A
B
C
D
E
F
100

Diastolic dysfunction is a problem with what portion of the cardiac cycle?

Ventricular Relaxation

100

What does the left ventricle’s inability to relax affect

LV filling pressures, affecting inflow from the left atrium 

100

What grade of diastolic dysfunction is also referred to as pseudo normal?

Grade II

100

What grade of diastolic dysfunction is also referred to as restrictive?

Grade III

100

What does the “E wave” represent in regard to Mitral Inflow with PW Doppler?

Passive filling phase 

or 

Initial phase of rapid LV filling

100

What effect does increased pressure in the left atrium have on the left atrial size

Causes it to be enlarged

200

With grade I diastolic dysfunction what is the expected mitral inflow pattern

E to A reversal 

Decrease in E wave, increase in A

200

What does the “A wave” represent in regard to Mitral Inflow with PW Doppler?

Atrial contraction

200

What can we assume about LA pressures if left atrial volume is enlarged?

Increased left atrial pressures

200

What value is considered normal for the Septal e’

8 cm/s

200

When determining left atrial size what is the ideal measurement used?

Left atrial volume 

200

What type of Doppler do we use to obtain tissue Doppler?

PW, CW, or Color

PW

300

What is the normal E/A ratio parameter?

E/A 1-1.5

300

What is the normal E-wave max velocity?

<1.3 m/s

300

What is the normal E-wave Deceleration Time?

150 - 240 m/s

300

What is the normal A-wave max velocity?

0.2 – 0.35 m/s

300

What value is considered normal for the Lateral e’

10 cm/s

300

When grading diastolic function what left atrial volume index value is considered normal?

< 34 mL/m2

400

What grade of diastolic function would be expected with the above tissue Doppler pattern?

Normal diastolic function 

400

What is the parameter of the E to A ratio with Grade II diastolic dysfunction

E/A 0.8 - 2.0

400

What is the parameter of the E to A ratio with Grade I diastolic dysfunction

E/A < 0.9

400

What average E/e’ ration is considered normal in our scan lab?

< 15

400

When grading diastolic function what tricuspid regurgitation velocity is considered normal?

< 2.8 m/s

400

When grading diastolic function what IVRT duration is considered normal

60 – 100 ms

500

What grade of diastolic dysfunction would be expected with the above mitral inflow pattern, with normal LV systolic function?

Grade I

500

What grade of diastolic dysfunction would be expected with the above mitral inflow pattern (flow noted on top), and the bottom flow pattern obtained from tissue Doppler?

Grade II

500

What grade of diastolic dysfunction would be expected with the above mitral inflow pattern (flow noted on top), and the bottom flow pattern obtained from tissue Doppler?

Grade III

500

What grade of diastolic dysfunction would be expected with the above mitral inflow pattern, with normal LV systolic function, and the bottom flow pattern obtained from tissue Doppler?

Normal diastolic function 

500

With grade II diastolic dysfunction what is the expected mitral inflow pattern, and the expected tissue doppler pattern. 

Pseudo-normal

Appears at first to be a normal inflow pattern, with E larger than A.  Tissue doppler will demonstrate E to A reversal with E smaller than the A wave.

500

With Grade III diastolic dysfunction will the deceleration time increase or decrease?

Decrease