LV Diastolic Exam Components

Question 1

Pulmonary Vein Flow

Answer 1

1. S and D Waves
2. Ar Velocity
3. Ar Duration

Question 2

MV Flow

Answer 2

1. Flow Profile
2. Peak and Mean Velocities
3. Peak and Mean Pressure Gradients
   (#2 & #3 = VTI)
4. Rule Out Mitral Regurge
5. E/A Ratio
6. MV Decel Time

Question 3

MV TDI (Tissue Doppler)

Answer 3

1. E’
2. A’
3. Profile (No E-A Reversal)

(normal = above .15 m/sec)

Question 4

LA Volumes

Answer 4

1. Are they normal or abnormal?

2. If they are dilated, that means either an increase in pressure, volume or both.

Question 5

Cardiac Filling Pressures

Answer 5

1. check for evidence of PHTN

Question 6

LV Systolic Performance

Answer 6

1. What is it doing
2. Is it enlarged?
3. Is it contracting correctly?
4. Note the systolic performance. (Systolic performance = Diastolic performance)

Question 7

Normal parameters for MV decel time?

Answer 7

150 - 160 msec

Question 8

Normal E/A ratio?

Answer 8

> .75