Endocarditis, Prosthetic Valves, Aort Flashcards
MR seen on m-mode is indicative of what type of murmur?
Apical holosystolic
Pts w a aortic coArctation commonly have a blood pressure in the legs?
Lower than the right arm
All of the following are different types of endocarditis except?
Dressler
An m-mode of a mitral heterograft valve resembles an m-mode of which valve?
Aortic.
High frequency systolic vibrations on the aortic valve m-mode is consistent w?
Normal findings
High risk patients for infective endocarditis include those w?
Intravenous drug abuse
Low risk pts for infective endocarditis include those w?
Coronary artery disease
If a pt has a star Edwards valve in both the mitral and aortic positions mitral regurg might be best detected from which window ?
Subcostal
Coarctation of the aorta is associated w?
Bicuspid aortic valve
When using m-mode to interrogate a starr Edwards mitral valve which window would you use?
Apical
Which is an example of a mechanical cardiac valve?
St Jude bi-leaflet
When red blood cells become damaged as they pass through a mechanical prosthetic valve the pt is said to have?
Hemolysis, which is the destruction of red blood cells leading to the release of hemoglobin
Echo findings in endocarditis include?
Shaggy appearance on m-mode, of vegetation
Patients w Marfan syndrome will exhibit all of the following except?
LVH, is not commonly seen
Low risk patients for infective endocarditis include all the following except ?
Prosthetic mitral valve, you are at a high risk w this
In order to be seen by 2d echo, vegetations need to be how big?
2-3 mm
All of the following are etiologies for valvular endocarditis except?
Pulmonary HTN
The degree of prosthetic valve stenosis depends on all of the following except?
Presence of regurg
Patients w lupus will sometimes get what type of endocarditis?
Libman-Sachs
All of the following are examples of bioprosthetic cardiac valves Except:?
Star-Edwards ball valve
Echo findings in endocarditis often include all of the following Except:?
Eisenmeger syndrome has nothing to do with endocarditis.
Which is an example of a bioprosthetic cardiac valve?
Ionescu-shiley bovine valve
Which type of valve is a St. Jude?
Bi-disk
All of the following are increased risk factors for valvular endocarditis Except:?
Carotid artery stenosis
All of the following increase the risk for endocarditis Except:?
Coronary artery disease
Patients with endocarditis may present the following symptoms except:?
Angina
When using Doppler to interrogate a Starr-Edwards mitral valve, which window would you use?
Apical
You are in the ER, a patient had signs & symptoms of aortic dissection. Which modality give you rapid diagnosis?
TEE
High frequency systolic vibrations on the aortic valve M-mode is consistent with:?
Normal findings.
Which of the following is a known complication of a bioprosthetic heart valve?
Pannus formation
All of the following will cause aortic dilatation Except:?
Pulmonary hypertension
When red blood cells become damaged as they pass thru a mechanical valv, the PT is said to have:?
Hemolysis
A PT presents a 10 yr old ball-gage prosthetic valve in the mitral position with a new perivalvular leak. What might be a cause of this leak
Ring abscess
Patients with lupus will sometimes get what type of endocarditis?
Libman-Sachs
All of the following will cause aortic dilatation Except:?
Pulmonary hypertension
Which is an example of a mechanical valve?
St. Jude
The majority of organisms attach to the ___ side of the atrioventricular valves.
Atrial
What is a common symptom of a PT with endocarditis?
Fever
All of the following are examples of mechanical valves Except:?
Hancock
Prosthetic valves are classified as:
Mechanical & bioprosthetic
If a PT has a porcine MV, all of the following should be R/O during echo Except:?
Carcinoid heart disease
Coarctation of the aorta most often occurs at the:?
Aortic isthmus
In endocarditis the veg usually attach on:?
Flow side of valve
A vegetation on a valve, need to be how big?
3mm
If the PT pulmonic valve, annulus and trunk are excised and relocated to the aortic position, what type of valve do they have?
Autograft
All of the following are different types of endocarditis Except:?
Dresslers