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Values for Severe Ai are; atleast 2 values LVOT/ Jet area? ROA? PHT? Slope? Regurge Vol? Vena Contracta? Flow reversal?
>60%, >0.3cm2, <200ms (250 in some places), >400cm/s2, >60mL, >0.6cm, Holodiastolic flow. (pg#278)
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15
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Indications for surgery values, atleast 2: EF? LVESD? LVEDD?
<50%, LVESD >5.0cm, LVEDD >6.5cm
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heart
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star
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gift
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15
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1.________ wave will show aliasing due to high velocity. 2.________ wave is needed to obtain full envelope for assessment.
1. Pulse wave 2. Continuous wave
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True/False: Aortic Insufficiency is common.
False: Ai is rare,1% of the population has it and is more common in males under 40yrs.
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What are the main complications of Acute Ai?
Cardiogenic shock and Pulmonary Edema.
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If there is flow reversal in Descending Ao = _______ Ai.
Severe Ai
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What factors may result with Ai? Name atleast two.
Aortic Root Dilitation. Chronic Htn. Marfan Syndrome, Aortic Dissection (acute)
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True/ False: Ai = Increased SV
True
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What 2 factors can under or overestimate the regurgitant jet with tachy patients.
Blood Pressure and Heart rate.
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True/ False: LVOT utilizes only Continuity Eq.
TRUE
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What are the equations for Regurgitant Volume and Regurgitant Fraction?
RV= SV (av) - SV (mv) RF= RV/SV(av) x 100%
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Regurgitant Fraction Equation
(AoV - MV)/ AoV
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