Hemodynamic Principles Flashcards

1
Q

True or False?

The dicrotic notch indicates the location of the arterial mean pressure.

A

True

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2
Q

What valvular event is most closely associated with the dicrotic notch on the PA pressure tracing?

A

closure of the pulmonic valve

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3
Q

Where is mean pressure is measured.

A

PCW

AO

PA

femoral artery

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4
Q

What is the equation for MAP?

A

1 systolic + 2 diastolic

________________

3

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5
Q

How would you calculate pulse pressure?

A

PP = systolic - diastolic

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6
Q

Left ventricular end diastolic pressure (LV-EDP) readings are normally the same as what other pressure?

A

Pulmonary capillary Wedge pressure

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7
Q

What does the C wave represent and where can it be found?

A

In a pulmonary capillary wedge

closure of the pulmonic valve

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8
Q

When is the PC wedge pressure measured during respiration?

A

end inspiration

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9
Q

Under normal conditions PCW pressures should approximate what three other pressures?

A
  1. LA mean
  2. LV edp
  3. PA diastolic
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10
Q

True or False?

PA pressures vary with the respiratory cycle.

A

True

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11
Q

True or False?

Normally the RA mean is less than the RVedp

A

False

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12
Q

True or False?

In atrial fibrillation there are no a-waves in the RA tracing.

A

True

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13
Q

True or False?

An RV to RA pullback across a normal tricuspid valve should show no diastolic gradiant.

A

false

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14
Q

What pressures are needed to assess tricuspid stenosis?

A

RA and RV

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15
Q

What is the proper scale for an RA waveform?

A

40

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16
Q

True or False?

Normally the PA mean equals the RVedp.

A

True

17
Q

Absence of an a-wave in the RA waveform is consistent with which rhythm?

A

atrial fibrillation

18
Q

True or False?

The lowest pressue of all right heart waveforms is the x descent of the RA. It should be zero.

A

False

19
Q

The diffence between PA systolic and PA diastolic is equal to what?

A

Pulse Pressure

20
Q

Which pressure is normally the lowest?

A

RV early diastole

21
Q

What hemodynamic measurement is identified with right heart preload?

A

RV edp

22
Q

What is the normal pressure for the right ventricle?

A

25/5

23
Q

What normal positive atrial pressure wave immediately follows QRS complex and closure of the AV valves?

A

c wave