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Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Framework and Clinical ... lactate decrease PVR ... HF • Moderate pulmonary
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Evaluation of Pulmonary ... signs of elevated PVR ... Differentiate PAH from PVH ... Shah @HFpEF #Pulmonary
Heart Pressures - Reference Cheat Sheet
Formula Review Guide for Heart pressure American Society of Echocardiography
RAP) - Mean Pulmonary ... Ventricular Pressure - Pulmonary ... Pressure - Pulmonary ... Vascular Resistance (PVR
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Catheterization - Pulmonary ... and Calculations PULMONARY ... meanPAP-PCWP) / CO • PVR ... identified based on PVR ... & PCWP PULMONARY
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Pericarditis: PR ... elevation in aVR ... • PR elevation ... elevation in aVR
This is ATRIAL FIBRILLATION. Fibrillating right atria and rapid ventricular response.
Pulmonary vein isolation was performed and
Pulmonary vein isolation ... AtrialFibrillation #AFib #Clinical ... ThoracicSurgery #RVR
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
depression in aVR ... is evidence for PR ... II and aVL, and PR ... knuckle’ sign) in aVR ... Electrocardiogram #Clinical
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
High CO / Low SVR ... Low CO / High SVR ... Low CO / High SVR ... , CVP > 12 • Pulmonary ... Low CO / High SVR
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
pressures (RA, RV) ● Pulmonary ... pressure (PAp) ● Pulmonary ... 1500 d/s/cm5) (SVR ... – CVP]/CO) ● Pulmonary ... -120 d/s/cm5) (PVR
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
depression in aVR ... Elevation of PR ... segment in aVR and ... depression of PR ... normalization of ST and PR