What are the factors affecting pressure gradients?
Volume status, heart rate and stroke volume.
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15
True/ False: Decreased excursion in M-mode is Hallmark of MS.
False. Increased echogenecity of the leaflets is Hallmark of MS.
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15
Peak Gradient is calc by the bernoulli equation. Mean Gradient is calc from the VTI across the MV as measured with CW doppler. What are the mild - severe values for mean gradient?
Mild 0-5 mmHg, Moderate 5-10mmHg, Severe >10mmHg
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15
Some Secondary affects of MS are: name 3
Increased LAP, LAE, A-Fib, Thrombus formation in LAA (dilitation), prone to thrombus formation, spontaneous echo contrast, pHtn
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15
Mitral Valve Dysfunction is a result of abnormal ___________.
MV apparatus
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15
Mitral Stenosis causes leaflets to open with ________ motion. Anterior leaflet appears as _______ _______ in _________(cardiac cycle).
doming motion, hockey stick, diastole.
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15
What are some possible therapies?
MV replacement, Percutaneous balloon valvotomy (not possible with severe calcification, MS score <8 best candidate)
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15
Patient evaluation with suspected Mitral Valve disease include (atleast two);