1270 results
VA ECMO Unloading - LV Venting
Different LV Venting Strategies work through these basic mechanisms: ↓ Preload,
Contractility, ↓ Afterload ... Vasodilators: ↓ Afterload ... Reducing ECMO Flow: ↓ Afterload ... • IABP: ↓ Afterload ... management #ecmo #treatment
Post-TAVR Suicide Left Ventricle
Pre-TAVR: High afterload from aortic stenosis leads to compensatory left ventricular hypertrophy and
Pre-TAVR: High afterload ... Post-TAVR: Rapid ↓ in afterload ... Phenylephrine to ↑ Afterload ... pathophysiology #cardiology #treatment
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
contractility → Afterload ... → No specific treatment ... Kidney #Injury #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... benefit from LV afterload ... inotrope therapy and afterload ... & Dry” is the treatment ... management #cardiology #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
HTN/normotension Afterload ... Revascularization, treatment
Cardiac Maneuvers and Effects on Murmurs

Valsalva Standing - Decr BIood Return to LV
Laying Down, Squatting, Straight
Phenylephrine - Incr Afterload ... Nitrate - Decr Afterload ... Post PVC - Decr Afterload
The Death Spiral: Increased RV Afterload (Acute PE) 
#Pathophysiology #PE #PulmonaryEmbolism #Embolism #DeathSpiral #Shock #RVDysfunction #RebelEM
: Increased RV Afterload
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur
 • Occurs during systole 
 • Crescendo-decrescendo murmur
 • Heard best
reductions in afterload ... elevations in afterload
Mechanical Cardiac Support Devices Compared
Cannula Size - Insertion Technique - Haemodynarnic Support
IABP:
 • Afterload: Reduced
 •
Support IABP: • Afterload ... increase ECMO: • Afterload ... TandemHeart: • Afterload ... Impella: • Afterload
Causes of acute heart failure
 - Acute pressure overload (increased afterload, mechanical flow obstruction) 
 -
overload (increased afterload