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48 Cards in this Set
- Front
- Back
Identify the different types of LV outflow obstruction |
— valvular aortic stenosis — subaortic membrane — hypertrophic cardiomyopathy |
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Which of valvular diseases are considered high velocity stenotic Jets |
Hypertrophic cardiomyopathy |
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What is the LV response to Chronic pressure overload from aortic stenosis |
— Concentric hypertrophy — leads to reduced tricular volume |
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What happens to stroke volume with a severe mitral stenosis? |
Decreased stroke volume |
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Identify the equation for mitral valve area using pressure halftime |
MVA = 220 / T 0.5 |
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Identify the connection between mitral valve orifice and rate of pressure decline |
— the Rate pressure decline is determined by the CSA of the orifice
— the smaller the orifice, lower the rate of pressure decline. |
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What is the response of the left ventricle with mitral stenosis? |
— LV is small, and D shaped during this doing and or systole with long-standing pressure and valve overload. — small — normal wall thickness — normal systolic function — impaired diastolic function |
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What is the most common cause of mitral stenosis? |
Rheumatic fever |
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Aortic stenosis hemodynamics |
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What is the most common cause of pulmonic stenosis? |
Congenital disease |
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Identify laminar vs. Turbulent flow |
— laminar = smooth flow — turbulent = chaotic flow |
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Identify the pressure differences before and after the a stenotic valve |
— increased pressure before valve — decrease pressure after valve — causes a pressure gradient to occur |
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Bernoulli equation |
ΔP = 4v2 |
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What other pathologies are associated with bicuspid aortic valve |
— calcific of the trileaflet or bicuspid aortic valve — congenital valve disease — Rheumatic valve disease — aortic stenosis — aortic aneurysm — aortic dissection —aortic coarctation |
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Describe an AS murmur |
Systolic decrescendo murmur |
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Identify 2D Echo characteristics associated with aortic stenosis |
— thick calcified AV cusp — MAC — LA enlargement — LVH — post stenotic dilation of aortic root |
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What Doppler parameters are needed to calculate the aortic valve area |
—LVOT CSA —LVOT VTI —AV VTI |
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Identifying mild, moderate, and severe valve areas |
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You're doing an echo on a young adult and there is a high gradient with the aortic valve looks normal what would you suspect |
Subaortic membrane |
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What is the equation for mitral valve area |
220 / pressure half-time |
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Severe mitral stenosis may be associated with blank due to limitations of LV diastolic filling |
Low stroke volume |
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Which indicate the smallest mitral valve area |
4 |
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Get the mitral pressure half-time is 220 Ms, what is the valve area |
1.0 cm2 |
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Bicuspid aortic valve is often associated with what |
— Ao aneurysm — Ao dissection — Ao coarctation |
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And aortic stenosis murmur is described as a systolic blank decrescendo |
Crescendo |
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According to the DeWitt textbook what valve area would be considered severe aortic stenosis |
<1.0 cm2 |
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Dlv response to The Chronic pressure overload of a valvular aortic stenosis |
LVH |
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Which erratic velocity is associated with severe aortic stenosis |
4.2 m/s |
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The most common etiology of pulmonic stenosis |
congenital disease |
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Which is not considered a high velocity systolic jet |
Aortic regurgitation |
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Using Bernoulli's equation solve the following Michael stenotic Jed 3 m/s |
36 mmHg |
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The number associated with the pressure high time empirical formula |
220 m/s |
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The LA responds to mitral stenosis |
Dilation |
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If you were scanning a 35 year-old patient that has a thick aortic valve and high in aortic stenosis what should you expect |
A bicuspid aortic valve |
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What adapter measurement is needed for V? RSVP = 4v2 + RAP |
Peak tricuspid regurgitation velocity |
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The diaphragm moves blank during inspiration |
Down words |
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Plug and parabolic flow is considered blank flow |
Laminar |
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Number associated with turbulence and aluminum foil brand |
Reynolds |
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Harmonic frequency sound arises from blank Behavior |
Nonlinear |
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Venous flow in the legs increases when the diaphragm moves |
Upward |
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Contrast agent bubbles must be less than blank in size |
10 micron |
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Hematocrit is a good indicator of blood blank |
Viscosity |
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The pressure difference between the vessel and the surrounding tissue is known as the blank |
Transmural pressure |
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The shape of a vein with low venous pressure |
Dumbbell |
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Viscosity of blood is measured in units of blank |
Poise |
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Portion of the body that has a negative hydrostatic pressure when |
Head |
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Flow in the arms increases during |
Inspiration |
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This type of frequency arises from linear Behavior |
Fundamental |