Test 6 Left heart hw Flashcards
WPP means
AR
more than 10 mmhg drop in BP with inspiration
paradoxus
if ao and fa pressures are different hat usually means
Cath is tight fit in sheath
LV and Ao are really low on 100 scale which usually means
systemic hypotension
reduced upstroke velocity in arterial pulse tracing means
AS
arterial pulse which is felt as two distinct impulses during one systole
pulsus bisferians
elevated LVs
systolic htn
diastolic gradient in LV/LA
MS
overgrown septum
HOCM
transeptal pullback from LA to RA shows
ASD
RV 26/2 PA 25/19 LAm 18 LV 145/8 AO 145/75
MS
cardiomyopathy is suspected in ot with lvedp higher than
18
LA 12/25/16 RV 25/4/5 LV 120/1/13 AO 120/80/93 RA 4/3/5
MR
notched systolic arterial pressure waves
HOCM
an alternating high-low variation in the systolic BP
HF alternans
incisuria dicrotic notch indicates
av closure
paradoxical increase in Ra during inspiration in cases of CP is
Kussmaul’s; tamponade
discordance
CP
diastolic collapse of right heart chambers demonstrated by echo
tamponade
rapid accumulation of fluid in pericardial sac=
tamponade
HOCM is caused by
genetics
________most common cause of sudden death in competitive athletes
HOCM
diagnosis of HOCM is made by
echo
LVOt gradient of HOCM provoked by
valsalva or isoproterenol
gold standard for HOCM
surgerical byectomy
Echocardiography with bubble contrast is usually used during septal
ablation to help identify the coronay septal branc to be ablated
true
HOCm is often associated with LV Ao gradient similar to
AS
A post PVC beat resulting int LV AO gradient in HOCM is called
Brockenbrough
two fa cath are used in
ASA
in ASA what is placed in RV preprocedure
RV pacing wire
surgery for HOCM is
Ventricular septal reduction myoplastu
balloon is inflated to obstruct septal perforator supplying target region of the bulging ventricular septum what would happen
gradient is reduced
to prevent alcohol leaking into LAD and causing MI we use a _____________instead of a guideliner to delover denatured alcohol
Angioplasty balloon Cath
how quickly is 95% ethanol injected into the target region of ventricular septum
slowly over 3 mins
how much ethanol during ablation
1-2ml
what causes septum to infarct
ASA
if PVC doesnt make gradient worse than it is
HOCM
if PVC did make gradient worse than it is
AS
HOCM is associated with
myocardial fiber disarray
diastolic equalization leads to
CP
post extrasystolic potentation of an LV AO gradient is called
brockebrough
genetic disorder with hypertrophied and hypercontractile LV
HOCM
post PVC accentuation of LV Ao
hocm brokenbrough
AOs elevated while aod is decreased
AR
LV failure causes elevated
LVedp
incompetent bicuspid valve is demonstrated by
large v waves
in MR LAa waves are larger than LAv waves
false
systolic gradient between LV and ao
AS
systolic gradient occurs with stenosis of _________valves
semilunar
diastloic gradient occurs with stenosis of _______-valves
a-v valves
LAm would be higher than LVedp in
MS
in MR look for
canon v waves
AOs and LVs increase while AOd decreases
AR
when AOs exceeds LVs
Peripheral amp
square root in LV means
RC
LA 26/28/20 LV 125/0/10
MS
AO 160/50
AS
LV 150/2/8 AO 95/65
AR
LVA 160/15 LVOT 120/14
HOCM
a-v regurge
canon v waves
semilunar valves stenosis
systolic gradient
a-v valve stenosis
diastolic gradient
semi lunar valve regurge
WPP
coarctation of aorta
mean gradient
where would you find canon v waves in MR
pcw
pulsus tardus and parvus is best seen in
Simultaneous LV/AO
RV diastolic increases above LV diastolic after 1000 ml saline is
CP
arteriosclerosis shows
peripheral amplification of pressure
de Musset means
AR
