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Study
Echo Chapter 12 Part 2
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RAP is 15-20mmHg when TR is _______ with TR v-max ______m/sec and IVC is _____ with _____ _____.
severe, >4m/sec, dilated and no collapse. (RAE is also seen)
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TR can result from
1*Myxomatous valve (degen disease, thickens leaflets), 2*Ruptured chordae (Trauma/Chords), 3*Endocarditis, 4*Pacemaker or defib lead (20%)
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What was the treatment for bacterial endocarditis in 1970-1980
TV resection (they would remove it and HF in 15 to 20 yrs)
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Dilated RA and RV is due to ______ severe TR.
Chronic.
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True/ False: Remodling of RV results in Functional TR.
True. More common. (Rupture of pap more, rare)
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Color Doppler is used to identify Vena Contracta. Severe TR is when vena contracta is _______cm,
>0.7cm
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True/False: Anterior leaflet is substantially larger than septal and posterior leaflet.
True
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What can cause secondary/ functional TR?
Annular or RV dilatation Causes Malcoaptation Common secondary to Phtn
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True/ False: TV stenosis is common
False. Rare, Congenital, rare cases of rheumatic HD
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What view is this? Label.
RVOT A) RV B) ANT C) POST D) RA E) IVC
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Which Tricuspid Valves are seen in A4C and PLAX-RVIT?
A4C: Ant & Septal RVIT: Ant & Post
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What is the most common form of TV pathology?
Secondary or Functional TR
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Usually, Inferior MI is related to the occlusion of ____
RCA
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How do you calculate pressures between RV and RA.
Bernoullis equation. 4v^2 + RAP
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Which leaflets are labeled as #8 and #7.
#7 Septal #8 Anterior
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what is seen in this image?
Ebstein Anomaly (rare condition)
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Severe TR cause ____ _____ in _______ veins.
Flow reversal, Hepatic vein
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True/ False: Functional TR can result in PHtn.
True.
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Okay!
What are primary diseases of TV?
Endocarditis Ebstein Anomaly Rheumatic Heart Disease
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Okay!
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