Podcast
Questions and Answers
Capillaries connect which two parts of the circulatory system?
Capillaries connect which two parts of the circulatory system?
- Atria to ventricles
- Aorta to inferior vena cava
- Veins to arteries
- Arteries to veins (correct)
What structure closes shortly after birth in the fetal heart?
What structure closes shortly after birth in the fetal heart?
- Ductus arteriosus (correct)
- Foramen ovale
- Sinus venosus
- Bulbus cordis
What is the primary function of arterioles?
What is the primary function of arterioles?
- To regulate blood flow from arteries to capillaries (correct)
- To carry blood to the atria
- To circulate blood within the ventricles
- To collect blood from veins
What does the bulbus cordis become during fetal development?
What does the bulbus cordis become during fetal development?
Which artery is commonly referred to as the 'widowmaker'?
Which artery is commonly referred to as the 'widowmaker'?
Which structure takes deoxygenated blood from the fetus back to the placenta?
Which structure takes deoxygenated blood from the fetus back to the placenta?
When evaluating wall segments of the heart, what is indicated by an absence in the wall?
When evaluating wall segments of the heart, what is indicated by an absence in the wall?
What is the primary function of the Eustachian valve in the fetal heart?
What is the primary function of the Eustachian valve in the fetal heart?
What should the patient's position be to obtain the Apical 2 chamber view?
What should the patient's position be to obtain the Apical 2 chamber view?
What does the parasternal long-axis view primarily assess?
What does the parasternal long-axis view primarily assess?
What type of Doppler is NOT considered Spectral Doppler?
What type of Doppler is NOT considered Spectral Doppler?
What can cause aliasing when using pulsed wave Doppler?
What can cause aliasing when using pulsed wave Doppler?
In echocardiography, what is crucial for visualizing wall segments effectively?
In echocardiography, what is crucial for visualizing wall segments effectively?
To obtain the suprasternal notch view, how should the patient be positioned?
To obtain the suprasternal notch view, how should the patient be positioned?
Which of the following best describes the descending thoracic aorta?
Which of the following best describes the descending thoracic aorta?
What is a disadvantage of pulsed wave Doppler?
What is a disadvantage of pulsed wave Doppler?
In which position should the patient's arm be when obtaining apical views?
In which position should the patient's arm be when obtaining apical views?
What is the focus when measuring the left ventricle in 2D?
What is the focus when measuring the left ventricle in 2D?
Which statement accurately describes normal flow in color flow Doppler?
Which statement accurately describes normal flow in color flow Doppler?
What abnormal finding occurs with regurgitant flow through the Mitral valve?
What abnormal finding occurs with regurgitant flow through the Mitral valve?
Which structure in the fetus is responsible for shunting blood from the right ventricle to the aorta?
Which structure in the fetus is responsible for shunting blood from the right ventricle to the aorta?
At which developmental stage does the heart tube fold?
At which developmental stage does the heart tube fold?
What occurs to the umbilical arteries, vein, and ductus venosus after birth?
What occurs to the umbilical arteries, vein, and ductus venosus after birth?
What is the ejection fraction indicative of?
What is the ejection fraction indicative of?
What color indicates flow toward the transducer when utilizing color flow Doppler?
What color indicates flow toward the transducer when utilizing color flow Doppler?
What occurs when there is regurgitant flow through the Mitral valve?
What occurs when there is regurgitant flow through the Mitral valve?
In the apical 4 chamber view, how is normal color flow through the aortic valve characterized?
In the apical 4 chamber view, how is normal color flow through the aortic valve characterized?
What happens to the umbilical arteries and vein after birth?
What happens to the umbilical arteries and vein after birth?
What is the role of the ductus arteriosus in fetal circulation?
What is the role of the ductus arteriosus in fetal circulation?
Which structure in the fetus carries depleted blood back to the heart?
Which structure in the fetus carries depleted blood back to the heart?
During which week of fetal development does the heart tube begin to fold?
During which week of fetal development does the heart tube begin to fold?
What does the bulbus cordis develop into in fetal development?
What does the bulbus cordis develop into in fetal development?
In which position should the patient be to obtain the Apical 2 chamber view?
In which position should the patient be to obtain the Apical 2 chamber view?
What is important about the patient’s arm positioning during echocardiographic views?
What is important about the patient’s arm positioning during echocardiographic views?
Which wall segments can be visualized by manipulating the shoulder and transducer during the Apical 3 chamber view?
Which wall segments can be visualized by manipulating the shoulder and transducer during the Apical 3 chamber view?
What can be measured in 2D when assessing the left atrium?
What can be measured in 2D when assessing the left atrium?
During which phase is the left ventricle typically measured in 2D?
During which phase is the left ventricle typically measured in 2D?
What is a common pitfall when measuring the LV in 2D?
What is a common pitfall when measuring the LV in 2D?
Which view is considered the best for measuring the left ventricle?
Which view is considered the best for measuring the left ventricle?
What is the ejection fraction classified as in terms of measurement?
What is the ejection fraction classified as in terms of measurement?
In fetal circulation, which structure is responsible for taking deoxygenated blood back to the placenta?
In fetal circulation, which structure is responsible for taking deoxygenated blood back to the placenta?
What structure allows enriched blood to enter the fetus' heart?
What structure allows enriched blood to enter the fetus' heart?
The anatomy referred to as the interventricular sulcus divides which chambers of the heart?
The anatomy referred to as the interventricular sulcus divides which chambers of the heart?
What characteristic is associated with the Chiari network?
What characteristic is associated with the Chiari network?
In a normal cardiac anatomy, the left coronary artery may often lack which branch?
In a normal cardiac anatomy, the left coronary artery may often lack which branch?
What position should a patient be in to obtain the suprasternal notch view?
What position should a patient be in to obtain the suprasternal notch view?
What is a significant disadvantage of pulsed wave (PW) Doppler ultrasound?
What is a significant disadvantage of pulsed wave (PW) Doppler ultrasound?
Aliasing in PW Doppler occurs primarily due to which of the following reasons?
Aliasing in PW Doppler occurs primarily due to which of the following reasons?
What is indicated by the presence of regurgitant flow through the Tricuspid valve?
What is indicated by the presence of regurgitant flow through the Tricuspid valve?
In which view is normal color flow through the aortic valve assessed?
In which view is normal color flow through the aortic valve assessed?
What is commonly referred to as the 'widowmaker' artery?
What is commonly referred to as the 'widowmaker' artery?
What happens to the umbilical arteries immediately after birth?
What happens to the umbilical arteries immediately after birth?
Which wall of the left ventricle is typically fed by the Left Circumflex Artery?
Which wall of the left ventricle is typically fed by the Left Circumflex Artery?
How is normal color flow represented in a Doppler assessment?
How is normal color flow represented in a Doppler assessment?
What is one function of the ductus arteriosus in fetal circulation?
What is one function of the ductus arteriosus in fetal circulation?
In echocardiography, what is indicated by a decrease in wall thickness of the heart?
In echocardiography, what is indicated by a decrease in wall thickness of the heart?
Which echocardiographic view is best for assessing the left ventricular outflow tract?
Which echocardiographic view is best for assessing the left ventricular outflow tract?
What does the descending thoracic aorta begin after?
What does the descending thoracic aorta begin after?
Which segment shows an absence in wall thickness when assessed during echocardiography?
Which segment shows an absence in wall thickness when assessed during echocardiography?
When obtaining the Apical 2 Chamber View, where should the transducer ideally be positioned?
When obtaining the Apical 2 Chamber View, where should the transducer ideally be positioned?
What is the consequence of the Chiari network developing due to incomplete closure?
What is the consequence of the Chiari network developing due to incomplete closure?
Which structure acts as a conduit for enriched blood entering the fetal heart?
Which structure acts as a conduit for enriched blood entering the fetal heart?
What feature is noted about the aortic arch when it is visualized poorly?
What feature is noted about the aortic arch when it is visualized poorly?
During end diastole, what is crucial to measure for assessing the left ventricle?
During end diastole, what is crucial to measure for assessing the left ventricle?
What is the primary purpose of obtaining the suprasternal notch view during echocardiography?
What is the primary purpose of obtaining the suprasternal notch view during echocardiography?
What happens to normal color flow through the aortic valve in the apical 4 chamber view?
What happens to normal color flow through the aortic valve in the apical 4 chamber view?
Which factor limits the detection capability of pulsed wave Doppler?
Which factor limits the detection capability of pulsed wave Doppler?
Which of the following best describes the flow detected by color flow Doppler that is directed away from the transducer?
Which of the following best describes the flow detected by color flow Doppler that is directed away from the transducer?
In which phase is the left ventricle typically measured for accurate assessment?
In which phase is the left ventricle typically measured for accurate assessment?
What is the role of the ductus arteriosus in the fetal circulatory system?
What is the role of the ductus arteriosus in the fetal circulatory system?
Which time frame does the left ventricle typically undergo measurement in a 2D assessment?
Which time frame does the left ventricle typically undergo measurement in a 2D assessment?
What characterizes the interventricular sulcus in terms of heart anatomy?
What characterizes the interventricular sulcus in terms of heart anatomy?
Which aspect of the Eustachian valve is essential during fetal circulation?
Which aspect of the Eustachian valve is essential during fetal circulation?
What is a common pitfall when measuring the left ventricle in 2D imaging?
What is a common pitfall when measuring the left ventricle in 2D imaging?
What can be expected when using continuous wave Doppler in echocardiography?
What can be expected when using continuous wave Doppler in echocardiography?
What anatomical changes occur in the umbilical artery after birth?
What anatomical changes occur in the umbilical artery after birth?
What is a notable characteristic of color flow Doppler imaging?
What is a notable characteristic of color flow Doppler imaging?
In fetal physiology, what is the significance of the umbilical vein?
In fetal physiology, what is the significance of the umbilical vein?
What occurs during the week five of fetal heart development?
What occurs during the week five of fetal heart development?
Which of the following statements about capillaries is accurate?
Which of the following statements about capillaries is accurate?
What is the primary function of arterioles in the circulatory system?
What is the primary function of arterioles in the circulatory system?
What does the coronary sulcus separate?
What does the coronary sulcus separate?
Which artery is primarily referred to as the 'widowmaker'?
Which artery is primarily referred to as the 'widowmaker'?
In which position should the patient be to obtain the parasternal long-axis view?
In which position should the patient be to obtain the parasternal long-axis view?
Which of the following best describes the segments of the heart?
Which of the following best describes the segments of the heart?
What happens to the wall thickness when evaluating wall segments for abnormalities?
What happens to the wall thickness when evaluating wall segments for abnormalities?
What occurs just after the descending thoracic aorta begins?
What occurs just after the descending thoracic aorta begins?
What does the Apical 4 chamber view primarily assess?
What does the Apical 4 chamber view primarily assess?
When the heart wall experiences a decrease in thickness, what is it termed?
When the heart wall experiences a decrease in thickness, what is it termed?
Flashcards
What do capillaries connect?
What do capillaries connect?
The smallest blood vessels in the body that connect arteries to veins, facilitating the exchange of oxygen, nutrients, and waste products between blood and tissues.
Where do arterioles carry blood?
Where do arterioles carry blood?
Arterioles are small arteries that branch off from larger arteries and carry blood away from the heart.
What does the Coronary Sulcus separate?
What does the Coronary Sulcus separate?
The Coronary Sulcus is a groove on the surface of the heart that separates the atria (upper chambers) from the ventricles (lower chambers).
Where does the descending thoracic aorta begin?
Where does the descending thoracic aorta begin?
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Where is the aortic isthmus located?
Where is the aortic isthmus located?
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What is the Left Anterior Descending Artery often called?
What is the Left Anterior Descending Artery often called?
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What does the Apical 4 chamber view assess?
What does the Apical 4 chamber view assess?
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When evaluating wall segments, what should be considered?
When evaluating wall segments, what should be considered?
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Closure of foramen ovale
Closure of foramen ovale
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Bulbus cordis development
Bulbus cordis development
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Apical View Positioning
Apical View Positioning
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Left Ventricle Measurement Timing
Left Ventricle Measurement Timing
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Interventricular septum
Interventricular septum
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Ejection Fraction
Ejection Fraction
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Chiari network
Chiari network
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Eustachian valve
Eustachian valve
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Umbilical Arteries Function
Umbilical Arteries Function
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Ductus Venosus Function
Ductus Venosus Function
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Aortic arch
Aortic arch
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Color flow Doppler
Color flow Doppler
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Septum Primum and Secundum
Septum Primum and Secundum
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Foramen Ovale Function
Foramen Ovale Function
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Spectral Doppler
Spectral Doppler
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Ductus Arteriosus Function
Ductus Arteriosus Function
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What are the standard echocardiographic views?
What are the standard echocardiographic views?
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In the Sax LV view at the papillary level, what are the wall segments?
In the Sax LV view at the papillary level, what are the wall segments?
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What wall segments can be seen in an Apical 2 chamber view?
What wall segments can be seen in an Apical 2 chamber view?
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What wall segments can be seen in an Apical 3 chamber view?
What wall segments can be seen in an Apical 3 chamber view?
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What should be done to the arm during echocardiography?
What should be done to the arm during echocardiography?
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What is the ejection fraction?
What is the ejection fraction?
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What is the best position for the patient's arm during apical views?
What is the best position for the patient's arm during apical views?
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To obtain the Apical 3 chamber view, what should be done to the shoulder and transducer?
To obtain the Apical 3 chamber view, what should be done to the shoulder and transducer?
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What is the direction of flow in color flow Doppler when it is red?
What is the direction of flow in color flow Doppler when it is red?
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What is the direction of flow in color flow Doppler when it is blue?
What is the direction of flow in color flow Doppler when it is blue?
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What does color flow Doppler show during mitral regurgitation?
What does color flow Doppler show during mitral regurgitation?
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What does the color flow Doppler show during normal aortic valve function in the apical 4 chamber view?
What does the color flow Doppler show during normal aortic valve function in the apical 4 chamber view?
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What does the color flow Doppler show during a bicuspid aortic valve?
What does the color flow Doppler show during a bicuspid aortic valve?
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What happens to the heart tube during week 4 of fetal development?
What happens to the heart tube during week 4 of fetal development?
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What happens during week 5 of fetal heart development?
What happens during week 5 of fetal heart development?
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What happens during week 7 of fetal heart development?
What happens during week 7 of fetal heart development?
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What does the umbilical vein carry?
What does the umbilical vein carry?
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What is the function of the ductus venosus?
What is the function of the ductus venosus?
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Why is the foramen ovale important in fetal circulation?
Why is the foramen ovale important in fetal circulation?
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What is the role of the ductus arteriosus in fetal circulation?
What is the role of the ductus arteriosus in fetal circulation?
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How does the fetal heart develop?
How does the fetal heart develop?
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What is the function of the interventricular septum ?
What is the function of the interventricular septum ?
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What is the Chiari network?
What is the Chiari network?
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How can the sonographer image the aortic arch?
How can the sonographer image the aortic arch?
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Umbilical Vein Function
Umbilical Vein Function
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Fetal Heart Development
Fetal Heart Development
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Interventricular Septum Function
Interventricular Septum Function
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What is the foramen ovale?
What is the foramen ovale?
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What does the bulbus cordis become?
What does the bulbus cordis become?
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What is the coronary sulcus?
What is the coronary sulcus?
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What is the interventricular septum?
What is the interventricular septum?
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What is the Eustachian valve?
What is the Eustachian valve?
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What do the umbilical arteries carry?
What do the umbilical arteries carry?
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What is the ductus venosus?
What is the ductus venosus?
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What is the aortic arch?
What is the aortic arch?
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How is the heart formed?
How is the heart formed?
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What is color flow Doppler?
What is color flow Doppler?
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What is mitral valve regurgitation?
What is mitral valve regurgitation?
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What is the SAX view of the Aorta?
What is the SAX view of the Aorta?
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What are the smallest blood vessels?
What are the smallest blood vessels?
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What wall segments are visible in the Apical 2 chamber view?
What wall segments are visible in the Apical 2 chamber view?
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What is it called when the heart wall has an absence in the wall?
What is it called when the heart wall has an absence in the wall?
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Study Notes
Capillary Connections
- Capillaries connect to arterioles.
Smallest Blood Vessels
- The smallest blood vessels are arterioles.
Coronary Sulcus Separation
- The Coronary Sulcus separates the atria from the ventricles.
Arterial Branching in Cardiac Circulation
- Arteries branching off the aorta subdivide in cardiac circulation.
Capillary Joining and Excretion
- Capillaries join veins, then excrete their contents.
Descending Thoracic Aorta Location
- The descending thoracic aorta starts just after the aortic isthmus.
Left Anterior Descending Artery Location
- The Left Anterior Descending Artery is often found between the ventricles.
Apical 4 Chamber View
- The Apical 4 chamber view assesses the heart chambers.
Apical 2 Chamber View
- The Apical 2 chamber view assesses the left and right ventricles.
Left Ventricle Segmentation
- The Left Ventricle is divided into segments.
Wall Segment Identification
- Number 1 represents the wall.
- Number 5 represents the wall.
- Number 3 represents a wall fed by a vessel.
- Number 2 represents a wall (also a segment).
- Number 17 represents the wall.
- Number 18 represents the wall.
- Number 19 represents the wall.
- Number 10 represents the wall.
Heart Wall Absence
- When the heart wall has an absence of tissue, a defect is present.
Wall Segment Evaluation
- When assessing wall segments, a decrease in wall thickness can show a defect or difference in thickness.
Parasternal Long-Axis View Divisions
- The parasternal long-axis view has three basic divisions.
Echocardiographic Views
- The following standard echocardiographic views assess the heart function and structure.
SAX Left Ventricle View
- The SAX LV view at the papillary level in the Apical 2 chamber image shows the left ventricle size and shape.
Apical 2 Chamber View Image
- The Apical 2 chamber view should show the two ventricles.
Apical 3 Chamber Image Patient Position
- The patient's arms should be placed as described in the 3 chamber view.
Apical 2 Chamber View Procedure
- To obtain the Apical 2 chamber view, start by positioning the body as needed.
Apical 3 Chamber View Procedure
- Obtain the Apical 3 chamber view by continuing the procedure to produce the 5 chamber view.
Apical Views Patient Positioning
- When obtaining apical views, position the patient appropriately.
Decubitus Position Labeling
- Decubitus position is labeled #7.
Labeling #8
- Label #8 is described.
Labeling #9
- Label #9 is described.
Labeling #10
- Label #10 is described.
Labeling #11
- Label #11 is described.
Labels #1 and #2
- Label #1 and Label #2 are described.
Label #3
- Label #3 is described.
Labels #4 and #5
- Label #4 and Label #5 are described.
Label #6
- Label #6 is described.
LV Pitfalls in 2D Measurement
- When measuring the LV in 2-dimensions, there are pitfalls to avoid.
LA 2-D Measurement
- The LA can be measured in a 2D view, during diastole, after systole.
Left Ventricle Measurement Timing
- The left ventricle is measured during diastole, after completing the ejection period.
Left Ventricle Measurement From
- Measure the left ventricle from the specified anatomical location.
LV Measurement Image Representation
- The specified image represents the left ventricle.
Doppler Flow During Diastole
- When measuring with color flow Doppler, flow in diastole is identified.
Mitral Valve Regurgitation in SAX View
- Mitral regurgitant flow through is seen in the SAX view of the aorta.
Normal Mitral Valve Color Flow
- Normal color flow shows no abnormalities.
Normal Color Flow in Apical 4 Chamber View
- Normal color flow in the apical 4-chamber view is observed.
Apical 5 Chamber View
- The apical 5 chamber view shows normal colors.
Abnormal flow / Regurgitation In The
- Abnormal flow and regurgitation are described for several anatomical landmarks.
Aortic Valve in Apical 4 Chamber View
- The aortic valve in the apical 4-chamber view is presented in normal conditions.
Umbilical Arteries Closure
- Umbilical arteries close by the end of the week described.
Fetal Blood Return
- Depleted blood returns to the fetus' heart, during its development and circulation.
Fetal Heart Tube Folding
- During week 4 the heart folds to the described anatomical position.
Fetus Heart Development
- During week five of fetal development there is described fetal development.
Septum Development
- During week seven, the septum is described to be in development.
Ductus Arteriosus Function
- The Ductus arteriosus shunts blood from the pulmonary artery.
Fetal Circulation Structure
- The structure in the fetus responsible for fetal circulation is detailed.
Bulbus Cordis Growth
- During fetal development, the bulbus cordis grows into a specified structure.
Enriched Blood in Fetal Circulation
- Enriched blood enters the fetus' heart.
Anatomy #1 Description
- The anatomy labelled #1 is detailed.
Anatomy #10 Description
- The anatomical structure of #10 is detailed.
Anatomy #3 Description
- The anatomy labelled #3 is detailed.
Anatomy #8 Description
- The anatomical structure of #8 is detailed.
Heart Development Structures.
- Heart development, the structures, locations, and relations of each, via these views, are described.
Interventricular Sulcus Function
- The interventricular sulcus divides the primitive ventricle into two parts.
Eustachian Valve Location
- The Eustachian valve is located in the right atrium.
Thin String Structures in LV.
- Thin string structures are detailed in the left ventricle.
Chiari Network Cause
- The Chiari network is related to incomplete development.
Chiari Network Characteristics.
- The Chiari network shows specific characteristics.
Red Arrow Target (Embryological)
- The red arrow points to an embryologic structure.
Ascending Aortic Visualization Difficulties
- Specific challenges in visualizing the ascending aorta are discussed.
Suprasternal Notch View Technique
- The suprasternal notch view technique is described.
Transducer Notch Placement
- The placement of the transducer notch is discussed.
Suprasternal Notch View Applications
-The suprasternal notch view applies to examining the vessels.
PW Doppler Disadvantage
- A disadvantage for pulsed wave (PW) doppler is its difficulty or inability with detecting specified kinds of flow.
PW Doppler Applications
- PW Doppler is useful for specific circumstances where details about flow are needed.
Aliasing in Doppler
- Aliasing occurs when using PW doppler.
Continuous Wave Doppler Function
- Continuous wave Doppler converts frequencies into a continuous wave form, to detect flow.
Apical 4 Chamber View - Color Flow
- In the apical 4 chamber view, normal color flow is observed.
Color Flow Doppler Optimization
- Color flow spectral Doppler (often just color flow on an echo machine) is best perpendicular to the blood flow.
Pulsed Wave Doppler Similarities
- Two similarities of pulsed wave Doppler are detailed.
Doppler Type for Blood Flow Measurement
- The stated type of Doppler is used for measuring blood flow.
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