Buy Echo as It Relates to Multimodal Imaging

Buy Echo as It Relates to Multimodal Imaging
Buy Echo as It Relates to Multimodal Imaging
1. A 42-year-old male with a history of borderline hypertension was seen in your clinic due to an abnormal EKG
during his last routine physical exam. You ordered a 2D
echocardiogram to evaluate LV function and LV mass.
This study was limited due to poor acoustic windows. The
left ventricular function was noted to be normal with poor
endocardial denition and without signicant valvular
abnormalities. The patient was sent for cardiac MRI for
further evaluation (Fig. 53.1). What is the next best step
based on these ndings?
A. Initiate long-term anticoagulation
B. Initiate beta-blocker/ACE-I therapy to regress the LVH
C. Refer this patient for an ICD implant
D. Schedule the patient for an endomyocardial biopsy
E. Schedule the patient for an alcohol septal ablation
Buy Echo as It Relates to Multimodal Imaging
2. A 41-year-old male with no signicant past medical
history presented with new-onset atrial brillation. The
transthoracic echocardiogram showed unexplained right
ventricular dilation without a clear source of intracardiac
shunt. The patient was referred for cardiac MRI, and the
images are shown in Figure 53.2. Which of the following
conditions best explains these ndings?
A. A partial anomalous pulmonary vein without ASD
B. A partial anomalous pulmonary vein with ASD
C. Ebstein anomaly
D. Congenitally corrected transposition of the great arteries
3. A 44-year-old male with a past medical history signicant
for borderline dyslipidemia was referred by his cardiologist
for coronary CT angiography based on complaints of atypical chest pain. His coronary angiography showed minimal
disease in the left anterior descending coronary artery;
however, the abnormality in Figure 53.3 was noted. Based
on the presence of this abnormality, which of the following
Doppler abnormality on echocardiogram is expected?
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