Stress Echo Flashcards

1
Q

stress echo indications

A

abnormal ekg
athletes heart
chest pain
congenital heart disease
eval cardiac function
heartfailure/transplan
SOB
CAD
pre op clearance

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2
Q

stress echo contradictions

A

combative patient
myocardial infarct
pericarditis
myocarditis
pregnancy
mobile thrombus
severe CAD
AO aneurysm
LVOT obstruction

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3
Q

how to determine someonesmax HR

A

220-patients age

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4
Q

how to determine target HR

A

MHR x .090

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5
Q

LV normal response to stress/exercise

A

increase wall contractility and decreased volume and size

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6
Q

wall motion index scores

A

normal= 1
hypokinetic= 2
akinetic=3
dyskinetic=4
aneurysmal=5

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7
Q

most common stress echo views

A

PLAX, SAX, apical 4,2

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8
Q

most common stress test utilized

A

bruce protocol

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9
Q

most common medication used for pharmacological stress echo

A

dobutamine

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10
Q

how does dobutamine effect the heart

A

increases HR and contractility

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11
Q

impost images should be taken

A

within 1 minute patient is off treadmill

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