HFpEF

Question 1

RCM diastology

Answer 1

Predominant early diastolic filling

Reduced atrial filling

Question 2

RCM DT

Answer 2

<150

Question 3

RCM IVRT

Answer 3

<50

Question 4

RCM tissue doppler

Answer 4

Decreased e’

Question 5

RCM E/E’

Answer 5

> 14

Question 6

Cardiac amyloidosis echo

Answer 6

Thick LV, RV
Dilated LA, may have thrombi
Pericardial effusion
Low TDI
Restrictive
GLS with apex preserved

Question 7

Cardiac amyloid 2D prognostic factors

Answer 7

LV wall > 15 mm
FS < 30%
LA diameter > 23
LV/RV ratio <= 2

Question 8

Cardiac amyloid doppler prognostic features

Answer 8

Restrictive
E/A > 2.1
D T< 150
SVI < 33
MPI > 0.77
TAPSE < 17
ET <= 240

Question 9

Cardiac amyloid relative regional strain ratio poor prognosis

Answer 9

<= 1.19

Question 10

Fabry features

Answer 10

Thick, preserved EF
DD
Late LV dilatation 
Valve leaflet thickening
Aortic root dilatation
MVP

Question 11

Danon features

Answer 11

Marked symmetric LV thickening 20-60
LV systolic dysfunction
RV wall thick 10 mm

Question 12

Frederich Ataxia features

Answer 12

Increased thickness of septal or posterior wall
DD
Mild valvular insufficiency

Question 13

Oxalosis features

Answer 13

BiV thickening with speckling of pap muscles
Early normal EF
DD

Question 14

Cardiac sarcoid features

Answer 14

Skip lesions

Inferior and posterior aneurysmal dilatation

Question 15

Hemochromatosis features

Answer 15

LV dilatation / reduced EF or

pHTN, RV dilatation, RHF with preserved LVEF

Question 16

Hypereosinophilic Syndrome Acute necrotic phase echo

Answer 16

May be normal

Question 17

Hypereosinophilic Syndrome Thrombotic stage echo

Answer 17

LV thrombus

Question 18

Hypereosinophilic Syndrome Necrotic stage echo

Answer 18

Intracardiac thrombi or evidence of fibrosis
Diastolic dysfunction
Posterior mitral leaflet thickening and retraction