20 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
- Diagnosis, Causes ... (PIRATES): - Pulmonary ... - Ischemia (cardiac ... #Fibrillation #AFib ... #Diagnosis #Causes
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... Noncardiac: • Pulmonary ... (< 5% pts with afibb ... ≥4 weeks after ... #diagnosis #management
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... However, when the diagnosis ... artery hypertension ... artery occlusion ... #Diagnosis #PACatheter
Right Heart Cath - Normal Cardiac Pressures

Right Atrial Pressure (RAP) or Central Venous Pressure (CVP)
 •
Cath - Normal Cardiac ... Pressures Right Atrial ... Artery Pressure ... Pressure or Pulmonary ... RHC #cardiology #diagnosis
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... 25, PCWP 8-12, Cardiac ... Arterial HTN Pulmonic ... #Artery #Catheter ... Hemodynamics #Cardiology #diagnosis
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Definition: mean pulmonary-artery ... Options Balloon Pulmonary-Artery ... Used to reduce pulmonary-artery ... Rarely performed Anticoagulation ... Goal: prevent pulmonary-artery
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
(PAp) ● Pulmonary ... pressure (PCWP) ● Cardiac ... SVR = 80 x [mean artery ... PCWP]/CO) ● Cardiac ... Interpretation #Diagnosis
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... myxoma, pulmonary ... Absent y descent - Cardiac ... #Differential #Diagnosis ... #PhysicalExam #
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... • Effusion • Cardiac ... Disease Coronary Artery ... Arrhythmia • Atrial ... #Differential #Diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
other causes of cardio-pulmonary ... common finding) • Atrial ... Arrhythmia* (e.g., A-Fib ... also a result of atrial ... Embolism #AcutePE #diagnosis