Cardiac Modalities Quiz

What is the primary purpose of an echocardiogram?

• To measure blood pressure

• To assess lung function

• To evaluate the structure and function of the heart

• To monitor kidney health

What is the purpose of a treadmill stress test (aka treadmill exercise/ TMX)

• To determine blood pressure levels

• To measure lung capacity

• To evaluate the heart's response to exercise and evidence of significant coronary artery disease

• To assess muscle strength

What are the indications of a coronary angiogram (COROS) & percutaneous coronary intervention (PCI)?

Multiple answers!

• To evaluate for valves function

• To evaluate heart pumping function

• To look for narrowed or blocked blood vessels (arteries) in the heart

• To open up (ballon) the blocked vessels +/- implant the stent(s)

• To detect arrhythmias

How does a CT coronary angiogram (CTCA) different from a traditional angiogram (COROS)?

• CT coronary angiogram is an invasive procedure

• Traditional angiogram involves ultrasound imaging

• CT coronary angiogram uses magnetic resonance imaging

• CT coronary angiogram uses computed tomography, while traditional angiogram involves catheter insertion and X-ray imaging.

What is a 24 hours Ambulatory BP monitoring?

• Taking blood pressure manually every hour

• Wearing a heart rate monitor

• Using a smartphone app to track blood pressure

• Wearing a small digital blood pressure monitor that automatically takes readings every 15-30 minutes.

  Usually order for outpatient

• Check blood pressure when patient feels unwell only

When do doctor orders Holter monitoring (24 hours tape)?

Multiple answers!

• When patient c/o dizziness

• When patient c/o headache

• When patient c/o palpitation

• To continuously monitor and record a person's heart rhythm and rate over a period of time.

• When patient c/o chest pain

What are the common indications for Cardiac MRI?

Multiple answers !

• To evaluate the causes of heart failure

• To evaluate myocardial perfusion and viability

• For definitive diagnosis of myocarditis

• To diagnose cardiovascular disorders such as tumors

What are the correct statements for myocardial perfusion scan (MPI)?

Multiple answers!

• To determine if patient need a pacemaker

• It helps diagnose conditions like coronary artery disease by showing blood flow through the heart muscle.

• To diagnose heart failure

• To determine fitness for vocational driving

When is a Transesophageal Echocardiogram (TEE/TOE) typically performed?

Multiple answers!

• When patient c/o palpitations

• When a standard echocardiogram is inconclusive or when a more detailed view is required.

• To quantify the degree of murmur

• Prior to DC cardioversion for AF patient

Which statement is most accurate on angiogram preferred over other cardiac modalities when patient complaints of chest pain?

Multiple answers!

• Positive troponin

• In Myocardial Infarction

• Non-invasive, real-time imaging, no radiation exposure, detailed information about heart's structure and function

• Limited information about heart's structure and function