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clinical cardiology ultrasound diagnosis echocardiogram ekg radiologyassistant pulmonary cxr ecg lung msk differential management a4c sign electrocardiogram abdominal algorithm aortic
Differentiating PAH from PVH - Echocardiography Pulmonary Artery Hypertension (PAH): • RV size - Enlarged • LA
Normal/Low • PCWP ... mmHg • PADP-PCWP ... Normal/High • PCWP ... mmHg • PADP-PCWP ... comparison #diagnosis #cardiology
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
↓ CO, ↑ SVR, ↓ PCWP ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... ↑ CO, ↓ SVR, ↓ PCWP
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RESISTANCE = (meanPAP-PCWP ... based on PVR & PCWP ... RAP/PCWP RATIO ... • RA/PCWP>0.54 ... catheter #diagnosis #cardiology
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,
Mean PAP <25, PCWP ... #Hemodynamics #Cardiology
Right Heart Cath - Normal Cardiac Pressures Right Atrial Pressure (RAP) or Central Venous Pressure (CVP) •
Wedge Pressure (PCWP ... Pressures #RHC #cardiology
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
wedge pressure (PCWP ... x [mean PAp – PCWP ... LVSWI = [MAP – PCWP ... CheatSheet #Waveforms #Cardiology
Interstitial pneumonias An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
pneumonia: Viral PCP ... This was a PCP-infection ... #Clinical #Radiology
R Wave Progression - normal chest lead ECG shows an rS-type complex in lead V1 with
#Diagnosis #Cardiology ... #Progression #PRWP
Mechanical Cardiac Support Devices Compared Cannula Size - Insertion Technique - Haemodynarnic Support IABP: • Afterload: Reduced •
Slightly reduced • PCW ... pre-load: Reduced • PCW ... pre-load: Reduced • PCW ... Slightly reduced • PCW ... Devices #Comparison #cardiology
Cardiac POCUS. #diagnosis #em #cardiology #pocus
Cardiac POCUS. ... diagnosis #em #cardiology ... #pocus
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