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62 Cards in this Set

  • Front
  • Back

Flow in MV will move...

Toward transducer (above baseline)


Biphasic

Flow in TV will move....

Toward (above baseline)


Biphasic


Flow in LVOT/ AOV will move...


Away ( below baseline)


Bullet shaped

Flow in RVOT/ Pulmonary Valve will move....

Away (below baseline)


Bullet shaped

Abnormal MV

Mitral Regurge: Away ( below baseline /aliasing)


Mitral Stenosis: toward ( above baseline)

MV can be seen in

A4, A2, or subcostal

TV can be seen in

A4 or RVIT

LVOT can be seen in

A5 or A3

AOV can be seen in

A5, A3, or supra sternal

RVOT can be seen in

RVOT or PSSA AOV

Pulmonic artery can be seen in

RVOT or PSSA AOV

Pulmonary vein can be seen in

A4

Tissue Doppler can be seen in

A4

RV pressure

Systole: 15-30 (mean 20)Diastole: 2-8 (mean 4)

RA pressure

"A" and "V" wave: 2-10Mean: 2 -8

LA / pulmonary capillary wedge pressure

Mean: 2-12"A" and "V" wave: 3 - 15Diastolic mean: 1-10

Pulmonary Artery pressure

Systole: 15 -30 (mean 10-20)Diastole: 4 -12 Mean: 10-20

Systemic arterial pressure

Systole: 100- 140 (mean 80-130)Diastole: 60 -90Mean: 70-105

MV peak velocity range

0.6 - 1.3 m/s Mean: 0.9m/s

TV peak velocity range

0.3-0.7 m/s Mean: 0.5m/s

LVOT velocity range

0.7 -1.1 m/s Mean: 0.9 m/s

RVOT/ PULM. VALVE velocity range

0.6 - 0.9 m/sMean: 0.75 m/s

Bernouli's equation

4(V)^2

Velocity time interval (VTI)

-measures mean velocity


-calculates mean pressure gradient.


Units: mm/s or cm/s

AOV velocity range

1.0 - 1.7 m/s


Mean: 1.35 m/s

Abnormal TV

Tricuspid Stenosis: toward (above baseline)


Tricuspid Regurge: Away (below baseline/ aliasing )

Abnormal LVOT/ AORTA

Aortic regurge: toward ( above baseline/ aliasing)


Aortic stenosis: Away ( below baseline)

Abnormal RVOT/ PULMONARY VALVE

Pulmonic regurge: toward ( above baseline/ aliasing)


Pulmonic stenosis: Away ( below baseline)

PSLA RVIDd range


(Right ventricle in diastole)

1.9 - 3.8 cm

PSLA IVS/LVPW range

0.6 - 1.0 cm

PSLA LVIDd range


( left ventricle in diastole)

3.9- 5.9 cm

PSLA LVIDs range


(Left ventricle in systole)

2.1-4.0 cm

PSLA LAs range


(Left atrium in systole)

2.7-4.0 xm

MV Color Dopple flow

Red with yellow at MV tips

TV Color Doppler flow

Red at leaflet tips

LVOT/ AOV Color Doppler flow

Blue with aliasing to yellow, orange and red

RVOT/ PULMONARY VALVE Color Doppler flow

Blue with aliasing to yellow, orange and red

MV flow is in ...

Diastole

TV flow is in...

Diastole

LVOT/AOV flow is in...

Systole

RVOT / PULMONARY VALVE flows in...

Systole

SVG of AOV is placed

1 cm into aorta

SVG in MV is placed

1-2 cm above leaflets

SVG of RVOT is placed

1-2 cm above PV

Setting of SVG

4-6mm


< 0~ 20°

What is Variance?

Turbulence


- when many velocities exist

Variance is present

-stenosis


-regurgitation


-septal defects

Tissue Doppler Imaging (TDI)

Detects heart wall movement


- seen at A4 at lateral & sepetal annulus

Apical 2


1. LV


2. LA


3. Descending thoracic aorta (DTA)


4. Inferior wall


5. Anterior wall

Apical 3


1 . LA


2. MV


3. LV


4. AOV


5. Aorta


6. IVS


7. Posterior wall

Apical 5


1. RA


2. TV


3. RV


4. LA


5. MV


6. LV


7. LVOT


8. AOV


9. AORTA


10. IVS


11. IAS

Apical 4


1. RA


2. TV


3. RV


4. PV


5. LA


6. MV


7. LV


8. Lateral wall


9. Anterolateral wall


10. IVS


11. IAS

Red / blue blood flow means

Laminar flow

Green blood flow means

Non laminar flow

Yellow / white blood flow means

Increase velocity in RBC

Pulse waved Doppler ( PW)

-used to obtain a transvalvular velocity


-site specific / SVG


- has aliasing


- nyquist limit= 1/2 PRF


- has window

Continous wave Doppler (CW)

-no depth info -> no 2-D image


-no window

On the EKG systole is at

Q-T

On the EKG diastole is at

T-Q

E point

Rapid ventricular filling

A point

Atrial contraction

Pulmonary vein labeling on QRS

AR: off P wave


S: off Q


D: off T