Things He Wanted Is To Know For Cardiac Sonography Right Heart

Front 1

RIMP stands for

Back 1

Right ventricular index of myocardial performance

Front 2

TAPSE stands for

Back 2

TRicuspid annular systolic plane excursion

Front 3

MPI=(TCO-ET)/ET

The upper limit for right sided MPI is ____ using pulsed Doppler method on TV and ____ using the pulsed TDI method.

Back 3

>.4

>.5

Front 4

PVAT can be used when there is an insufficient ____ signal. It helps us determine the ____.

Back 4

TR

RVSP

Front 5

McConnell sign is present when the patient has a _____

Back 5

Pulmonary embolism

Front 6

Aortic dissection

Back 6

Back (Definition)

Front 7

Type A all cases that involve the ascending

Type B all cases that involve the descending

Back 7

DeBakey classification

1 involves all of it

2. Involves ascending AO

3. Involves descending AO

Front 8

A narrowing of the descending aorta just distal to the left subclavian artery is called

Back 8

Coarctation

Front 9

The most common cause of aortic dissection is

Back 9

Chronic hypertension

Front 10

The most common location to have a ruptured sinus of valsalva is the

Back 10

Right ventricle

Front 11

The best views for evaluating a sinus of valsalva aneurysm is

Back 11

Parasternal long axis and parasternal short axis

Front 12

Aortic dissection is best evaluated by

Back 12

TEE

Front 13

What do we do to test systolic function?

Back 13

TAPSE= M-mode normal 1.6 cm

S wave= TDI >10 normal

PW TV MPI= >.4 is normal

If you use TDI to figure out RIMP then>.5 is normal

Front 14

RIMP(MPI) to figure it, PW TV, measure TCO

Then PW PV measure the RVOT waveform duration

Back 14

Back (Definition)

Front 15

Impedes diastolic filling which them leads to bi atrial enlargement. MV waveform has a large E and a small A WITHOUT respiratory changes.

Back 15

Surrounds entire heart

Impedes diastolic filling

Chamber pressures equalize

MV inflow= large E small A wave WITH respiratory changes

Front 16

Surrounds the ventricle(s

Impedes diastolic filling which them leads to bi atrial enlargement.

MV waveform has a large E and a small A WITHOUT respiratory changes.

Back 16

Surrounds entire heart

Impedes diastolic filling

Chamber pressures equalize

MV inflow= large E small A wave WITH respiratory changes

Front 17

Surrounds the ventricle(s

Impedes diastolic filling which then leads to bi atrial enlargement.

MV waveform has a large E and a small A WITHOUT respiratory changes.

Back 17

Surrounds entire heart

Impedes diastolic filling

Chamber pressures equalize

MV inflow= large E small A wave WITH respiratory changes

Treatment= pericardiectomy

Front 18

Tamponade is a____ diagnosis. We look with echo whether or not the pericardial effusion has a _______ effect on the heart.

Back 18

Clinical

Haemodynamic

Front 19

Becks triad

Back 19

Hypotension, muffled heart sounds, elevated venous pressure that bulges jugular veins.

Front 20

Pulsus paradox

Back 20

Exaggerated decrease in systolic BP with inspiration

Front 21

With tamponade, we see the right atrial collapse at _____.

Back 21

Late systole or EARLY Diastole.

Front 22

With tamponade, we see right ventricle collapse during _____when the ventricle(s are filling.

Back 22

Diastole

Front 23

Paradoxical septal motion is when the left ventricle wall moves____ with the IVC.

Back 23

Parallel

Front 24

With tamponade, we see RV volume and LV volume changes with inspiration. This impairs diastolic filling which leads to an increase in ventricular diastolic pressure. The S V _____ and the heart rate ______.

Back 24

Drops

Increases

Front 25

If you can't find a TR jet to calculate RVSP, then you use ____.

Back 25

PV accel time.