Dsae 1303 Sec 3, Review

Front 1

Duration longer at slower rate, absent at faster rate

Back 1

Diastasis

Front 2

Phase where LV pressure rapidly Falls

Back 2

IVRT

Front 3

A result of the P wave during EKG cycle

Back 3

Atrial kick

Front 4

When do atrial and ventricular equalize?

Back 4

Diastasis

Front 5

Ratio of change in volume / change in pressure ΔV / ΔP.

Back 5

Compliance

Front 6

Ratio of ΔP / ΔV.

Inverse of compliance.

Back 6

Stiffness

Front 7

Changing preload,

trans mitral volume flow rate,

atrial pressure affect what phase

Back 7

Early diastolic filling rate

Front 8

What does, cardiac rhythm, atrial contractile function, ventricular end diastolic pressure, heart rate, PR interval, ventricular diastolic function affect?

Back 8

Late diastolic filling

Front 9

Back 9

Front 10

Hepatic vein filling pattern

Back 10

Front 11

Ex of primary myocardial disease

Back 11

~ dilated cardiomyopathy

~ restrictive cardiomyopathy

~ hypertrophic cardiomyopathy

Front 12

Examples of secondary hypertrophy

Back 12

~ Hypertension

~ Aortic Stenosis

~ Congenital Heart Disease

Front 13

Examples of coronary artery disease

Back 13

~ ischemia

~ MI

Front 14

Examples of extrinsic constraint

Back 14

~ Pericardial tamponade

~ pericardial constriction

Front 15

What is an effect of inspiration during LA Filling

Back 15

No changes

Front 16

Heart failure due to diastolic dysfunction typically presents

Back 16

Atrial enlargement

Front 17

Normal deceleration time

Back 17

140 - 200 ms

Front 18

What is normal A peak velocity

Back 18

0.2 - 0.6

Front 19

What is a normal ivrt time

Back 19

50 - 100 ms

Front 20

Which pulmonary vein is usually interrogated

Back 20

Right Superior pulmonary vein

Good angle

Front 21

What does the slope of the mitral Doppler flow using M mode and color Doppler indicate

Back 21

Rate of LV relaxation

Front 22

An increase in preload does what to the pattern of LV filling

Back 22

Shortens IVRT

Front 23

What Doppler perimeter indicates an increase LV filling pressure

Back 23

E velocity

deceleration time < 140 ms

Front 24

If Mitral inflow deceleration time is > 200 ms what is most likely the type of diastolic dysfunction

Back 24

Mild

Front 25

Acute ischemia presents itself as

Back 25

Impaired, grade 1, mild

Front 26

Normal e Prime velocity

Back 26

10.3 cm/s

Front 27

Normal A prime velocity

Back 27

5.8 cm/s

Front 28

Characteristics of pulmonary vein inflow of LA feeling

Back 28

~ La pressure = 5 - 10 mmHg

~ small reversal of flow following atrial contraction

~ systolic filling

~ blunting of flow

~ diastolic filling face

Front 29

Describe the LV with heart failure due to diastolic dysfunction

Back 29

~ Thick-walled

small ventricle concentric modeling.

~ Atrial enlargement

Front 30

What is normal acceleration.

And

velocity for mitral inflow

Back 30

~ 0.6 - 0.8 m/s

Front 31

Identify sample volume placement for mitral inflow

Back 31

~ Level with the mitral valve annulus

~ mitral valve leaflet tips

Front 32

Identify standard clinical measurements for myocardial tissue Doppler

Back 32

~ Early diastolic filling E'.

~ Feeling velocity after atrial contraction A'

~ ratio of early to atrial diastolic myocardial velocity E'/A'

~ ratio of trans mitral blood flow velocity to tissue Doppler velocity for filling pressures E/E'

Front 33

What does prolong ivrt indicate

Back 33

Impaired relaxation

Front 34

What does shortened ivrt indicate

Back 34

Decrease compliance

Front 35

Relaxation = Occurs during isovolumic relaxation and the early-diastolic filling period.•Factors that affect IVRT:

Back 35

~ internal loading forces cardiac fibers

~ external loading conditions wall stress, pericarditis (can’t relax)

~ inactivation of myocardial contraction