Systolic Function Flashcards

1
Q

formula for LV fractional shortening

A

(LVIDd-LVIDs)/LVIDd x 100%

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2
Q

formula for cross sectional area

A

πr^2 = 0.785 x d^2

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3
Q

formula for stroke volume via 2D

A

EDV-ESV, [mL]

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4
Q

formula for single plane ejection fraction

A

(LVIDd^3-LVIDs^3)/LVIDd^3 x 100% =
(EDV-ESV)/EDV x 100% =
SV/EDV x 100%

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5
Q

formula for biplane ejection fraction

A

(∑LVIDd^3-∑LVIDs^3)/∑LVIDd^3 x 100% =

(∑EDV-∑ESV)/∑EDV x 100%

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6
Q

What assumption is being made by equating LVIDd^3=EDV?

A

the ventricle shape is a prolate ellipse

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7
Q

formula for cardiac output

A

SV(L) x HR, [L/min]

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8
Q

formula for stroke volume via Doppler

A

CSA x VTI, [mL]

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9
Q

formula for fractional area change

A

(EDA-ESA)/EDA x 100%

same as EF, just with areas

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10
Q

What does TAPSE stand for?

A

Tricuspid Annular Plane Systolic Excursion

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11
Q

What does TAPSE measure?

A

DISPLACEMENT of lateral TV annulus

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12
Q

What does TDI stand for?

A

Tissue Doppler Imaging

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13
Q

What does TVI stand for?

A

Tissue Velocity Imaging

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14
Q

Tissue Velocity Imaging, aka

A

Tissue Doppler Imaging

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15
Q

Tissue Doppler Imaging, aka

A

Tissue Velocity Imaging

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16
Q

Where do you place the TDI sample volume for the TV?

A

1 cm inferior/apical of TV lateral annulus

17
Q

What does TDI of the TV measure?

A

VELOCITY of tissue displacement at the lateral annulus

18
Q

What part of the TDI wave is measured to assess systolic function?

19
Q

What does Dp/Dt measure?

A

global systolic performance via the rate of rise of systolic pressure on the mitral regurg.

20
Q

How do you do Dp/Dt?

A

CW with colour of MR in A4CH, increase sweep speed to 150-250 cm/s, optimize signal, measure the time it takes for the regurgitant flow to go from 1 m/s to 3 m/s on the acceleration slope

21
Q

formula for Dp/Dt

A

ΔP/Δt x 1000 = 4v^2/Δt x 1000, [mmHg]

22
Q

formula for pressure gradient

A

P1-P2 = 4v^2

23
Q

What does Speckle Tracking measure?

A

measures strain in each wall segment by tracking two 2D speckles within each segment

24
Q

What does Deformation Imaging measure?

A

measures strain in each wall segment by tracking two 2D speckles within each segment

25
Deformation Imaging, aka
Speckle Tracking
26
Speckle Tracking, aka
Deformation Imaging
27
What is Global Strain?
average strain of all wall segments
28
How do you evaluate a heart using the Wall Motion Index?
each wall segment gets a score based on the type of motion observed, scores are averaged (summed and divided by # of segments), and the average motion score is correlated to an appropriate EF
29
wall motion scoring system
1. Normal/Hyperkinetic 2. Hypokinetic 3. Akinetic 4. Dyskinetic 5. Aneurysmal