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Right Heart Review

  1. What happens first and lasts longer? Right or Left Sided Events?
    Right-Sided events
  2. Which cardiac valve has the largest opening?
    Tricuspid valve 7-9cm2
  3. What are some causes of Tricuspid Regurgitation?  (5)
    • 1. Aortic and Mitral valve diseases such as MS
    • 2. Pulmonary Hypertension
    • 3. RV infarction
    • 4. Pacemaker wires
    • 5. Heart transplant
  4. What are 3 causes of pulmonary hypertension?
    • 1. Mitral valve disease
    • 2. Congenital lesions
    • 3. Cor Pulmonale
  5. What is ebstein's anomaly?
    A congenital malformation of the TV in which the attachment of one or both leaflets are displaced downward from the annulus to the RV wall.
  6. Why is there no left-sided involvement with carcinoid syndrome?
    Because the lungs filter out the harmful substances.
  7. Echo findings of Tricuspid Regurgitation
    • 1. RVVO
    • 2. Dilated RA and RV
    • 3. Thickened leaflets
    • 4. Dilated IVC
    • 5. Reversal of flow in the hepatic veins
  8. What formula do we use to determine the RVSP?
    Bernoulli's

    RVSP= 4v2 + IVC pressure
  9. What formula do we use to quantitate the severity of tricuspid stenosis/the TVA?
    TVA = 220/pressure half time
  10. Causes of pulmonary stenosis (5)
    • 1. Congenital
    • 2. Carcinoid heart disease
    • 3. Rheumatic
    • 4. Ross procedure
    • 5. Sinus of valsalva aneurysm- producing a RVOT obstruction
  11. Echo Findings of pulmonary insufficiency  (4)
    • 1. Diastolic flutter on the TV- Doppler or M-Mode
    • 2. Dilated RV from RVVO- 2D
    • 3. Pancaked septum- 2D
    • 4. High RV pressure causes premature opening
Author
lollybebe
ID
314199
Card Set
Right Heart Review
Description
Right Heart Review from last semester
Updated

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