cardiac diganostic tests number 2

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Author:
jordan1128
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237971
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cardiac diganostic tests number 2
Updated:
2013-09-30 20:21:16
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cardiac tests
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  1. Invasive
    penetrates or breaks the skin or enters a body cavity
  2. Non-invasive
    • external diagnostic tool
    • -no break of skin
  3. Name the 6 Non-invasive procedures
    • 12-lead ekg
    • Chest X-Ray (CXR)
    • Ambulatory monitoring
    • Echocardiogram
    • Stress test
    • Tilt Table
  4. Invasive Procedures
    • -EP test
    • -Cardiac catheterization (Coronary angiogram)
  5. 12 Lead EKG
    • Diagnostic Tool for
    • * CAD
    • * Acute and previous MI
    • * 1st test for arrythmias
    • -only one moment in time
    • Cardiologists confirm EKG
  6. Chest X-Ray
    • Evaluate size and location of heart
    • Lead location/dislogment/migration
    • Pneumothorax
    • Lung diseases
    • Cardiomalgely (heart failure)
  7. Pneumothorax
    Air in pulmonary cavity
  8. Symptoms of Arrthymias
    • weakness
    • pre-syncope
    • syncope
    • agina
    • SOB
    • hypotension
    • fatique
    • malise
  9. Holter Monitor
    Usually for 24 hours
  10. Event Records
    • usually up to 30 days
    • -write down symptoms
  11. Mobile Cardiac Outpatient Telemetry
    • MCOT
    • -monitors every single beat
  12. Insertable Cardiac Monitor (ICM)
    • Implantable Loop Recorder
    • -implanted under skin
    • -up to 3 years of monitoring

    leads to 40% of pacemakers/icd
  13. 4 Ambulatory Monitoring
    • Holter monitor
    • Event records
    • MCOT
    • ICM
  14. Echocardiogram
    • Referred to as cardiac ultrasound/sonogram
    • can be TTE (Thoraic) TEE (throat) ICE (cardiac)
    • 2 dimensiional imaging
  15. TTE
    Trans-thoraic ecocardiogram

    typical one through chest

    -structure and blood flow...valves
  16. TEE
    • Transeophagel
    • -spectaular view of left atrim
    • look for blood clot in left atrial appendage
    • Should be done before a scheduled cardioversion
  17. ICE
    Intra-cardiac echocardiogram

    puncture hole through fassol ovalise for PVI
  18. fassol ovalise
    tent between right and left atrium
  19. Echocardiogram diagnostics uses
    • -structure of heart
    • -blood flow and valves
    • -EF & CO
  20. Stress Test
    • TMST
    • -Check for CAD/Ischemic Heart Disease
    • -Chronotropic incompetence
    • -evalution of rate response therapy

    Not used for arrthymias
  21. Thallium Stress Test
    • Nuclear Stress Test
    • picks up radial isotops
  22. Tilt Table Test
    • used to evalute the cause of unexplained syncope or pre-syncope (vasovagal syncope)
    • blood pressure and heart rate
  23. EP Test
    • find location/source of arrythimias
    • assess need for pacemakers/icd
  24. 4 EP Test cathode placement
    • high right atrita
    • his
    • av apex
    • cornory sinus
  25. cardiac catherization/coronary angiogram
    • diganious CAD
    • femorial artery
  26. PCI
    • Percutenious Coronary Intervention
    • (angioplasty/stent)
  27. PTCA
    Percutanious Translumitale Coronary Angiplasty

    -Just Ballon
  28. FFR
    • Fraction Flow Reserve
    • -measure pressure on both sides of ballon
    • -better evaluation of stanious

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