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Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... hypertension, pulmonary ... ineffective) #Management ... #Cardiology #HFpEF ... #Treatment #HeartFailure
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
There are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
principal varieties of pulmonary ... The vascular pedicle ... #Clinical #Radiology ... #CXR #CHF #Vascular ... Pedicle #Width #Comparison
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Heart Failure, Valvular ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... (no B-lines on ultrasound ... #Checklist #CHF ... #Cardiogenic #HeartFailure ... #Cardiology #Management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
0.25), murmur of valvular ... → no signs of CXR ... Jcortesizaguirr #HFrEF #heartfailure ... #diagnosis #management ... #cardiology #pharmacology
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
difference in vascular ... distribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Cathepsin G release → vascular ... common • Imaging: CXR ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
On the left a patient with CHF. 
There is an increase in heart size compared to
redistribution of pulmonary ... that helpful, but comparison ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #RadiologyAssistant