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clinical cardiology a4c plax ultrasound psax cardiac s4c effusion pericardial atrial diagnosis aortic thrombus valve pulmonary ventricular aorta tamponade cardiomyopathy
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
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 ... Differentiating #PAH #PVH #Echocardiogram
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
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 ... DSign #Ultrasound #echocardiogram ... diagnosis #cardiology #pocus
Estimating Left Ventricular Filling Pressure by Echocardiography #Diagnosis #Cardiology #Echocardiogram #POCUS #Diastolic #Dysfunction #Diastology #Diastasis #EWave #AWave
Ventricular Filling Pressure ... Diagnosis #Cardiology #Echocardiogram ... #POCUS #Diastolic
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
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram What's the diagnosis?? 63 year old with BP of
Anterior Hypokinesis POCUS ... Echocardiogram ... Pt required pressors ... #Hypokinesis #POCUS ... #Echocardiogram
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 Echocardiographic Findings of Acute Right Ventricular Strain - Increased RV:LV Size Ratio - Abnormal Septal Motion
Artery Systolic Pressure ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis ... Ventricular #cardiology #POCUS
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