Echocardiography Applications Flashcards

1
Q

1st degree relatives with genetic cardiovascular disease, patients with fevers/+blood cultures/suspected endocarditis, patients with cerebrovascular events, patients with arrhythmias. WHAT TYPE OF STUDY?

A

TRANSTHORACIC ECHO

SCREENING STUDY

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2
Q

evaluation of LV function, LV size and systolic function in patients with chronic valvular regurgitation, LV hypertrophy in hypersensitive patients. WHAT TYPE OF STUDY?

A

TRANSTHORACIC ECHO

MONITORING STUDY

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3
Q

Done before and after therapeutic INTERVENTION to asses effects of intervention and detect possible complications such as electrophysiologic studies, end-myocardial biopsy, effect of intervention, revascularization, pharmacologic therapy, valve repair. WHAT KIND OF STUDY?

A

Transthoracic echo

EVALUATION STUDY

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4
Q

After valve replacement, before chemotherapy. Patients at risk for cardiac disease or progression of preexisting cardiac disease. WHAT KIND OF STUDY?

A

BASELINE STUDY

transthoracic echo

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5
Q

TEE - images obtained have a _______ approach to the heart?

A

POSTERIOR

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6
Q

In TEE, you can image posterior heart and see these structures

A

aorta
atria
cardiac valves

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7
Q

One advantage of TEE is

A

many more off axis imaging planes

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8
Q

Is oxygen administered during a TEE?

A

YES

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9
Q

In TEE exam, why is a peripheral IV line inserted in right arm

A

because patient is LLD position, other arm would have them laying on the peripheral IV line

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10
Q

anesthetic used to numb gag reflex

A

lidocaine

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11
Q

2 common agents used for TEE sedation

A

Versed
Demerol

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12
Q

patient positioning TEE

A

LLD
Neck flexed
Knees flexed
Pillow under neck only to maintain MIDLINE position of neck

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13
Q

Advance esophageal varices are what

A

varicose veins in the esophagus

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14
Q

someone who has had prior esophageal surgery, cervical arthritis, is in severe cardiopulmonary distress (etc) poses a dilemma for the physician because it is a

A

relative contraindication

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15
Q

Esophageal tumors, stenosis, diverticulum, advanced esophageal varices (varicose veins) are examples of what type of contraindications

A

absolute contraindication

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16
Q

precordium aka

A

CHEST (fancy word for) chest area that overlays the heart and epigastrium

17
Q

EKG how many leads usually

A

12

6 limb leads
6 “precordium” leads

18
Q

In EKG, how many electrodes are placed on patient’s chest

A

10 electrodes

19
Q

In EKG, the peripheral leads are ________. The chest leads are ________.

A

Peripheral: 1, 2, 3, AVR, AVL, AVF

Chest: V1, V2, V3, V4, V5, V6

20
Q

Also known as an ambulatory electrocardiograph

A

Holter Monitor

21
Q

Bruce protocol, what is that

A

Treadmill stress test AKA EXERCISE ELECTROCARDIOGRAM

speed and grade on treadmill go up every 3 mins to max heart rate

22
Q

For a treadmill, the target heart rate is what

A

85% of their max heart rate

OR

220 - their age

23
Q

non-xray technique

A

MRI

24
Q

MRI is useful in detecting what

A

joint, tendon, vertebral disorders

25
Q

how are isotopes in nuclear medicine administered?

A

ingested OR injected

26
Q

A gamma camera is used in what imaging specialty and what is it

A

a gamma camera is used in nuclear medicine; it is any one of several scintographic cameras that record simultaneous counts from the entire operative field of view

27
Q

scintillation camera - what imaging specialty?

A

nuclear medicine

28
Q

M.U.G.A. stands for what - what imaging specialty

A

nuclear medicine

stands for “MULTIPLE GATED ACQUISITION” scan

29
Q

What is M.U.G.A. used to assess

A

ejection fraction and wall motion

30
Q

What imaging specialty superimposes two images on top of each other to condense info into one image

A

PET Scan

31
Q

PET/CT scans are used to detect this

A

cancer but has many other applications to determine normal BRAIN and HEART function

32
Q

coronary angiography is AKA

A

cardiac catheterization

33
Q

what procedure remains the standard of reference for evaluation of CAD

A

coronary angiography

34
Q

term used when doing a heart catheterization

A

percutaneous trans luminal coronary angioplasty