TR Quiz Flashcards by Tom Page

How do you calculate FAC

Fractional Area Change:

EDA-ESA/EDA = FAC

How well did you know this?

Not at all

Perfectly

What are the values of FAC?

NL: 35-60%
Abnormal <35%
Mild: 25-35%
Moderate: 18-24%
Severe 17

How well did you know this?

Not at all

Perfectly

How do you calculate MPAP?

80 - ( 0.5 x rvot accel time )

How well did you know this?

Not at all

Perfectly

How do you calculate PAEDP?

4 x (PR end diastolic velocity2) + RAP

simple bernoulli using PI jet vel. and RAP

How well did you know this?

Not at all

Perfectly

How do you calculate PVR?

TR peak vel./ rvot VTI X 10 + 0.16

How well did you know this?

Not at all

Perfectly

What are the ranges of PA Pressures?

PA Pressures
NL: 18-25mmHg
Mild: 30-40mmHg
Moderate: 40-60mmHG
Severe: ≥ 60mmHg

How well did you know this?

Not at all

Perfectly

How is the RVOT area useful to know?

RV Stroke Volume can be determined

SV = rvot VTI x rvot Area

How well did you know this?

Not at all

Perfectly

What do PA acceleration times indicate?

They are inversely related to pressure.

acceleration time decreased = pressure increased

How well did you know this?

Not at all

Perfectly

What are normal acceleration times for PA waveforms?

NL ≥ 140ms
Abnl < 140ms

< 90-70ms indicates PA pressures 70mmHg and above.

How well did you know this?

Not at all

Perfectly

Which TV Leaflets do you see in the TTE Views

RA/RV: Posterior Leaflet + Anterior Leaflet
SAX/base: Septal Leaflet + Anterior Leaflet
Apical 4 Chmbr: Septal + Anterior
SubCostal SAX: Septal + Anterior

How well did you know this?

Not at all

Perfectly

What are patient symptoms of TV disease?

fatigue
poor appetite
vomitting
tender liver
heart racing

How well did you know this?

Not at all

Perfectly

What are some physical findings of TV disease?

distended neck veins
RVE
dilated PA
enlarged liver
peripheral edema
-pitting edema
-ascites
poor appetite
jaundice

How well did you know this?

Not at all

Perfectly

What is the normal range for MPAP?

NL= 9-18mmHg

How well did you know this?

Not at all

Perfectly

What is the normal range for PAEDP?

NL= 4-12mmHg

How well did you know this?

Not at all

Perfectly

What is the calculation for RSVP

TR Pressure Gradient + RAP

How well did you know this?

Not at all

Perfectly

What is the calculation for CSA

d2X.785

What are the values for RV and RF%?

1+ Mild = ≤ 20cc ( < 20%)
2+ Mild to Moderate = 20-40cc (20 -40%)
3+ Moderate = 40-60cc (40-50%)
4+ Severe = ≥ 60cc ( > 50%)

RF% is same scale, but in percentages

How do you calculate SV?

determine CSA of valve and multiply by VTI of flow.

How do you calculate RF%?

Divide the Regurgitant Volume by the Stroke Volume

What is the dimension of the TV annulus?

no greater than 4.2cm

What is the dimension of the mid RV chamber?

no greater than 3.5cm

What is the longitudinal dimension of the RV?

no greater than 8.6cm

What is the normal range of decel for the TV?

120-200ms

What is the dimension of the RVOT at the valve?

no greater than 2.7cm

What is the normal range of TDI for the right heart?

<10cm/s is abnormal | 10-19cm/s is normal

What are the normal values of RV EF%

NL= 44-71% | < 44% is abnormal

What is the normal area for the RA?

13.5 cm2

What are area ranges for the TR Jet?

10cm2 = Severe

What are the grades for TR Vena Contracta?

7mm = Severe

What are the grades for TR Jet Radius?

< 5mm = mild 6-9mm = moderate >9mm = severe

What are the grades for TRA/RAA?

34% = severe

what do you know about dP/dT?

Right side: 1200/ dt < 400mmHg is abnormal

What are the values for TAPSE?

``` NL = 16-30mm AbnL = <16mm ```

What are the 2 classifications of Tricuspid Regurgitation? Give and example of each.

Functional (secondary to other etiology) dilated TV annulus PHTN ``` Anatomical Tricuspid Atresia Ebstein's Anomaly SBE/Perforation Tricuspid prolapse ```

List the Vena Contracta and Pisa Radius ranges for TR

PISA < 5mm = Mild 6-9mm= Moderate >9mm = Severe Vena Contracta < 7mm = Mild > 7mm = Severe

What structure is continuous with the RA and can dilate with TR? What is the Nl size?

Coronary Sinus | ≤ 5mm

How do you calculate RV in TR?

SV (tv) - SV (rvot) = RV (tr)

How do you calculate SV for the TV?

CSA of TV x TV max VTI = SV(tv)

Describe diastology for Right Heart filling pattern.

E/A = < 0.8 suggests impaired relaxation E/A = 0.8-2.1 and E/e' < 6 and predominant diastolid hepatic flow suggests Pseudonormal filling pattern. E/A >2.1 and Decel <120ms suggests restrictive filling.