TS

Question 1

What is the most common reason for TS?

Answer 1

Rheumatic disease

Question 2

True or false - Congenital TS is common

Answer 2

False

Question 3

True or false- carcinoid tumors are common reason for TS

Answer 3

False

Question 4

What’s the difference between how carcinoid vs. rheumatic disease affects the valve?

Answer 4

Carcinoid - fixed body of the leaflets
Rheumatic - tethered leaflet tips

Question 5

Increased RA pressure causes?

Answer 5

RA dilation

Question 6

Rheumatic TS is almost always associated with ?

Answer 6

MS

Question 7

Carcinoid heart disease results from?

Answer 7

Increased serotonin production from the tumor

Question 8

Serotonin induced fibrosis of the right heart endocardium causes?

Answer 8

Carcinoid heart disease which causes TS, TR, PS , PR

Question 9

What organ filters out the serotonin?

Answer 9

The lungs

Question 10

True or false- signs and symptoms of TS may be masked by?

Answer 10

MS

Question 11

What murmur is associated with TS?

Answer 11

Opening snap Diastolic murmur with breathing respiration

Question 12

What are 2 symptoms of Right heart failure?

Answer 12

Ascites
Peripheral edema
Right heart failure

Question 13

With TS m-mode would show?

Answer 13

Decreased E-F slope, reduced E wave with multiple echoes

Question 14

True or false - With TS do tricuspid valve leaflets produce domming ?

Answer 14

Yes true

Question 15

In carcinoid disease the TV leaflets are ____ and may appear ____

Answer 15

Thickened, fixed

Question 16

True or false- RA & IVC enlargement can occur with TS?

Answer 16

True

Question 17

What is a severe mean gradient for TS?

Answer 17

> or equal to 5mmhg

Question 18

What is a severe VTI of TS?

Answer 18

> 60cm

Question 19

What is a severe TS TVA by the continuity equation?

Answer 19

< or equal to 1.0cm

Question 20

Carcinoid heart disease is due to increased ____ production. This increases ___of the right heart _____.

Answer 20

Serotonin ; fibrosis, endocardium