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62 Cards in this Set
- Front
- Back
Flow in MV will move... |
Toward transducer (above baseline) Biphasic |
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Flow in TV will move.... |
Toward (above baseline) Biphasic |
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Flow in LVOT/ AOV will move...
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Away ( below baseline) Bullet shaped |
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Flow in RVOT/ Pulmonary Valve will move.... |
Away (below baseline) Bullet shaped |
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Abnormal MV |
Mitral Regurge: Away ( below baseline /aliasing) Mitral Stenosis: toward ( above baseline) |
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MV can be seen in |
A4, A2, or subcostal |
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TV can be seen in |
A4 or RVIT |
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LVOT can be seen in |
A5 or A3 |
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AOV can be seen in |
A5, A3, or supra sternal |
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RVOT can be seen in |
RVOT or PSSA AOV |
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Pulmonic artery can be seen in |
RVOT or PSSA AOV |
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Pulmonary vein can be seen in |
A4 |
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Tissue Doppler can be seen in |
A4 |
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RV pressure |
Systole: 15-30 (mean 20)Diastole: 2-8 (mean 4) |
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RA pressure |
"A" and "V" wave: 2-10Mean: 2 -8 |
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LA / pulmonary capillary wedge pressure |
Mean: 2-12"A" and "V" wave: 3 - 15Diastolic mean: 1-10 |
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Pulmonary Artery pressure |
Systole: 15 -30 (mean 10-20)Diastole: 4 -12 Mean: 10-20 |
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Systemic arterial pressure |
Systole: 100- 140 (mean 80-130)Diastole: 60 -90Mean: 70-105 |
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MV peak velocity range |
0.6 - 1.3 m/s Mean: 0.9m/s |
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TV peak velocity range |
0.3-0.7 m/s Mean: 0.5m/s |
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LVOT velocity range |
0.7 -1.1 m/s Mean: 0.9 m/s |
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RVOT/ PULM. VALVE velocity range |
0.6 - 0.9 m/sMean: 0.75 m/s |
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Bernouli's equation |
4(V)^2 |
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Velocity time interval (VTI) |
-measures mean velocity -calculates mean pressure gradient. Units: mm/s or cm/s |
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AOV velocity range |
1.0 - 1.7 m/s Mean: 1.35 m/s |
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Abnormal TV |
Tricuspid Stenosis: toward (above baseline) Tricuspid Regurge: Away (below baseline/ aliasing ) |
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Abnormal LVOT/ AORTA |
Aortic regurge: toward ( above baseline/ aliasing) Aortic stenosis: Away ( below baseline) |
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Abnormal RVOT/ PULMONARY VALVE |
Pulmonic regurge: toward ( above baseline/ aliasing) Pulmonic stenosis: Away ( below baseline) |
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PSLA RVIDd range (Right ventricle in diastole) |
1.9 - 3.8 cm |
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PSLA IVS/LVPW range |
0.6 - 1.0 cm |
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PSLA LVIDd range ( left ventricle in diastole) |
3.9- 5.9 cm |
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PSLA LVIDs range (Left ventricle in systole) |
2.1-4.0 cm |
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PSLA LAs range (Left atrium in systole) |
2.7-4.0 xm |
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MV Color Dopple flow |
Red with yellow at MV tips |
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TV Color Doppler flow |
Red at leaflet tips |
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LVOT/ AOV Color Doppler flow |
Blue with aliasing to yellow, orange and red |
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RVOT/ PULMONARY VALVE Color Doppler flow |
Blue with aliasing to yellow, orange and red |
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MV flow is in ... |
Diastole |
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TV flow is in... |
Diastole |
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LVOT/AOV flow is in... |
Systole |
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RVOT / PULMONARY VALVE flows in... |
Systole |
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SVG of AOV is placed |
1 cm into aorta |
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SVG in MV is placed |
1-2 cm above leaflets |
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SVG of RVOT is placed |
1-2 cm above PV |
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Setting of SVG |
4-6mm < 0~ 20° |
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What is Variance? |
Turbulence - when many velocities exist |
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Variance is present |
-stenosis -regurgitation -septal defects |
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Tissue Doppler Imaging (TDI) |
Detects heart wall movement - seen at A4 at lateral & sepetal annulus |
|
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Apical 2 1. LV 2. LA 3. Descending thoracic aorta (DTA) 4. Inferior wall 5. Anterior wall |
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Apical 3 1 . LA 2. MV 3. LV 4. AOV 5. Aorta 6. IVS 7. Posterior wall |
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Apical 5 1. RA 2. TV 3. RV 4. LA 5. MV 6. LV 7. LVOT 8. AOV 9. AORTA 10. IVS 11. IAS |
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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 |
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Red / blue blood flow means |
Laminar flow |
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Green blood flow means |
Non laminar flow |
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Yellow / white blood flow means |
Increase velocity in RBC |
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Pulse waved Doppler ( PW) |
-used to obtain a transvalvular velocity -site specific / SVG - has aliasing - nyquist limit= 1/2 PRF - has window |
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Continous wave Doppler (CW) |
-no depth info -> no 2-D image -no window |
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On the EKG systole is at |
Q-T |
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On the EKG diastole is at |
T-Q |
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E point |
Rapid ventricular filling |
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A point |
Atrial contraction |
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Pulmonary vein labeling on QRS |
AR: off P wave S: off Q D: off T |