URR Arterial Flow Characteristics Flashcards

1
Q

what is laminar flow?

A

-concentric layers of flow each with different velocities
-center layers have highest velocity
-outer layers of flow are slower

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2
Q

what is plug flow or blunt flow?

A

-all layers of flow moving at same speed
-also seen at arterial branch origins and prox to stenosis

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3
Q

what is systole?

A

cardiac contraction pushes blood forward through the arterial system

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4
Q

what is diastole?

A

heart relaxes, refills with deoxygenated blood

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5
Q

what is pulsatility?

A

continuous throbbing or beating

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6
Q

what is thrill?

A

abnormal blood flow in vessel (vibration)

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7
Q

resistance will what prox to stenosis?

A

increase

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8
Q

resistance and velocity will what distal to stenosis?

A

decrease

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9
Q

what is spectral broadening?

A

widening of the spectral waveform with filling in of the spectral window

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10
Q

what is bandwidth?

A

difference between the highest and lowest frequencies in the pulse

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11
Q

what kind of flow has a narrow bandwidth?

A

laminar due to cells moving at same speed

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12
Q

what kind of flow has a wide bandwidth?

A

turbulent due to different velocities

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13
Q

what is acceleration time?

A

-time from onset of systole to point of max systolic pressure
-measured to differentiate inflow from outflow disease in lower extrems

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14
Q

acceleration time is what distal to stenosis?

A

increased du to decreased resistance

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15
Q

what is the pulsatility index?

A

-degree of resistance in vessel
-measures the variability in blood velocity
-used to distinguish inflow from outflow disease
-higher in extrems than organs

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16
Q

what is the dampening factor?

A

describes the attenuation of signals with stenosis

17
Q

what is the equation for pulsatility index?

A

PI=PSV-EDV/(PSV+EDV/2)

18
Q

what is the equation for resistive index?

A

RI=PSV-EDV/PSV

19
Q

when exercising, normal flow will what?

A

increase 3-5 times
-if normal ankle and brachial pressures after exercise will be the same or mildly increased

20
Q

if stenosis while exercising, pressures at ankle will what?

A

drop