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Mechanisms of acute right ventricular dysfunction/failure (RVD/RVF) #rightventricle #rvfailure #rvdysfunction
dysfunction/failure (RVD ... /RVF) #rightventricle
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Classification and Differential ... High CO / Low SVR ... Low CO / High SVR ... Low CO / High SVR ... Classification #Differential
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO x SVR ... PAH • ↓ CO, ↑ SVR ... toxins • ↑ CO, ↓ SVR ... uw_IMresidency #Shock #Differential
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... PR elevation in aVR ... PR elevation in aVR ... ST elevation: Differential ... diagnosis #ekg #differential
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
Algorithm for the management of atrial fibrillation with rapid ventricular response - Dr. Tom Fadial @thame #Atrial
fibrillation #AFib #RVR
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
≤ 0.9 predicts RV ... 1.85 predicts RV ... correlates with RV ... 0.8 indicates RV ... 0.63 predicted RV
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension • Record estimated PASP • Evaluate RV size
PASP • Evaluate RV ... signs of elevated PVR ... shunt lesions) • Differentiate
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... High CO / Low SVR ... Low CO / High SVR ... Sophia_Hayes_MD #Shock #Differential
Syncope in 3 Steps 1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA) 2. Heart vs
Heart vs SVR Heart ... > fast or slow SVR ... other #Syncope #differential
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