1040 results
Mechanisms of acute right ventricular dysfunction/failure (RVD/RVF) #rightventricle #rvfailure #rvdysfunction
dysfunction/failure (RVD ... /RVF) #rightventricle
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... Cardiogenic (Intra-cardiac ... Obstructive (Extra-cardiac ... → tension PTX, cardiac ... PAH • ↓ CO, ↑ SVR
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
≤ 0.9 predicts RV ... 1.85 predicts RV ... 0.8 indicates RV ... CARDIAC POWER OUTPUT ... much as 40% in cardiac
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
pressures (RA, RV ... pressure (PCWP) ● Cardiac ... 1500 d/s/cm5) (SVR ... -120 d/s/cm5) (PVR ... PCWP]/CO) ● Cardiac
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 ... Pneumothorax, Cardiac ... Low CO / High SVR
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
big squares - RR ... AntLat MI, WPW, RVH ... WideQRS: RBBB (V1/V2 rsr ... qs; lat leads rsr ... - QTc < 1/2 RR
Heart Pressures - Reference Cheat Sheet
Formula Review Guide for Heart pressure American Society of Echocardiography
Vascular Resistance (PVR ... Pressure #Heart #Cardiac
POCUS Echocardiography - Table of Cardiac Views and Windows
 • Parastemal Long-Axis View (PLAX)
 • Parasternal
Echocardiography - Table of Cardiac ... Right Ventricular (RV ... Right Ventricular (RV ... Anatomy #POCUS #Cardiac
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
↓ ↑ ↓ ↓ ↓ Cardiac ... 4.25-6.12 L/min Cardiac ... fick) CO/BSA Cardiac ... *0.0144 RCWI Cardiac ... CI*MPAP*0.0144 Cardiac
Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
fibrillation #AFib #RVR