Study

Echo Chapter 12 Part 2

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  • Which leaflets are labeled as #8 and #7.
    #7 Septal #8 Anterior
  • TR can result from
    1*Myxomatous valve (degen disease, thickens leaflets), 2*Ruptured chordae (Trauma/Chords), 3*Endocarditis, 4*Pacemaker or defib lead (20%)
  • How do you calculate pressures between RV and RA.
    Bernoullis equation. 4v^2 + RAP
  • Usually, Inferior MI is related to the occlusion of ____
    RCA
  • What view is this? Label.
    RVOT A) RV B) ANT C) POST D) RA E) IVC
  • what is seen in this image?
    Ebstein Anomaly (rare condition)
  • Severe TR cause ____ _____ in _______ veins.
    Flow reversal, Hepatic vein
  • True/ False: TV stenosis is common
    False. Rare, Congenital, rare cases of rheumatic HD
  • Dilated RA and RV is due to ______ severe TR.
    Chronic.
  • What is the most common form of TV pathology?
    Secondary or Functional TR
  • 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)
  • True/ False: Remodling of RV results in Functional TR.
    True. More common. (Rupture of pap more, rare)
  • True/ False: Functional TR can result in PHtn.
    True.
  • Which Tricuspid Valves are seen in A4C and PLAX-RVIT?
    A4C: Ant & Septal RVIT: Ant & Post
  • True/False: Anterior leaflet is substantially larger than septal and posterior leaflet.
    True
  • What can cause secondary/ functional TR?
    Annular or RV dilatation Causes Malcoaptation Common secondary to Phtn
  • What was the treatment for bacterial endocarditis in 1970-1980
    TV resection (they would remove it and HF in 15 to 20 yrs)
  • Color Doppler is used to identify Vena Contracta. Severe TR is when vena contracta is _______cm,
    >0.7cm
  • What are primary diseases of TV?
    Endocarditis Ebstein Anomaly Rheumatic Heart Disease