Relax!
Hole in One
Atomically Speaking
A Tight Squeeze
Out of Sync
100

The diastolic function in this patient with normal LVEF

What is Normal Diastolic Function

100

This conduction abnormality is commonly associated with secundum ASD?

What is RBBB?

100

This is the number of wall segments used to characterize location and degree of defects in a nuclear stress test?

What is 17?

100

The following parameters (AVA 1.12cm2, vel 4.1m/s, MG 38 mmHg) is consistent with this severity of aortic stenosis per 2020 ACC/AHA guidelines.?

What is severe aortic stenosis?

100

The term for Atrial Fibrillation lasting >12 months

What is longstanding Persistent Atrial Fibrillation? 

200

The diastolic function in this patient with LVH

What is Grade 3 diastolic dysfunction?

200

Number 1 is ______ ASD and Number 5 is ______ ASD

What is (1) sinus venosus ASD and (5) Primum ASD?

200

This Stress MPI suggests ischemia in this vascular territory.

What is balanced ischemia, or multivessel disease (TID elevated)

200

This is the AVA in a patient with the following parameters (LVOTd 2cm, LVOT TVI 15cm, LVOT peak velocity 0.8 m/s, AV TVI 100 cm, AV peak velocity 4.8 m/s)?

What is 0.47 cm2?

200

The specific type of flutter shown here.

What is clockwise typical atrial flutter?

300

The diastolic function when there is no significant change in E/A with Valsalva maneuver. 

What is normal diastolic function?

300

This is the most optimal echo view to define secundum ASD

What is subcostal 4-chamber view?

300

This property of regadenoson reduces the bronchospasm effect that can occur after adenosine administration?

What is selective A2A receptor?

300

These CT aortic valve calcium scores are associated with severe AS.

What is men ≥2000 AU, women ≥1200 AU?

300

Patient is a 64yo F with PMH of TIA, HTN and DM. LVEF is 50%. She is diagnosed with AF and has this CHADS-VASc score.

What is 5?

400

This part of the pulmonary venous waveform corresponds with atrial relaxation.

What is the S wave?

400

This cardiac property explains the L-to-R shunt often seen in ASDs?

What is relative ventricular compliance?

400

This extracardiac finding on nuclear stress imaging is a high risk finding?

What is increased lung uptake?

400

This is the peak aortic valve gradient for peak aortic velocity of 5 m/s and LVOT velocity of 2 m/s

What is 84 mmHg?

400

This is the narrow point common in most circuits of atrial flutter.

What is cavotricuspid isthmus?

500

65yo M with ADHF is diuresed aggressively and goes from grade 3 to grade 1 diastolic dysfunction. Echo shows no change in this diastolic function parameter.

What is e' velocity?

500

Percutaneous closure can be pursued in only this type of ASD?

What is Secundum ASD?

500

This radiotracer undergoes active uptake by the myocardium via Na/K ATPase dependent process?

What is thallium-201?

500

Absence of contractile reserve in DSE is determined by this finding?

What is <20% increase in SV?

500

This phenomenon describes why ventricular rate is often irregular and slower in AF compared to AFL

What is concealed conduction into the AV node?