LV systolic function Flashcards

1
Q

describe ventricular systole

A
  • depolarization of the ventricles followed by mechanical contraction
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2
Q

AO intracardiac pressure

A
systolic = 120
diastolic = 70
mean = 80
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3
Q

mean RA pressure

A

4

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4
Q

RV pressures

A

systolic 25

diastolic 4

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5
Q

LV pressures

A

systolic 120

diastolic 10

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6
Q

LA mean pressure

A

10

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7
Q

PA pressures

A

systolic 25
diastolic 10
mean 16

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8
Q

what shape is the pressure loop for the LV

A

rectangle

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9
Q

what shape is the pressure loop for the RV

A

triangle

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10
Q

preload

A
  • muscles length or stretch @ end diastole
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11
Q

afterload

A

tension that the LV must overcome before fiber shortening & contraction

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12
Q

factors that increase stroke volume

A
  • increased preload
  • decreased afterload
  • increased inotropy
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13
Q

factors that decrease stroke volume

A
  • decrease preload
  • increase afterload
  • decrease inotropy
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14
Q

quantitative systolic measurement

A
  • FS
  • EF
  • simpsons
  • Area length method
  • SV
    Dt/dp
  • tissue doppler
  • MPI
  • global strain
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15
Q

what length percentage must the A4c and A2c views be within?

A

<10%

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16
Q

cardiac output formula

A

SV x HR = CO

17
Q

stroke volume formula

A

SV = EDV-ESV

18
Q

whats the dp/dt measurement used for

A
  • tine it takes for LV pressure to rise by 32 mmHg
19
Q

normal t in dp/dt

A

<27ms

20
Q

dp value

A

32000

21
Q

normal dp/dt values

A

> 1200

severe <800

22
Q

what is tethering

A
  • when hypokinetic or akinetic segment is adjacent to a normal srgment and gets dragged along by its motion
23
Q

normal MPI conventional method value

A

<0.44

24
Q

MPI formula conventional method

A

MPI=(IVCT+IVRT)% ET

25
Q

MPI tissue doppler method values

A

LV normal <0.6

RV normal <0.55

26
Q

how ma views need to be seen to be scored qualitatively

A

2 or more

27
Q

TDI RV S prime value

A

> 9.5

28
Q

FAC normal

A

> 35%

29
Q

TAPSE normal

A

> 17mm

30
Q

RV base, mid and length

A

<41
<35
<86

31
Q

RVOT proc and distal diameter normals

A

<3.3

<2.7