- SPECT - PET - CT - EBCT - MUGA - MRI

Diagnostic Test Flashcards by Kelly Domogauer

When is common to preform a Holter Monitoring

Prior to d/c after a MI

How well did you know this?

Not at all

Perfectly

Patients who are on a holter monitoring may referred for what?

EPS, ablation procedure, or ICD

How well did you know this?

Not at all

Perfectly

EPS or Electrophysiology study is indicated to

Investigate the cause, location of origin, and best treatment for various abnormal heart rhythms

How well did you know this?

Not at all

Perfectly

EPS or Electrophysiology study is associated with

Ablation

How well did you know this?

Not at all

Perfectly

Problems that are evaluated for Echocardiography

pericardial effusion
Cardiac tamponade
IdiopathicCardiomyopathy
Hypertrophic cardiomyopathy
Mitral valve regurgitation
MVP
Aortic regurgitation
Aortic stenosis
Vegetation of valves
Masses
Ischemic heart muscle
Aneurysm
Thrombi
Aortic dissection

How well did you know this?

Not at all

Perfectly

Transesophageal Echo (TEE) allows for improved of

Visualization of cardiac structures and function and is valuable in the intraoperative and perioperative monitoring on the left vent performance

How well did you know this?

Not at all

Perfectly

What is the mode of choice for the eval of cardioembolic stroke?

Transesophageal Echo (TEE)

How well did you know this?

Not at all

Perfectly

Stress Echo Evaluates

Ischemia- induced wall motion abnormalities

How well did you know this?

Not at all

Perfectly

What is the stress Echo useful for the eval of atypical symptoms such as

Dyspnea
Fatigue
Pt with no diagnostic ECGs with exercise or have atypical chest pain. Syndromes

How well did you know this?

Not at all

Perfectly

Stress Echo is better for male or females ?

Females

How well did you know this?

Not at all

Perfectly

Contrast Echo

IV injected contrast agent with the echo

How well did you know this?

Not at all

Perfectly

Contrast Echo is improved for

Diagnostic accuracy to assess myocardial perfusion and ventricular chambers

How well did you know this?

Not at all

Perfectly

Contrast Echo assess are of what?

of the myocardium at risk, for damage, presence or absence of coronary
collateral flow, and revascularization of occluded arteries after angioplasty

How well did you know this?

Not at all

Perfectly

All imaging techniques are used for

Evaluation of coronary artery disease and cardiac dysfunction

How well did you know this?

Not at all

Perfectly

Imaging modalities

SPECT
PET
CT
EBCT
MUGA
MRI

How well did you know this?

Not at all

Perfectly

SpECT

Noninvasive method to
detect and quantify
myocardial perfusion defects
and contractility defects and
is used in conjunction with
radioactive isotopes

How well did you know this?

Not at all

Perfectly

PET provides

Visualization and direct measurement of metabolic functioning
including glucose and fatty acid metabolism and blood flow of the heart

How well did you know this?

Not at all

Perfectly

Gold Standard for blood flow measurement and metabolic assessment of
the heart

PET

How well did you know this?

Not at all

Perfectly

PET are

Expensive

How well did you know this?

Not at all

Perfectly

CT used predominantly to identify

masses in

the cardiovascular system

How well did you know this?

Not at all

Perfectly

Ct detects

aortic aneurysms or pericardial

thickening

How well did you know this?

Not at all

Perfectly

CTA (CT angiography) highlights

coronary arteries to evaluate for

CHD

How well did you know this?

Not at all

Perfectly

If a pt is getting a sprial CT ….

HOLD TREATMENT

How well did you know this?

Not at all

Perfectly

Spiral CT is used to

Evaluate presence of PE

How well did you know this?

Not at all

Perfectly

EBCT

Electron Beam computerized | Tomography

EBCT is a noninvasive method to detect ... by

coronary atherosclerosis by detecting coronary calcification Detects the presence of calcium in the coronary arteries as well as the location, extent, and density of the deposits and provides a calcium scoring system

MUGA

Noninvasive technique to calculate left ventricular | ejection fraction

MRI evaluates

morphology, cardiac blood flow, and | myocardial contractility

MRI used to assess

valvular disease, cardiac shunts, quantification of cardiac flow, and coronary artery anatomy

MRI are similar diagnostic accuracy as

PET

Radioactive Nuclide Perfusion Imaging is the assessment of

coronary perfusion

Radioactive Nuclide Perfusion Imaging is commonly used agents include

thallium-201 and | technetium-99m (sestamibi)

During Radioactive Nuclide Perfusion Imaging, what appears as cold spots on the scan

Nonperfused or dead myocardium

During radioactive Nuclide Perfusion Imaging, A cold spot immediately after exercise as well as 4 hours afterward is considered

irreversibly damaged (scarred) but an area the reperfuses after 4 hours is ischemic

Sestamibi are

More stable

Radioactive Nuclide Perfusion Imaging can detect infarcts that are?

A few hours old

Pharmacologic Stress Testing

A physiologic stress test while the | patient remains in a resting state

Most common agents used for PST

dupyridamole, dobutamine, or | adensoine

PST are the same or different than EST?

safety is the same

Cardiac Catheterization is what type of procedure?

Invasive

Cardiac Catheterization establishes or conforms a diagnosis of

cardiac dysfunction or heart disease, demonstrates the severity of coronary artery disease or valvular dysfunction

Cardiac Catheterization determines guidelines for

optimal | management of the patient

Cardiac Catheterization should or should not have PT

-Should not, wait a couple day. Do not want to pull fem art plug

Caths treatments are usually called

percutaneous coronary | intervention

WHat is alternative to CABG

Caths (Percutaneous coronary intervention )

Pt implications for cardiac Catherization

Since femoral ARTERY is accessed,pressure needs to be placed on area 4-8 hours after procedure * Patients are typically on bedrest with LE inknee immobilizer post-cath * Some patients may c/o groin pain

Post Cath pts are on what

Bedrest

Main infor of a Cardiac Cath

EF, which arteries blocked to and to what percentage, valve dysfunction

Caths results are important to

give valuable info to PTs during a chart review

What is an important diagnostic test for coronary spasm

Ergonovine stimulation

Ergonovine Stimulation are performed where?

Cath lab or ICU

What is Needed for the evaluation and management of some congenital pulmonary anomalies as well as some acquired diseases

Bronchography

Bronchography permits

study of normal and variant anatomy and gross pathologic changes in the bronchial wall and lumen

Is coughing up blood after Bronchoscopy okay?

Yes

Bronchoscopy is occasionally used to

clear viscous secretion or | to retrieve a foreign object

Bronchoscopy is indicated to asses for

infection that cannot be evaluated from a sample or to asses malignancy

Holter Monitor is

Continuous 24 hour ECG monitoring

Holter Monitor provides information for the diagnosis and managent of

episodes of arrhythmias and | symptoms

Indications in identifying symptoms possibly caused by for Holter Monitor include

dysrhythmias (dizziness, syncope, SOB), describing the dysrhythmias noted with activity, and evaluating anti-arrhythmia therapy and pacemaker functioning

EPS (Electrophysiology study) is indicated to investigate

Cause, location of origin and best treatment for various abnormal heart rhythms

EPS are often associated with

Ablation

Echocardiography is what type of procedure

Noninvasive that evaluates the functioning heart

What gives real-images of the beating heart

Echocardiography

Echocardiography asses the performance of

heart muscle and valves, quantifies volumes of the left vent., estimates SV and EF

Diagnostic Test Flashcards

(64 cards)