45 results
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... However, when the diagnosis ... or the type of shock ... severe cardiogenic shock ... #Differential #Table
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... - Diagnosis and ... Hypoperfusion from Cardiac ... #Cardiogenic #Shock ... #cardiology
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Classification Table ... #Cardiogenic #Shock ... Classification #CHF #Diagnosis ... #Table #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... #catheterization ... #cardiology
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
Interpreting Right Heart Catheterizations ... What is the cardiac ... #Right #Heart #Catheterization ... #RHC #diagnosis ... #hypertension #cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable ... LMCA lesion -> Cardiac ... Catheterization ... Angina #ChestPain #Diagnosis ... Management #Algorithm #Cardiology
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
Causes of Sudden Cardiac ... Processes (> 90%): • Acquired ... polymorphic VT* • Acquired ... #Arrest #cardiology ... #differential #diagnosis
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... artery #catheter #diagnosis ... #cardiology #swanganz
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... uw_IMresidency #Shock ... #Differential #Diagnosis ... #table #comparison