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clinical diagnosis ultrasound cardiology echocardiogram ocular papilledema comparison ophthalmology pulmonary abdominal algorithm bladder cardiac differential management motion a4c criticalcare dsign
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
capillary wedge pressure ... -right atrial pressure ... Diagnosis #PACatheter #NormalValues ... Chambers #Wedge #PCWP ... #Pressures #SVR
Right Heart Cath - Normal Cardiac Pressures Right Atrial Pressure (RAP) or Central Venous Pressure (CVP) •
Normal Cardiac Pressures ... Right Atrial Pressure ... Central Venous Pressure ... Right Ventricular Pressure ... (PCWP): • 8-12
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
Interpretation of Pressures ... Central venous pressure ... (PCWP) ● Cardiac ... x [mean PAp – PCWP ... LVSWI = [MAP – PCWP
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
↓ CO, ↑ SVR, ↓ PCWP ... , narrow pulse pressure ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... ↑ CO, ↓ SVR, ↓ PCWP
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Pulmonary Artery Pressures ... TRANSMURAL FILLING PRESSURE ... Reflects the pressure ... or pericardial pressure ... #calculations #pressures
Differentiating PAH from PVH - Echocardiography Pulmonary Artery Hypertension (PAH): • RV size - Enlarged • LA
<8 • Aortic pressure ... Normal/Low • PCWP ... mmHg • PADP-PCWP ... 10 • Aortic pressure ... mmHg • PADP-PCWP
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,
Artery Catheter Pressures ... Mean PAP <25, PCWP ... Artery #Catheter #Pressures
Mechanical Cardiac Support Devices Compared Cannula Size - Insertion Technique - Haemodynarnic Support IABP: • Afterload: Reduced •
Slightly reduced • PCW ... pressure: Slightly ... pressure: Reduced ... pressure: Reduced ... pressure: Slightly
Algorithm for Echo determination of LV filling pressures #LVFilling #pressures #Algorithm #Echo #POCUS #diagnosis #cardiology
of LV filling pressures ... #LVFilling #pressures ... Algorithm #Echo #POCUS
D-Sign on Ultrasound Right Ventricular Pressure vs Volume Overload Eccentricity Index (EI) = D2/D1 RV Overload “D Sign” EI
Right Ventricular Pressure ... ” EI > 1 - POCUS ... diagnosis #cardiology #pocus
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