Diastolic Dysfunction Flashcards
(51 cards)
1
Q
Normal medial E’
A
> =7
2
Q
Normal lateral E’
A
> =10
3
Q
Normal E/E’
A
Average <= 14
Medial <=15
4
Q
Normal TR velocity
A
<=2.8 m/s
5
Q
Normal LAVI
A
<=34
6
Q
Normal IVRT
A
80-120 ms
7
Q
Grade I IVRT
A
> 120 ms
8
Q
Grade II IVRT
A
<80 ms
9
Q
Grade III IVRT
A
<80 ms
10
Q
Normal PV pattern
A
S>D
11
Q
Grade I PV
A
S>D
12
Q
Grade II PV
A
S < D
13
Q
Grade III PV
A
S «_space;D
14
Q
Normal E wave decal time
A
<= 258
15
Q
Grade I decal time
A
> 258
16
Q
Pseudonormal decel time
A
160-258
17
Q
Restrictive decal time
A
<160
18
Q
GLS predictor of cardiotox
A
Drop in GLS >15% or 3% absolute value
19
Q
EF definition of cardiotoxicity
A
Drop in EF of 10% to value <53%
20
Q
Tissue doppler filters
A
High velocities
21
Q
Strain rate equation
A
SR = (V1-V2)/L
22
Q
Negative radial strain
A
Relaxation if diastole
Dyskinesis if systole
23
Q
Postive radial strain
A
Contraction
24
Q
Torsion during isovolumic contraction
A
Apex clockwise
Base counterclockwise
25
Torsion during ejection
Apex counterclockwise
| Base clockwise
26
E/e' in diabetics
Correlates with A1c
27
Better predictor than EF in acute HF
GCS
28
Strain rate 0
akinesis
29
Strain rate >0
Expansion
30
Strain rate <0
Compression
31
Annulus paradoxus
E/e' has reverse correlation with PCWP in constrictive pericarditis
32
Normal radial strain
40-60%
33
PV S1
changes in LA pressure, LA relaxation or contraction
34
PV S2
SV and pulse wave propagation in pulmonary tree
35
PV D
Changes in LV compliance and filling, changes with mitral E velocity
36
PV AR
LV late diastolic pressures, atrial preload, left atrial contractility
37
PV AF or atrial stunning
Blunted S (S1), absent AR
38
PV AR for elevated LV filling pressure
>35
39
V waves in absence of MR
Decreased LA compliance
40
1st degree AVB and mitral inflow
May cause E-A fusion
41
L wave
Markedly delayed relaxation mid diastolic filling
42
LVEDP using AR
DBP - 4 end diastolic velocity ^2
43
PV AR > a wave by 30
high lvedp
44
HV S
Systolic forward flow
45
HV D
diastolic forward flow
46
HV SR
Systolic flow reversal
47
HV AR
Atrial flow reversal
48
Normal HV
S > D, no significant flow reversals
49
HV Myopathy
Flow reversals increased with inspiration
50
TR HV
prominent systolic reversal
51
CP HV
augmented diastolic flow reversal with expiration
