LV diastolic Function

Question 1

key parameters for measuring LV function

Answer 1

1. miral inflow
2. TDI
3. LA index
4. pulmnary venous flow
5. TR velocity
6. valsalva maneuver

Question 2

does e wave peak velocity increase or decrease with age

Answer 2

decrease

Question 3

the E-wave peak velocity represents

Answer 3

the LA-LV pressure gradient

Question 4

what is the MV E wave peak velocity affected by

Answer 4

change in rate of relaxation and LAP

Question 5

A wave peak velocity represent

Answer 5

atrial contraction, late diastole LA-LV pressure gradient

Question 6

does A wave peak velocity increase or decrease with age

Answer 6

increase

Question 7

the A wave peak velocity is affected by

Answer 7

LA contractility/lv compliance

Question 8

E/A normal range

Answer 8

1.0-1.5

Question 9

does E/A ratio increase or decrease with age

Answer 9

decreases

Question 10

what is the E/A ratio used for

Answer 10

to recognize abnormal filling patterns

Question 11

normal E decel time

Answer 11

160-240 ms

Question 12

E decel time increases or decreases with age

Answer 12

increases

Question 13

E decel time is effected by

Answer 13

LV relaxation, diastolic pressure, and stiffnesss

Question 14

E/e’ <8 indicates

Answer 14

normal LV filling pressure

Question 15

E/e’ >14 indicates

Answer 15

increased LV filling pressure

Question 16

normal LA volume index

Answer 16

16-34 ml

Question 17

LAVI equation

Answer 17

LAVI=LAV/BSA
(la volume index= la volume/bodysurface area)

Question 18

pulmonary venous flow s wave peak velocity affected by

Answer 18

LA pressure changes and contractility

Question 19

pulmonary venous flow D WAVE affected by

Answer 19

early diatolic LV filling/compliance
normally slightly less than S wave

Question 20

pulmonary venous flow atrial reversal due to

Answer 20

due to Atrial contraction

Question 21

when LA pressure increases what happens to pulmonary venous flow

Answer 21

s wave decreases and d wave increases

Question 22

RV systolic pressure equation

Answer 22

4(peak TR velocity)^2 + RAP

Question 23

is the ivc collapses >50% RA pressure is

Answer 23

3

Question 24

ivc collapses less than 50% the RA pressure is

Answer 24

15

Question 25

what maneuver can be used to unmask a pseudonormal E/A ratio

Answer 25

valsalva

Question 26

Abnormal lateral E/e’ cutoff

Answer 26

> 13

Question 27

abnormal cutoff septal E/e’

Answer 27

> 15

Question 28

e’ MV annular velocity abnormal cutoff septal wall

Answer 28

<.7 cm/s or 0.07 m/s

Question 29

TDI MV e’ velocity lateral wall abnormal cutoff

Answer 29

< 10 cm/s or .10 m/s

Question 30

peak TR velocity abnormal cutoff

Answer 30

> 2.8 m/s

Question 31

severe LAE

Answer 31

> 48

Question 32

mild LAE

Answer 32

35-41

Question 33

LA volume index equation

Answer 33

LAV/BSA

Question 34

RVSP/SPAP equation

Answer 34

4(tr)^2 + RAP

Question 35

Rv diastolic dysfunction primary parameters

Answer 35

Tricuspid inflow
Tdi of tv annulus
Ra volume

Question 36

Rv e/a <.8 suggest

Answer 36

Impared relaxation

Question 37

Rv e/a between .8-2.1 suggest

Answer 37

Pseudonormal filling

Question 38

Normal e-f AMVL normal range

Answer 38

70-150 mm/sec

Question 39

E point to septal normal range

Answer 39

2-7 mm

Question 40

D-E excursion normal range

Answer 40

18-28 mm