14 results
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,
Catheter Pressures ... 25, PCWP 8-12, Cardiac ... Right-to-Left Shunt Tamponade ... Medicine @ucsdim #PA ... #Hemodynamics #Cardiology
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Pericarditis - Tamponade ... Pulmonary Causes ... • Vasculature: PE ... #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... tamponade • Esophageal ... Initial workup: • EKG
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
dyspnea and chest pain ... - PE will show ... paradoxus - ECG ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... of cardio-pulmonary ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
female with chest pain ... Triage EKG (no prior ... See thread for POCUS ... seen in 34% of cases ... #clinical #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
CARDIAC POWER OUTPUT ... ., PE, right heart ... much as 40% in cardiac ... #artery #catheter ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest pain ... x-ray and and ECG ... In this case, the ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
On a chest film only the outer contours of the heart are seen.
In many cases we
blood from the pulmonary ... right and left main ... Enlargement will cause ... #Anatomy #Radiology ... Atrium #Ventricle #Cardiac