Cardiac Catheterization Procedures Flashcards
7 cards from real CVT practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Cardiac Catheterization Procedures flashcards as text
When measuring cardiac output by the Fick method during catheterization, which three variables are required?
Answer: Oxygen consumption, arterial O2 content, mixed venous O2 content
The Fick equation: CO = VO2 / (CaO2 - CvO2), requiring oxygen consumption and the arteriovenous oxygen content difference.
A patient with an atrial septal defect undergoes right heart catheterization. At which location would the technologist expect to find a step-up in oxygen saturation?
Answer: Superior vena cava to right atrium
An ASD causes left-to-right shunting at the atrial level, producing an oxygen saturation step-up from the SVC to the right atrium.
During coronary angiography, the technologist notices the contrast does not clear from a coronary artery segment between injections. This is known as:
Answer: Coronary ectasia
Coronary ectasia is abnormal dilation of coronary segments causing slow contrast clearance due to turbulent, sluggish flow.
After successful PCI, TIMI 3 flow is achieved. What does TIMI 3 indicate?
Answer: Normal flow with complete and rapid distal opacification
TIMI 3 indicates normal epicardial coronary flow with complete and timely opacification of the distal vessel.
Which complication is best detected by performing an Allen test prior to radial artery access?
Answer: Inadequate ulnar collateral circulation
The Allen test evaluates ulnar collateral flow to ensure the hand will be adequately perfused if the radial artery is occluded.
A patient with suspected constrictive pericarditis undergoes right and left heart catheterization. Which hemodynamic pattern confirms the diagnosis?
Answer: Equalization of diastolic pressures across all four chambers
Constrictive pericarditis causes equalization of end-diastolic pressures in all chambers due to external constraint by the rigid pericardium.
During balloon aortic valvuloplasty, rapid ventricular pacing at 180-200 bpm is used. What is the primary purpose of this pacing?
Answer: To minimize cardiac output and stabilize the balloon during inflation
Rapid pacing reduces stroke volume and cardiac output, keeping the balloon stable and preventing it from being ejected during inflation.