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Extra Stuff CCI Review > Know It Pt & > Flashcards

Know It Pt & Flashcards

1
Q

What are the five phases of diastole?

A

1.IVRT
2. E wave - early filling
3. Diastasis
4. A wave- atrial contraction
5. IVCT

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2
Q

During IVRT which valves are open and closed?

A

AV closed
MV opens

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3
Q

The majority of ventricular filling occurs during?

A) IVRT
B) IVCT
C) first third of diastole
D) atrial contraction

A

C

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4
Q

What valves are open during IVCT?

A

-AV open
-MV closed

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5
Q

What are the three abnormal filling patterns?

A
  • abnormal relaxation -grade 1
    -pseudo normal - grade 2
    -Restrictive - grade 3
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6
Q

Which abnormal filling pattern represents grade 1 diastolic dysfunction

A

Abnormal relaxation

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7
Q

Which abnormal filling pattern represents grade 2 diastolic dysfunction

A

Pseudo normal

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8
Q

Which abnormal filling pattern represents grade 3 diastolic dysfunction

A

Restrictive

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9
Q

Which abnormal filling pattern represents grade 4 diastolic dysfunction

A

Grade 4 - is dependent on whether or not a restrictive grade 3 inflow pattern normalizes with Valsalva or persists

If the restrictive flow pattern persists even with Valsalva, this is known as great 4 and is irreversible

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10
Q

A patient comes into the Ecolab with grade 3 diastolic dysfunction. what maneuver do you perform to determine if it is irreversible?

A

Valsalva maneuver

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11
Q

A patient comes into the Ecolab with grade 3 diastolic dysfunction. You ask the patient to Valsalva and the restrictive flow pattern persists what is this classified as?

A

Grade 4 - irreversible

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12
Q

If a patient has a normal mitral valve inflow, but their pulmonary veins show a decreased S wave and D wave what might you consider they have??

A

Pseudo normal pattern

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13
Q

In elderly patients > ___ the a-wave is normally ___ to or ____ than the E -wave

A

60; Equal ; higher

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14
Q

What’s does an abnormal relaxation grade 1 diastolic dysfunction pattern look like?

A

Blunted E , normal A

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15
Q

What’s does an pseudo normal grade 2 diastolic dysfunction pattern look like?

A

Normal looking E & A

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16
Q

What’s does a restrictive grade 3 diastolic dysfunction pattern look like?

A

Narrow, tall E, long diastasis, small A

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17
Q

what is a normal E/e’?

A

<14 cm/sec

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18
Q

What should a normal lateral e’ be?

A

> or equal to 10cm/s

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19
Q

What should a normal septal e’ be?

A

> or equal to 7cm/s

20
Q

What’s a normal LA volume?

A

<34ml

21
Q

What should your e/a ratio be?

A

> 1

22
Q

What’s a normal Decel time?

A

<220m/sec

23
Q

How long should your IVRT be?

A

<100m/s

24
Q

What is the ratio of your S& D wave on your pulmonary veins?

A

> 1

25
Q

What should your A duration be for your pulmonary vein a wave?

A

<20ms

26
Q

If you have a patient that has a normal septal and lateral e’ but a slightly enlarged LA what would be classify this in terms of diastolic dysfunction?

A

Athletes heart or constriction

27
Q

A E/A ratio of 0.8-1.5 means?

A

Grade 2 -pseudonormal diastolic dysfunction

28
Q

A E/A ratio of > 2 means?

A

Grade 3- restrictive diastolic dysfunction

29
Q

A decel time of >200 means?

A

Grade 1 -abnormal relaxation

30
Q

A decel time of 160-200ms is a sign of?

A

Grade 2- pseudo normal diastolic dysfunction

31
Q

A decel time of <160ms is a sign of?

A

Grade 3- restrictive diastolic dysfunction

32
Q

If 2 out of 3 diastolic dysfunction criteria are negative we consider it?

A

Normal or grade 1

33
Q

Out of the 3 diastolic dysfunction criteria if 1 is positive and 1 is negative. We consider this?

A

Unable to determine

34
Q

Out of the diastolic dysfunction criteria if 2 are positive or 3 are positive we consider this?

A

Grade 2

35
Q

If the E/A ratio of > or equal to 2 we consider this?

A

Grade 3

36
Q

When dopplering your MV inflow. You should do it in your __ view. Use ____ wave. Ensure you sample volume is at _____mm and place it at the ____tips.

A

Ap4; PW; <2mm; leaflet

37
Q

When dopplering your MV inflow. Your frequency and gain should be?

A

Low

38
Q

What should the sample size be for mitral inflow Doppler?

A

<2mm

39
Q

When dopplering your pulmonary veins. You should use ____ wave. Make sure your sample volume is at ____mm

A

PW, 3-4mm

40
Q

What should your sample size be for pulmonary vein Doppler?

A

3-4mm

41
Q

When using Doppler at the pulmonary veins, you should be ___ to ___cm into the pulm veins

A

1-2cm

42
Q

What is the difference with the mitral valve info pattern between construction and restriction disease?

A

MV inflow changes with respiration with constrictive disease

43
Q

How would you determine if a patient has constrictive versus restrictive disease?

A) strain Imaging
B) pulmonary venous flow
C) mitral valve flow with respiratory variation
D) tricuspid valve inflow with respiratory variation

A

C

44
Q

With constrictive pericarditis does the E wave in a mitral valve flow pattern increase or decrease with inspiration?

A

Decrease

45
Q

Freebie

A

Extra Stuff CCI Review (18 decks)

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