Echocardiography In Depth Course Quiz

Measurement of RV systolic function can use the methods below, except

• Tricuspid annular plane systolic excursion

• S’ velocity

• Fractional area change

• RV wall thickness

Correct way to measure RVOT diameter

• Measured-in-5 chamber view

• Measured at end-systole phase

• Measured at end-diastole phase

• Measured in PSAX views, distal to pulmonary valve

From the data below, what’s the PH probability of the patient?

• Low Probability of PH

• Intermediate Probability of PH

• High Probability of PH

What is the most likely diagnosis?

• Apical HCM

• Hypertension heart diasease

• Amyloid/infiltrative cardiomyopathy

• Inferoposterior myocardial infarction

What is the most likely diagnosis?

• Apical HCM

• Hypertension heart diasease

• Amyloid/infiltrative cardiomyopathy

• Inferoposterior myocardial infarction

What is the most likely diagnosis?

• Apical HCM

• Hypertension heart diasease

• Amyloid/infiltrative cardiomyopathy

• Inferoposterior myocardial infarction

Parameters not used for HFA-PEFF score

• Septal and lateral mitral annular peak early diastolic velocity

• Left atrial volume index

• Natriuretic peptide

• LV systolic ejection fraction

• Tricuspid regurgitation peak velocity or pulmonary arterial systolic pressure

A 72 y.o man and obese come with shortness of breath. Examination data revealed, normal electrocardiography & chest X-ray. Echo show LVH concentric, LAVI 40 ml/m2, average E/e’ 10, TR velocity 2.5 m/s, and NT pro BNP 125 pg/ml. Which statement below is correct?

• HFA-PEFF score is 5, patient established with HFpEF

• No more examination is needed for the patient, just start the treatment

• HFA-PEFF score is 4, patient should do echo stress test

• Invasive hemodynamic measurement could be done in this patient, and HfpEF established if resting PCWP is 10 mmHg

Which statement below is not correct about advanced HFpEF workup using stress test echo?

• It can be done in patient with HFA-PEFF score is 2 - 4

• An average E/e′ ratio during exercise e ≥15 adds 2 points to the HFA–PEFF score

• An average E/e′ ratio ≥15 with a peak TR velocity >3.4 m/s adds 3 points to the previous score

• Invasive hemodynamic monitoring is done if HFA-PEFF score > 5 after echo stress test

Invasive hemodynamic test could be done patient with HFA-PEFF score 2-4. Which statement below is correct?

• Invasive hemodynamic only be measured at resting

• HFpEF diagnosis is established when PCWP at rest >= 12 mmHg or LVEDP >= 14 mmHg

• HFpEF diagnosis is established when PCWP at rest >= 15 mmHg or LVEDP >= 16 mmHg

• Invasive stress test must be done when PCWP at rest >= 15 mmHg or LVEDP >= 16 mmHg