Fall Cardiac Theory > RVSF > Flashcards

RVSF Flashcards

(18 cards)

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1
Q

What are the 2 types of PHTN?

A
  1. primary - idiopathic or may be genetic
  2. secondary - heart or lung disease
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2
Q

What may we witness in PRIMARY PHTN?

A

increase in the smooth arterial lining

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3
Q

Give examples of SECONDARY PHTN?

A
  • COPD
  • sleep apnea
  • pulmonary emboli
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4
Q

What are the SIGNS of RVSF?

A
  1. overload volume to peripheral
  2. decreased cardiac output
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5
Q

What are the symptoms of OVERLOAD VOLUME TO PERIPHERAL?

A
  1. JVD
  2. ascites
  3. hepatomegaly
  4. peripheral edema
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6
Q

What are the symptoms of DECREASED CARDIAC OUTPUT?

A
  1. SOB
  2. fatigue/weakness
  3. hypotension
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7
Q

What MURMUR is heard with RVSF?

A

Right sided murmur (S3,S4)

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8
Q

What is the difference of RV to LV cross sectionally?

A

RV is U shaped
LV is spherical

RV wraps around LV in the U shaped manner

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9
Q

How should a NORMAL RV appear in A4 view?

A

appear somewhat triangular with broad base and narrow apex

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10
Q

What is the difference of RV to LV in A4 view?

A
  • RV apex is slightly closer to the base than the LV apex
  • RV apex is either closer to or encompasses the LV apex
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11
Q

What views are preferred for RV?

A

A4 & subcostal

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12
Q

What are the ECHO FINDINGS of RVSF?

A
  1. RVH
  2. RVD
  3. paradoxic septal motion with D shaped LV
  4. reduced contractility
  5. dilated RA and IVC
  6. premature closure of PV
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13
Q

RVH is a response to what?

A

initial response to pressure overload from PS, primary or secondary PHT

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14
Q

What measurements are done in A4 RV FOCUSED? & What are the NORMS?

A
  1. Basal ≤ 4.1 cm
  2. Mid ≤ 3.5 cm
  3. Length ≤ 8.3 cm
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15
Q

What measurements are done for RA in A4? & What are the NORMS?

A
  1. RA Area ≤ 19 cm2
  2. RA Major ≤ 5.3 cm
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16
Q

What measurements are done in PLAX? & What are the NORMS?

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A
  1. RVOT ≤ 3.0 cm
  2. Proximal ≤ 3.5 cm
17
Q

What measurements are done in PSAX? & What are the NORMS?

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A
  1. Proximal ≤ 3.5 cm
  2. Distal ≤ 2.7 cm
18
Q

What measurements are done in SUBCOSTAL? & What are the NORMS?

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A

Wall Thickness ≤ .5cm

Fall Cardiac Theory
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