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refers specifically to radiologic imaging of the heart and associated structures.
angiocardiography
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typically performed at the same time with angiocardiography to visualize the coronary arteries.
coronary arteriography
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Coronary arteriography typically performed at the same time to visualize the what?
coronary arteries
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Is a more general term that is used to describe placing a catheter in the heart.
cardiac catheterization
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Cardiac catheterization is a more general term that is used to describe what?
placing a catheter in the heart.
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Angiocardiography clinical indications
Coronary artery disease and angina Myocardial infarct Valvular disease Atypical chest pain Congenital heart anomaly Other heart and aorta pathology
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Any displacement of the vessels may indicate a what
space occupying lesion
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What may indicate a space occupying lesion
any displacement of the vessels
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usually feared by most
cerebral aneurysm
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Cerebral Aneurysm symptoms
Severe headache rapid onset neckpain & stiffness paralyzed seizure blurring eye dyslingua dizziness
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Happen in tummy main artery carries blood from heart to aorta of the tummy that becomes weak
aneurysm
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Not clear the causes some people have a higher chance of getting one
aneurysm
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Aneurysm symptoms
Pain in abdomen or back Clamie skin Nausea Dizziness Rapid heart rate or shock Vommiting
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To determine functions after birth
congenital abnormalities
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Gastrointestinal bleeding
demo blood supply has problem in stomach
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Prefered site for angiocardiography catherization
femoral artery
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Catherization technique used in angiocardiography
seldinger
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The catheter is advanced to the aorta and along its length into the left ventricle for the WHAT
left ventriculogram
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The catheter is advanced to the what? for the left ventricle
aorta and along its length into the left ventriculography
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It is catheter used angiography because a large volume of contrast media is injected.
pig tail
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A pigtail catheter is used in angiocardiography because what?
large volume of contrast media is injected.
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the catheterization is changed and coronary arteries is selected both right and left coronary arteries are routinely examine
coronary arteriogram
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Coronary arteriogram catheterization is changed and what? is selected both right and left coronary arteries are routinely examine
coronary arteries
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the catheterization is changed and coronary arteries selected wthat are routinely examine
rught and left coronary artery
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Coronary arteriogram the catheterization is changed and coronary arteries is selected both right and left coronary arteries when
routinely
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It includes studies in addition to the radiologic imaging such as obtaining blood sample to measure oxygen saturation "oxymetry"
angiocardiography
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Angiocardiography includes studies in addition to the radiologic imaging such as obtaining blood sample to measure what?
oxygen saturation called oxymetry
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What angiocardiography includes
measuring of oxygen saturation, hemodynamic pressure and gradient
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Device use for the angiocardiography
Specialized physiologic monitoring device
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struggles to supply in the heart with enough blood oxygen and nutrients leading to the heart become exhausted
coronary artery disease
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Coronary artery disease cause
cholesterol deposit
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lack of blood flow in the portion of myocardium, silent
myocardial infarction
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CI angiocardiography can be congenital
valvular disease
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Valvular symptoms
chest pain fatigue irregular heart beat fatigue dizziness low/high bp abdominal pain due to enlargement of liver Shortness of breath
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burning sensation parang tinutusok sa chest acid reflux cartilage costochondritis
atypical chest burn
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catheter design in coronary arteriogram
specially shaped catheter to fit each of artery
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In angiocardiography when? the catheter is immediately remove to prevent occluding the vessels
after the injection of cm
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In angiocardiography coronary arteriogram After injection of cm the catheter is what?
immediately remove to prevent occluding the vessels
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Access to the right side of the heart is obtained by how? until the right side is reached
catheterizing the femoral vein and Advance thru the venous structures
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If biplane is available for left ventriculography what? images are obtain
right and left anterior oblique images
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For left ventriculography right and left anterior oblique images are obtain what is use
if biplane is available
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If equipment is what a 30 degrees rao is obtained routinely
single plane
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If equipment is single plane a what is obtained routinely
30 degrees rao
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With the use of what? the injection fraction can be calculated
ventriculogram
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With the use of ventriculogram the what? can be calculated
injection fraction
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With the use of ventriculogram the injection fraction can be what
calculated
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How much CM used in angiocardiography ventriculogram
30 to 40 mL
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Angiocardiography Type of CM used in ventriculogram
nonionic, low osmolar, water soluble iodinated contrast media
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typically require 7 to 10 mL of contrast media per injection.
coronary arteries
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30 to 40 mL of a nonionic, low osmolar, water soluble iodinated contrast media is injected for the
ventriculogram
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How many frames per second and it is higher for pediatric
15 - 30 frames per second
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15 to 30 frames per second and it is what
higher for pediatric
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demonstrates the contour and integrity of abdominal vasculature.
abdominal angiography
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Abdominal angiography demonstrates the what
contour and integrity of abdominal vasculature.
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The placement of abdominal vessels being studied and possible obstructions of vessel tears are demonstrated. Example?
aneurysm ballooning
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The what? being studied and possible obstructions of vessel tears (e.g. aneurysm ballooning) are demonstrated.
placement of abdominal vessels
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The placement of abdominal vessels being studied and what? are demonstrated.
possible obstruction of vessels tears
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refers to angiographic study of aorta and selective studies refer to the catheterization of a specific vessel.
aortography
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Puncture site for right side of heart
femoral vein
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In catheterization of left heart where does the catheter advance
aorta and along its length into the left ventricle
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In Catheterization of the right heart where does the catheter advance
through venous structures
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What catheterization is changed and both right and left is selected both right and left coronary arteries are routinely examine
Coronary arteriogram
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demonstrates the superior and inferior venae cavae.
venacavography
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Abdominal angiography clinical indications
Aneurysm Congenital abnormality Gastrointestinal bleed Stenosis or occlusion Trauma
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For an what?, the aorta typically is accessed by the femoral artery.
aortogram
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For an aortogram, the aorta typically is accessed by the where
femoral artery
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The type and size of catheter required
depend on the structure
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The what of catheter required depend on the structure
type and size
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require the use of specially shaped catheters to access the vessel of interest.
Selective angiographic studies
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Selective angiographic studies require the use of specially shaped catheters to access the what?
vessel of interest
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Selective angiographic studies require the use of what? catheters to access the vessel of interest.
specially shaped
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Common selective studies performed include the
celiac artery, the renal arteries and the superior and inferior mesenteric arteries,
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Common selective studies performed include the celiac artery, the renal arteries and the superior and inferior mesenteric arteries, which are selected when a WHAT?
gastrointestinal bleed is investigated.
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involves selecting a branch of a vessel.
super selective study
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A common example of super selective study in abdominal angiography
selection of the hepatic or splenic artery
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Catheterization for venacavography is obtained by what?
femoral vein puncture
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Catheterization for venacavography is obtained by femoral vein puncture. The catheter then is what
advance to the desire level
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amount of contrast media is used for aortogram and venacavogram.
30 - 40 ml
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In abdominal angiography 30-40ml amount of contrast media is used for
aortogram and venacavogram.
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Contrast media used in aortogram and venacavography
Nonionic, water-soluble and iodinated with low osmolality.
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Pt position in aortogram and venacavography
supine
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Any what? required is obtained by manipulating the C-arm.
obliquity
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Any obliquity required is obtained by what
manipulating the C-arm.
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are acquired, typically over seconds.
serial images
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Serial images are acquired,
typically over seconds.
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The what for the selective studies usually are extended to visualize the venous phase.
imaging sequences
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The imaging sequences for the selective studies usually are what
extended to visualize the venous phase.
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Respiration is what for the image acquisition.
suspended
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is obtained before arterial abdominal selective studies.
Abdominal aortogram
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Abdominal aortogram is obtained when
before arterial abdominal selective studies.
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Abdominal aortogram is obtained before
arterial abdominal selective studies.
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It is included in abdominal aortogram
Diaphragm to the aortic bifurcation
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Angiocardiography refers specifically to radiologic imaging of the
heart and associated structures.
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The imaging sequence for the selective studies usually are exteded why?
to visualize venous phase