Case Studies
Random
Valvular
Random
The Real Hard ones
200

Echo shows RV enlargement, D-sign, and severe TR in a patient with chronic lung disease.

What is Pulmonary Hypertension?

200

Normal TAPSE is generally greater than this value.

What is 17 mm?

200

Moderate AS by Mean PG

What is 20-40 mmHg

200

PHTN by PAP

What is >20 mmHg?

200

Most cardiac metastases originate from this organ.

What is the Lung?

400

A patient presents with sudden dyspnea and tachycardia. Echo demonstrates McConnell's sign.

What is Pulmonary Embolism?

400

This measurement estimates RV systolic function using tissue Doppler at the lateral tricuspid annulus.

What is S' Velocity?

400

Mild AS by Peak Velocity.

What is 2.6-2.9 m/s?

400

PHTN by PVR

What is >3?

400

This differentiates a Pap fibroelastoma from a Vegetation

What is the downstream side of the valve?

600

A patient has concentric LVH, LA enlargement, and Grade II diastolic dysfunction.

What is Hypertensive Heart Disease?

600

This finding helps differentiate constrictive pericarditis from advanced diastolic dysfunction.

What is Respiratory Variation in Mitral Inflow?

600

Severe MS by Mean PG

What is >9 mmHg?

600

Acute PE produces this type of RV overload.

What is Pressure Overload?

600

A mobile foreign body in the right heart warrants immediate consultation with this specialty.

What is Cardiothoracic Surgery?

800

A patient with severe pulmonary hypertension demonstrates septal flattening throughout systole and diastole.

What is Combined RV Pressure and Volume Overload?

800

In severe PE, inspiration causes this change in mitral inflow velocity.

What is a Decrease in Mitral E-wave Velocity?

800
Mild AS by valve area

What is >1.5 cm2?

800

This chamber is often the first to enlarge from chronic elevated filling pressures.

What is the Left Atrium?

800

The D-dimer is a breakdown product of this protein

What is Fibrin?

1000

A patient presents with acute hypotension, RV dilation, McConnell's sign, and a dilated IVC without collapse.

What is a Massive Pulmonary Embolism?

1000

This physiologic mechanism explains exaggerated respiratory inflow variation in PE and constriction.

What is Ventricular Interdependence?

1000

What is 3 ways to determine MV area?

What is Continuity, PHT, and DT?

1000

Normal RV S' should exceed this value.

What is 9.5 cm/sec?

1000

Finger clubbing is also known by this term.

What is Hypertrophic Osteoarthropathy?

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