocity of blood flow?
Doppler echocardiogram
What is the sequence of events during echocardiogram?
- Gel is placed on chest
- Transducer sends sound waves through chest to heart
- sound waves bounce back from heart to transducer
- computer processes sound-waves to make visual of beating heart.
The echocardiogram procedure is expected to be: __________________________
non-invasive, portable, has no radiation, painless, harmless, has no side effects
What is the principle used for echocardiogram?
high frequency waves or ultrasound
TRUE OR FALSE:
Fasting before the echocardiogram procedure is necessary
FALSE
How long does echocardiogram takes?
1 hour
Physician will ask for echocardiogram procedure to _______________________
look for heart structure and if the heart is working
What is the condition observed through echocardiogram that shows blockage or clogging of plaque in the artery or accumulation of fat deposits?
Atherosclerosis
What is the example of Congenital heart disease/defect observed using echocardiogram?
Ventricular septal defect
What is ventricular septal defect?
There is a hole between 2 lower chambers of the heart
This is the condition wherein there is enlargement of heart due to thick/weakened heart muscle observe through echo
Cardiomyopathy
Describe the condition involved in heart valve disease
there is an abnormality of blood flow of heart —> thin valves = prevent blood from flowing through the heart, to the lungs = become leaky = leak backwards = regurgitation
What are the conditions detected through an echo?
- heart murmur
- heart attack
- unexplained chest pains
- atherosclerosis
- congenital heart disease/defect
- pericarditis
- rheumatic heart fever
- cardiomyopathy
- heart failure
- heart valve disease
What are the 4 echo techniques?
- 2D Cross sectional
- M-mode
- Doppler
- Color doppler
This echo technique “see” the actual motion of the heart structures
2D Cross Sectional
This echo allows you to see actual image but moving objects cannot be seen
2D cross sectional
What are the features of M mode echo technique?
- Time motion display
- image similar to a tracing than an actual picture of heart structure
- has single ultrasound beam which displayed overtime on a moving sheet of paper
- observes pumping chambers, size of heart, thickness of heart walls
What does the paper for M mode contain?
pieozoelectric crystal
Red and yellow lines seen in the product observed in M mode indicates _________________
red for systole (contraction) and yellow for diastole (relaxation)
This echo technique can measure and assess the flow of blood through the heart’s chambers and valves
Doppler
To whom did the doppler technique attributed to?
Christian Johann Doppler in 1842
This is the enhanced doppler
2D color doppler
TRUE OR FALSE:
Colors observed in the 2D color doppler indicates disease
FALSE
The different colors are designate the direction of blood flow
This is the most common type of method of echo
Transthoracic (TTE)
Where does the transducer placed on the patient on transthoracic method?
Across the chest/heart
TRUE OR FALSE:
ECG is needed to monitor heart during echo
TRUE
What is applied before echo procedure either directly on Px or unto the transducer?
Lubricating gel
What is the swishing sound that can be heard during an echo procedure?
Sound of blood flow
This echo method requires anesthesia and sedative?
Transesophageal (TEE/TOE)
This echo technique is used if the doctor’s need a detailed view of the patient’s heart
Transesophageal (TEE/TOE)
What is the use of anethesia for Transesophageal (TEE/TOE)?
To eliminate gag reflex = avoid vomitting during test
In what form does the anesthesia for Transesophageal (TEE/TOE) used?
Gel or spray
TRUE OR FALSE:
The transducer for Transesophageal (TEE/TOE) is bigger than used in TTE
FALSE
TRUE OR FALSE:
Both TTE and TEE/TOE does not require fasting
FALSE
Px should NPO 4hrs before test
TRUE OR FALSE:
TEE/TOE is requested before TTE
FALSE
TTE must be reviewed first
This echo method is used on expectant mothers
Fetal echocardiography
At what week of pregnancy is the echocardiography used for pregnant women?
sometime during weeks 18 to 22 of pregnancy
TRUE OR FALSE:
BOTH gestational age and heart abnormality of the baby can be determined through fetal echocardioography
TRUE
The fetal echo is considered safe for unborn child/fetus because ____________________
it does not use x-ray therefore there’s no radiation involved
This echo method can show multiple images from different angles
3D Echo
3D echo is used prior to ____________________
heart valve surgery as well as to diagnose heart problems in children
Which echo uses contrast agent in blood stream contracts in blood stream to provide better image of heart
Contrast echocardiogram