High Yield PTEeXAM Review Part 21-23 Flashcards
What are who aspects that increase significance of pressure recovery?
- Increased Aortic Stenosis severity
- Decrease in aortic root size (Women and children)
When you are performing a cath-derived peak pressure, how does that comprae to doppler derived gradients?
Pressure Recovery
CWD > Cath
Cath derived are measured distl to areaa of “low” pressure yielding lower pressure graadients than the actual peaka
What is the doppler equation?
Change in F = V cos (angle) 2 Ft / C
What is a normal MPI (Myocardial Performance Index)?
< 0.35
What is a MPI (Myocardial Performance Index) that represents LV dysfunction?
>0.5
Does MPI (Myocardial Performance Index) a measure of systolic or diastolic function?
BOTH
Is MPI (Myocardial Performance Index) load dependent?
NOT load dependent
What is the MPI (Myocardial Performance Index) equation?
[IVRT + IVCT] /ET
What TEE view do you need to obtain MPI (Myocardial Performance Index)?
TG Deep 5 chamber
What is the answer to the photo?
B = Isovolumetric Contraction Time
A RV MPI above WHAT was found to be predictive of hemodynamic instability and mortality afater cardiac valvular surgery?
0.5
What view is needed to get RV MPI values?
Deep TG RV outflow
What ultrasound modality allows us to see movement not speed or direction?
Power Doppler
What is the velocity of sound in units (mm/microsecond)?
1.54 mm / microsecond
1540 m/sec is other units
How does the PWD shift if you move the cursor from the distal LA to the MV annulus?
- Peak E wave change?
- Deceleration time change?
- Peak E wave increases
- Deceleration time decreases
What is the neck of a true anuerysm of the LV?
Wide