RCA-PDA, LCA-CIRC, heart views
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| What comes off of the Left Main Artery? | LAD-Diagonals, Septals. Circumflex-Obtuse Marginals, PDA IF left dominant
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| What comes off of the Right Coronary Artery? | SA Nodal Artery (also AVN if seen), Acute Marginals, Posterior Lateral Branch, PDA (if RIGHT dominant)
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| What shape is the RCA? | "C" artery
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| What do collateral vessels indicate? | 100% blockage of vessel
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| Name the arteries that develop to shunt blood to a point below a total occlusion: | Contra-laterals and Ipsi-laterals
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| What is Nature's Own Bypass Surgery | Collateral vessels
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| Where do collaterals supply blood to? | The blocked side
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| Name the three types of occlusions? | Partial, Sub-totaled, Complete
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| What do you look for when viewing a coronary angiogram? | *Entire vessel should fill with contrast in one smooth injection
*Lesions
*collateral flow
*competitive flow (if grafts present)
*Myocardial "Bridging"- artery pinches down
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| Name vessel projections | AP (straight down), Cranial (head), Caudal (feet), Right Anterior Oblique (RAO), Left Anterior Oblique (LAO), combinations of preceding, Orthagonals
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| Two projections of the same anatomy seen at different angles | Orthogonal views
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| If spine is on the right, it's what view? | LAO
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| If spine is on the left, what view is it? | RAO
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| What shadows should you look for to find the spine? | Rib shadows and catheter within the aorta
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| What direction do the ribs turn into? | Ribs head towards the spine
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| What view to the the circumflex/OMB and grafts | Primarily caudal views
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| The primary cranial views show what? | LAD/DIagonals and grafts
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| In RAO apex of heart points to where? | Right of screen
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| In LAO, the RCA resembles what? | A "C" shape
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| In LAO, the LAD lies where? | To the left
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| Which artery USUALLY lies closest to the spine? | Circumflex
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| In projections of the left coronary system, look for what part of the heart to identify the LAD? | Apex
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| In the left coronary system, look for the apex of the heart to identify the what? | Left Anterior Descending artery
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| What coronary system do you look to for septal perforators to identify the LAD? | Left coronary system
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| What do you look for in the left coronary system? | Septal perforators to identify the LAD
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| What is the name of the system of rating quality/quantity of blood flow through vessels during angiography? | TIMI Scale
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| No flow, completely occluded vessel | TIMI 0
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| TIMI 0 | No flow, completely occluded vessel
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| TIMI 1 | Very limited flow, distal vessel not adequately seen
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| Very limited flow, distal vessel not adequately seen | TIMI 1
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| TIMI 2 | Moderate flow, entire lumen seen but still overall slow flow
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| Moderate flow, entire lumen seen but still overall slow flow | TIMI 2
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| TIMI 3 | Normal flow, all anatomy seen
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| Normal flow, all anatomy seen | TIMI 3
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| RCA and associated branches are seen in what leads? | II, III, aVF
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| Inferior myocardium is monitored in what leads? | II, III, aVF
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| LAD and associated branches seen in which leads? | All V-leads, I AND aVL LEADS
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| All V-leads and I and aVL see what | LAD and associated branches, anterior and lateral myocardium
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| Circumflex and associated branches seen in which lead? | V1-V4
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| Posterior myocardium seen where? | Circumflex and associated branches in the posterior myocardium.
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