Test 6 Left heart hw Flashcards

1
Q

WPP means

A

AR

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2
Q

more than 10 mmhg drop in BP with inspiration

A

paradoxus

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3
Q

if ao and fa pressures are different hat usually means

A

Cath is tight fit in sheath

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4
Q

LV and Ao are really low on 100 scale which usually means

A

systemic hypotension

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5
Q

reduced upstroke velocity in arterial pulse tracing means

A

AS

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6
Q

arterial pulse which is felt as two distinct impulses during one systole

A

pulsus bisferians

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7
Q

elevated LVs

A

systolic htn

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8
Q

diastolic gradient in LV/LA

A

MS

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9
Q

overgrown septum

A

HOCM

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10
Q

transeptal pullback from LA to RA shows

A

ASD

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11
Q

RV 26/2 PA 25/19 LAm 18 LV 145/8 AO 145/75

A

MS

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12
Q

cardiomyopathy is suspected in ot with lvedp higher than

A

18

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13
Q

LA 12/25/16 RV 25/4/5 LV 120/1/13 AO 120/80/93 RA 4/3/5

A

MR

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14
Q

notched systolic arterial pressure waves

A

HOCM

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15
Q

an alternating high-low variation in the systolic BP

A

HF alternans

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16
Q

incisuria dicrotic notch indicates

A

av closure

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17
Q

paradoxical increase in Ra during inspiration in cases of CP is

A

Kussmaul’s; tamponade

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18
Q

discordance

A

CP

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19
Q

diastolic collapse of right heart chambers demonstrated by echo

A

tamponade

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20
Q

rapid accumulation of fluid in pericardial sac=

A

tamponade

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21
Q

HOCM is caused by

A

genetics

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22
Q

________most common cause of sudden death in competitive athletes

A

HOCM

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23
Q

diagnosis of HOCM is made by

A

echo

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24
Q

LVOt gradient of HOCM provoked by

A

valsalva or isoproterenol

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25
gold standard for HOCM
surgerical byectomy
26
Echocardiography with bubble contrast is usually used during septal ablation to help identify the coronay septal branc to be ablated
true
27
HOCm is often associated with LV Ao gradient similar to
AS
28
A post PVC beat resulting int LV AO gradient in HOCM is called
Brockenbrough
29
two fa cath are used in
ASA
30
in ASA what is placed in RV preprocedure
RV pacing wire
31
surgery for HOCM is
Ventricular septal reduction myoplastu
32
balloon is inflated to obstruct septal perforator supplying target region of the bulging ventricular septum what would happen
gradient is reduced
33
to prevent alcohol leaking into LAD and causing MI we use a _____________instead of a guideliner to delover denatured alcohol
Angioplasty balloon Cath
34
how quickly is 95% ethanol injected into the target region of ventricular septum
slowly over 3 mins
35
how much ethanol during ablation
1-2ml
36
what causes septum to infarct
ASA
37
if PVC doesnt make gradient worse than it is
HOCM
38
if PVC did make gradient worse than it is
AS
39
HOCM is associated with
myocardial fiber disarray
40
diastolic equalization leads to
CP
41
post extrasystolic potentation of an LV AO gradient is called
brockebrough
42
genetic disorder with hypertrophied and hypercontractile LV
HOCM
43
post PVC accentuation of LV Ao
hocm brokenbrough
44
AOs elevated while aod is decreased
AR
45
LV failure causes elevated
LVedp
46
incompetent bicuspid valve is demonstrated by
large v waves
47
in MR LAa waves are larger than LAv waves
false
48
systolic gradient between LV and ao
AS
49
systolic gradient occurs with stenosis of _________valves
semilunar
50
diastloic gradient occurs with stenosis of _______-valves
a-v valves
51
LAm would be higher than LVedp in
MS
52
in MR look for
canon v waves
53
AOs and LVs increase while AOd decreases
AR
54
when AOs exceeds LVs
Peripheral amp
55
square root in LV means
RC
56
LA 26/28/20 LV 125/0/10
MS
57
AO 160/50
AS
58
LV 150/2/8 AO 95/65
AR
59
LVA 160/15 LVOT 120/14
HOCM
60
a-v regurge
canon v waves
61
semilunar valves stenosis
systolic gradient
62
a-v valve stenosis
diastolic gradient
63
semi lunar valve regurge
WPP
64
coarctation of aorta
mean gradient
65
where would you find canon v waves in MR
pcw
66
pulsus tardus and parvus is best seen in
Simultaneous LV/AO
67
RV diastolic increases above LV diastolic after 1000 ml saline is
CP
68
arteriosclerosis shows
peripheral amplification of pressure
69
de Musset means
AR
70