What causes B-notch - ANSWER increased LVDP
Patient with IHSS has resting outflow velocity of 5 m/sec. What is peak PG? - ANSWER
P=4v^2 4(5)^2 = 100 mmhg
Echo term for Systolic, high velocity, late peaking jet in LVOTO by CW doppler from apex -
ANSWER dagger shaped wavefor
Pulsus alternans - ANSWER clinical sign of LV failure
To aid in looking for thrombi in LV apex due to dilated cardiomyopathy, what should you do?
- ANSWER switch to higher frequency transducer
Patient with LVH, bright myocardium, PE, suspect? - ANSWER Restrictive/Infiltrative
Cardiomyopathy
What are some effects of restrictive/infiltrative CMO? - ANSWER stiff, rigid ventricular
walls, results in bi-atrial enlargement
What are other terms for dilated CMO? - ANSWER congestive, constrictive (surrounds
whole heart)
What is the ratio when ASH is present? - ANSWER 1.3 : 1 (IVS : LVPW)
IVS = 1.8, LVPW = 1.1, is ASH present? - ANSWER yes, 1.8/1.1 = 1.6 so ratio is 1.6:1.
1
, What CMO is IHSS associated with? - ANSWER IHSS, HOCM, HCM (ASH)
What does IHSS stand for? - ANSWER Idiopathic Hypertrophic Subaortic Stenosis
What is often present with IHSS? - ANSWER MR, SAM leads to MR
What is amyloid, and what cardiac abnormality is it associated with? - ANSWER Amyloid
= extra cellular deposits of amyloid protein
Infiltrative (infiltrates myocardium)
What is sarcoidosis is and what cardiac abnormality is it associated with? - ANSWER
sarcoid= abnormal inflammatory masses (granulomas)
Associated with infiltrative cmo
Name some findings associated with HOCM - ANSWER SAM, small LV cavity size, mid
systolic closure of AOV, increased EF, LVH, MR, LAE
What is restrictive transmittal filling pattern associated with? - ANSWER elevated LA
pressure, ventricular stiffness
What are some common doppler findings in restrictive CMO? - ANSWER MV inflow E
wave > A wave, MR
Causes of congestive (dilated) CMO - ANSWER peripartum, metabolic, virus, ischemic
heart disease
Echo findings in dilated (congestive) cmo - ANSWER decrease in diastolic function
(contractility), dilated chambers, LV thrombus, echo smoke, regurge, low doppler velocity in
LVOT
2
Patient with IHSS has resting outflow velocity of 5 m/sec. What is peak PG? - ANSWER
P=4v^2 4(5)^2 = 100 mmhg
Echo term for Systolic, high velocity, late peaking jet in LVOTO by CW doppler from apex -
ANSWER dagger shaped wavefor
Pulsus alternans - ANSWER clinical sign of LV failure
To aid in looking for thrombi in LV apex due to dilated cardiomyopathy, what should you do?
- ANSWER switch to higher frequency transducer
Patient with LVH, bright myocardium, PE, suspect? - ANSWER Restrictive/Infiltrative
Cardiomyopathy
What are some effects of restrictive/infiltrative CMO? - ANSWER stiff, rigid ventricular
walls, results in bi-atrial enlargement
What are other terms for dilated CMO? - ANSWER congestive, constrictive (surrounds
whole heart)
What is the ratio when ASH is present? - ANSWER 1.3 : 1 (IVS : LVPW)
IVS = 1.8, LVPW = 1.1, is ASH present? - ANSWER yes, 1.8/1.1 = 1.6 so ratio is 1.6:1.
1
, What CMO is IHSS associated with? - ANSWER IHSS, HOCM, HCM (ASH)
What does IHSS stand for? - ANSWER Idiopathic Hypertrophic Subaortic Stenosis
What is often present with IHSS? - ANSWER MR, SAM leads to MR
What is amyloid, and what cardiac abnormality is it associated with? - ANSWER Amyloid
= extra cellular deposits of amyloid protein
Infiltrative (infiltrates myocardium)
What is sarcoidosis is and what cardiac abnormality is it associated with? - ANSWER
sarcoid= abnormal inflammatory masses (granulomas)
Associated with infiltrative cmo
Name some findings associated with HOCM - ANSWER SAM, small LV cavity size, mid
systolic closure of AOV, increased EF, LVH, MR, LAE
What is restrictive transmittal filling pattern associated with? - ANSWER elevated LA
pressure, ventricular stiffness
What are some common doppler findings in restrictive CMO? - ANSWER MV inflow E
wave > A wave, MR
Causes of congestive (dilated) CMO - ANSWER peripartum, metabolic, virus, ischemic
heart disease
Echo findings in dilated (congestive) cmo - ANSWER decrease in diastolic function
(contractility), dilated chambers, LV thrombus, echo smoke, regurge, low doppler velocity in
LVOT
2
