11 results
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
(RA, RV) ● Pulmonary ... arterial pressure ... capillary wedge ... (atrial diastole ... filling in atrial
Right Heart Cath - Normal Cardiac Pressures

Right Atrial Pressure (RAP) or Central Venous Pressure (CVP)
 •
Right Atrial ... Diastolic) Left Atrial ... Pressure or Pulmonary ... Capillary Wedge ... #diagnosis
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... arterial catheterization ... capillary wedge ... atrial pressure ... #SVR
Right Heart Catheterization Waveforms and Pressures
Right Atrial Pressure:
 • Mean: 1-5 mm Hg
Right Ventricular Pressure:
 •
Right Atrial Pressure ... Diastolic: 1-7 mm Hg Pulmonary-Artery ... Wedge Pressure ... #normal #wedge ... #diagnosis #cardiology
Newly Diagnosed Atrial Fibrillation - Management Algorithm

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Newly Diagnosed ... Atrial Fibrillation ... MatthewHoMD #Atrial ... #Fibrillation #RVR ... #cardiology #AFib
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 ... Normal: RA 0-8, RV ... Arterial HTN Pulmonic ... #Wedge #Hemodynamics ... #Cardiology #diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
common finding) • Atrial ... Arrhythmia* (e.g., A-Fib ... also a result of atrial ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... identify left atrial ... test for DM Atrial ... #cardiology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
arterial hypertension ... ventricular size, Right atrial ... pressure, Pulmonary ... mPAP > 25mmHg, PVR ... Woods units, PA wedge
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 • RV size - Enlarged
 • LA
<8 • Aortic pressure ... 10 • Aortic pressure ... Echocardiogram #comparison #diagnosis ... #cardiology #pulmonary ... #arterial #venous