TEE
What position is a patient in for a TEE?
Left lateral decubitus
What is another name for Strain Echo?
Speckly tracking
What are the two types of stress echo?
Physiological (exercise)
Pharmacological (medicine)
Which artery is typically used for left heart catheterization?
Femoral Artery
A coronal plane, cuts your body into what halves?
Anterior and posterior
What is the most common indication for a TEE?
Evaluation for embolus (clot)
What are the two injection methods for contrast?
Bolus
Continuous infusion through an IV
What are two indications for stress echo?
Abnormal EKG
Chest Pain (Angina)
Congenital heart disease
Heart Failure
Shortness of breath
Heart Transplant
What are the 2 limitations of 3D echo that we discussed?
Limited spatial and temporal resoultion
Learning curve
A complex mass is composed of...
Fluid and Tissue
Who makes up the healthcare team for a TEE?
Sonographer
Nurse
Cardiologist/Anesthesiologist
What does strain echo evaluate for?
Myocardial deformation
A ______ screen is indicative that a stress echo was done.
Quad
Name one benefit of using 3D.
Avoiding geometrical assumptions by 2D evaluation, allowing more accurate volume and mass measurements
Assessing LV wall motion and quantification in systolic dyssynchrony
Realistic views of heart valves
Volumetric evaluation of regurgitant lesions and shunts with 3D color Doppler imaging
3D stress imaging
What structure provides oxygen to the fetus?
The Placenta
This indicator allows a sonographer or cardiologist to know that an image was taken via TEE.
The dial image, angle indicator.
When is a contrast echo warranted?
When two or more continuous LV endocardial borders are not well visualized.
What is Akinetic wall motion?
Absent Motion
What medical imaging procedure is used for cardiac catheterization?
Fluoroscopy
What are the 3 shunts for fetal circulation?
Foramen ovale
Ductus venosus
ductuss arteriosis
There are many reasons to perform a TEE exam. Name 2
Superior Resolution
Less Attenuation
Those who are critically ill or injured, undergoing surgery, or lung disease/obesity.
What are the 3 principal strain techniques?
Radial
Longitudinal
Circumferential
If there is a positive stress echo, what will you notice?
There is fixed wall motion of the heart
What is the most popular study performed in the cardiac cath lab?
Coronary Angiogram
At approximately this day the fetal heart begins to beat?
28 days