Flashcards in HTN & Congenital Heart Disease Deck (62):
Reversal of a long standing left to right shunt is referred to as?
Infundibular pulmonary stenosis is uncommon as an isolated lesion and usually associated with?
Ventricular septal defects
Ebsteins Anomaly involves the downward displacement of the tricuspid valve leaflets into the right ventricle. A portion of the right ventricle becomes?
A patient w the m-mode below should have which other echocardiography study? (RV is same size or even bigger than LV)
Peripheral (saline) contrast. All patients w enlargement of the R side should have a Saline contrast study to evaluate for a shunt.
Which of the following statements is true about tetralogy of fallot defects?
VSD w R to L shunting
Given TR w a 64mm hg gradient grade the severity of the pulmonary HTN?
Severe. With a 64mm hg gradient from TR jet velocity the RV systolic pressure would be at least 74mm hg which is severe HTN.
The major development of the heart is compete by the end of week?
Which is the best standard 2D echo view for saline contrast studies to detect ASD?
Which of the following best represents the normal range for systemic systolic pressure?
A dilated pulmonary artery, severe tricuspid regurgitation and RV enlargement best describes?
The communication between the aorta and the pulmonary artery that may persist after birth is called?
Patent ductus arteriosus
Which of the following statements are true regarding the coarctation of the aorta?
Partial obstruction of the aorta
Pulmonary HTN is when the?
Pulmonary artery pressure is over 30mmhg
An m mode showing the LV and RV about the same size is result of what?
A common etiology of pulmonary HTN is?
Idiopathic, COPD, MS, obesity
If a large parent ductus arteriosus (PDA) is not corrected what might develop?
Patients with ebsteins anomaly often have an associated congenital abnormality. Which is the most common?
All of the following are echo findings for pulmonary HTN Except?
after birth if the ductus arteriosus fails to close, the result is a commnunication between the?
Aorta & pulmonary artery
Where should saline contrast be injected in order to diagnosis a persistent left superior vena cava?
A 3 yr old patient come to the echo lab with a murmur. What is the most likely etiology?
VSD. One of the more common causes of a murmur in young kids is this.
If patients w large VSD and L to R shunting which chamber or vessel is least likely to be dilated?
R atrium. (In patients w large VSD and L to R shunting the R atrium will usually not dilate unless there is significant TR)
Which of the following anomalies is most likely associated w a sinus venosus ASD?
Partial anomalous pulmonary venous return.
The remnant of the fetal ductus arteriosus is called the?
While performing an echo on a premature baby, what 2 findings are to be expected?
Patent ductus arteriosus and patent foramen ovale
A pressure overload of the RV may produce which of the following 2D findings?
Which of the following best represents the normal range for systemic diastolic pressure?
The most common form of cyanotic congenital heart disease is?
Tetralogy of fallot
A patient w a patent ductus arteriosus (PDA) commonly has what type of murmur?
Continuous (systolic and diastolic) murmurs
Peripheral saline contrast normally appears in which cardiac chamber first?
Patients develop Eisenmengers syndrome because?
Pulmonary pressures now exceed systemic (in Eisenmengers syndrome the pulmonary pressures are now super systemic ( higher than the patient systolic BP))
When the anatomic ventricles are switched and there are no other defects the patient is said to have?
L- transposition (l transposition or ventricular inversion occurs when the anatomic ventricles are switched)
Surgically what happens during a mustard procedure?
Baffles at the atrial level redirect blood flow into the ventricles (mustard precedes baffles are placed in the atria to redirect blood flow into the proper ventricles since these patients have D transposition of the great arteries)
What is The most common type of ASD?
Systemic HTN is when?
Diastolic pressure is over 90 mmhg
A common etiology for pulmonary HTN is ?
The major development of the heart is complete by the end of week?
A patient w a PDA (patent ductus arteriosus) commonly has what type of murmur?
A pt w a secundum asd has a saline contrast study. It shows all of the follwinh except?
Bubbles for RV to LV. Would indicate a vsd not asd
In pts that develop eisenmenger syndrome what happens?
The shunt reverses direction and now is R to L
The most common form of cyanotic congenital heart disease is?
Tet of fallot
When using a continuous wave Doppler estimation of TR gradient for predicting right ventricular systolic pressure Rvsp which final step is required?
Documentation that there is no pulmonic stenosis.
Peripheral (saline) contrast is not useful in?
If a large PDA is not corrected what might develop?
A 3 y/o pt comes to the echo lab w a murmur. What is the most likely etiology?
Vsd . One of the more common causes of a murmur in young kids
Which 2d view is the best view for identifying ebsteins anomaly?
If a PT presents with Cor pulmonale the echo might show?
A dilated right ventricle, from PHTN.
Early on cardiac development, what is the name of the one great vessel leaving the heart?
A sinus venosus ASD is located in the superior portion of the interatrial septum near the junction of the:?
Superior vena cava and the right atrium.
Which of the following statements are true regarding coarctation of the aorta?
Partial obstruction of the aorta.
Which is the best view to diagnosis a sinus venous ASD?
Modified subcostal chamber
A PT had undergone a mustard procedure, what was there original diagnosis?
D-transportation of the great arteries.
Systemic hypertension is when the:?
Diastolic pressure is over 90 mm hg.
Following a peripheral(saline) contrast injection, bubbles appear in the left atrium in 5 cardiac cycles. This PT most likely has:?
If the IVC is dilated & doesn't collapse when PT sniffs the RA pressure is estimated to be:?
Which 2D view is best for identifying ASD?
Subcostal 4 CH
A supracristal ventricular septal defect(VSD) is also referred to as a:?
After a baby is born which of the following causes the foramen ovale to close?
Increased left atrial pressure
Which of the following is not a defect in tetralogy of fallot?
If a Lg PDA is not corrected what might develop?
Pericardial effusions are commonly seen in ots with?