Cases in Diastology
- 60 year old man with class IV CHF
Mario Jorge Garcia, MD, FACC
Director, Echocardiographic Laboratory Cardiovascular Imaging Center
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PMH: AMI 2 months prior, prox LAD occluded, cardiogenic shock, IABP 10 days
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PE: BP=90/70, HR 110, RR 24, JVP 15, rales, no murmur, 2+ edema.
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ECG: RBBB, LAHB
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Meds: Enalapril 2.5 mg/d, Lasix 40 mg/d, Digoxin 0.25 qd
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Chest x-ray |
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Video 1
- click on the small arrow on the bottom left of the player to start & stop tape
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Echocardiogram: No trigger detected - defauting to 1 second capture(s)
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Max V = 32.3 CM/S
Time = .125 SEC
Slope = 619 CM/S2
MAX PG = 2.58 mmHg
P1/2t = 38.2 mSEC
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Question 1:
2D and Doppler analysis suggests:
1. Increased LV compliance
2. Increased atrial systolic fraction
3. Increased LV filling pressures
4. Normal LV relaxation
click here for answer
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6 months later, on beta-blockers, Functional Class I
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Video 2
- click on the small arrow on the bottom left of the player to start & stop tape
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Question 2: 2D and Doppler analysis suggests:
1. Improved LV EF
2. Increased atrial systolic fraction
3. Increased LV filling pressures
4. Normal LV relaxation
click here for answer
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Answers:
(hit back button to return to question above)
Question 1:
2D and Doppler analysis suggests:
1. Increased LV compliance
2. Increased atrial systolic fraction
3. Increased LV filling pressures
4. Normal LV relaxation
Question 2:
2D and Doppler analysis suggests:
1. Improved LV EF
2. Increased atrial systolic fraction
3. Increased LV filling pressures
4. Normal LV relaxation
