Measurements, Reference Limits, Values

Question 1

LV dimension for Women

LV diastolic diameter: a) ref. range b) mildly abnormal

c) moderately abnormal d) severely abnormal

Answer 1

a) 3.9 - 5.3 b) 5.4 - 5.7

c) 5.8 - 6.1 d) _>_6.2

Question 2

LV dimension for Men

LV diastolic diameter: a) ref. range b) mildly abnormal

c) moderately abnormal d) severely abnormal

Answer 2

a) 4.2 - 5.9 b) 6.0 - 6.3

c) 6.4 - 6.8 d) > 6.9

Question 3

LV volume for Women

LV diastolic volume, mL: a) ref. range b) mildly abnormal

c) moderately abnormal d) severely abnormal

Answer 3

a) 56 - 104 b) 105 - 117

c) 118 - 130 d) > 131

Question 4

LV volume for Men

LV diastolic volume, mL: a) ref. range b) mildly abnormal

c) moderately abnormal d) severely abnormal

Answer 4

a) 67 - 155 b) 156 - 178

c) 179 - 201 d) > 202

Question 5

LV volume for Women

LV systolic volume, mL: a) ref. range b) mildly abnormal

c) moderately abnormal** d)** severely abnormal

Answer 5

a) 19 - 49 b) 50 - 59

c) 60 - 69 d) > 70

Question 6

LV volume for Men

LV systolic volume, mL: a) ref. range b) mildly abnormal

c) moderately abnormal d) severely abnormal

Answer 6

a) 22 - 58 b) 59 - 70

c) 71 - 82 d) > 83

Question 7

Basal RV dimension (cm)

a) normal range b) mild dilation

c) moderate dilation d) severe dilation

Answer 7

a) 2.0 - 2.8 b) 2.9 - 3.3

c) 3.4 - 3.8 d) _>_3.9

Question 8

Mid RV dimension (cm)

a) normal range b) mild dilation

c) moderate dilation d) severe dilation

Answer 8

a) 2.7 - 3.3 b) 3.4 - 3.7

c) 3.8 - 4.1 d) > 4.2

Question 9

RV length (cm)

a) normal range b) mild dilation

c) moderate dilation d) severe dilation

Answer 9

a) 7.1 - 7.9 b) 8.0 - 8.5

c) 8.6 - 9.1** d)** _>_9.2

Question 10

Beam width in long axis:

Chest wall thickness:

Coronary sinus:

Answer 10

Beam width: ≈ 9 mm

Chest wall: ≈ 2-3 cm

C.S: ≈ 3-5 mm

Question 11

RV wall thickness:

IVS thickness:

MV leaflet thickness:

Answer 11

RV wall: < 5 mm

IVS: < 1 cm

MV: < 3 mm

Question 12

For Pulmonary vein flow use:

S wave: ______ D wave: ______

Ar reversal velocity: _____ Ar duration: ______

RVOT/PA: ________

Answer 12

4 Chamber; Rt Superior Pulmonary vein

S wave: + 0.56 m/sec D wave: + 0.44 m/sec

Ar reversal: .32 - .35 m/sec Ar duration

RVOT/PA: .5 - 1.3 m/sec

Question 13

MV Doppler flow

E velocity: _____ A velocity: ______

MV decel time: ______

E/A ratio: ___ young adult, ___ elderly

Answer 13

E velocity: .6 - 1.3 m/sec A velocity: .5 - .8 m/sec

MV decel time: 150 - 240 msec

E/A ratio: > 1 young, < 1 elderly

Question 14

LVOT Doppler flow

What view? Where to place gate?

LVOT velocity: ________

Answer 14

Apical 5 chamber

1 cm away from Ao valve in center of flow.

LVOT velocity: 60 cm to 1.8 m/sec,

however 1.1 m/sec is average

Question 15

Ao flow pattern:

Normal Ao velocity: _____

Answer 15

Accelleration and decelleration of flow

Ao velocity: 1 - 1.7 m/sec (can go up to 1.8 - 1.9)

Question 16

TV Doppler flow pattern

E and A velocities: ____

E/A ratio: ___ young adults, ___ elderly

TV decel time: _____

Answer 16

E and A: .3 - .7 m/sec

E/A ratio: > 1 young, < 1 elderly

TV decel time: + 200 msec up to 220 msec

Question 17

RVOT and PA Doppler flow

Which view? Where to place gate?

Normal velocities: _____

Answer 17

SAX at base

About 1 cm away from valve in center of flow.

RVOT/PA velocities: .5 - 1.3 m/sec

Question 18

RV end-diastolic area (cm²)

a) normal b) mild dilation

c) moderate dilation d) severe dilation

Answer 18

a) 11 - 28 b) 29 - 32

c) 33 - 37 d) > 38

Question 19

RV end-systolic area (cm²)

a) normal b) mild dilation

c) moderate dilation d) severe dilation

Answer 19

a) 7.5 - 16 b) 17 - 19

c) 20 - 22 d) > 23

Question 20

Fractional area change (%)

a) normal b) mild dilation

c) moderate dilation d) severe dilation

Answer 20

a) 32 - 60 b) 25 - 31

c) 18 - 24 d) < 17