Strain
Transplant
Mechanical Assist Devices
Miscellaneous
100
T/F Cardiac strain imaging evaluates only global myocardial function.
What is false? Cardiac strain evaluates both regional and global myocardial function.
100
Most cardiac transplant surgeries use this surgical technique.
What is Orthotopic?
100
LVAD is a ___________ flow device. Therefore patients may not have a readable BP with a cuff.
What is continous?
100
This category/type of chemotherapy medications is more likely to cause irreversible cardiac dysfunction and it is dose dependent.
What is type 1?
200
This is the cutoff for a normal strain value.
What is -18?
200
This is the most common indication for a cardiac transplant in adult patients.
What is non-ischmeic cardiomyopathy (ex DCM)?
200
The purpose of an LVAD is to increase ________ and decrease _________?
What is cardiac output and LV/LA pressure?
The purpose of an LVAD is to increase cardiac output and decrease LV/LV pressure?
200
Adriamycin and Doxorubicin fall under this type of chemotherapy medication classification.
What is type 1?
300
Of the three directional types of strain, this is the most commonly used in the clinical setting.
What is longitudinal? (GLS- global longitudinal strain)
300
Name two (or three if your feeling extra) of the three main contraindications we discussed for heart transplant.
What is active substance abuse, systemic illness with limited life expectancy, irreversible pulmonary hypertension?
300
This type of valve disease is often improved with the implantation of an LVAD.
What is functional Mitral Regurgitation?
300
Evaluating these heart "walls" can help determine if the LVAD is unloading the proper amount of pressure from the LV and LA.
What is the inter-atrial and inter-ventricular septum?
400
The peak strain value in a normally contracting left ventricle coincides with this event.
What is aortic valve closure?
400
The time period post heart transplant in which rejection is most likely.
What is 3-6 months?
400
LVAD inflow and outflow cannula velocities when functioning normally should not be greater than ______m/s.
What is 2 m/s?
400
Cardiac Transplant patients showing signs of organ rejection will have this grade of diastolic function.
What is restrictive?
Elevated filling pressures/ evidence of restrictive diastology after 3 months post transplant is a sign of possible organ rejection.
500
Chemotherapy cardiotoxicity is defined as a decline in the ejection fraction of more than _______% to a value of less than ________%.
What is 10%, 53%
Chemotherapy cardiotoxicity is defined as a decline in the ejection fraction of more than 10% to a value of less than 53%.
500
Cardiac transplant recipients can have a "silent MI", meaning they do not present with chest pain because of this.
What is denervation of the heart?
500
The white arrow is pointing to what on this LVAD patient?
What is the inflow cannula?
500
Name this device.
What is an Impella?