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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
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
Lead aVR on EKG Lead aVR can provide some unique insight into 5 different conditions: - Acute
Lead aVR on EKG ... Lead aVR can provide ... Differentiating VT from SVT ... EKG #ECG #Lead #AVR
Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
1 • Increase SVR ... V1 • Increase SVR ... 1 • Increase SVR ... Inotropy > Increase SVR ... Inotropy, Decrease SVR
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Catheterization - Pulmonary ... and Calculations PULMONARY ... & PCWP PULMONARY ... hypovolemic shock, SVR ... low or normal SVR
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... third-spacing • ↓ CO, ↑ SVR ... arrhythmia • ↓ CO, ↑ SVR ... PAH • ↓ CO, ↑ SVR ... toxins • ↑ CO, ↓ SVR
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High CO / Low SVR ... Low CO / High SVR ... • Obstructive: 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
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Increases BP, SVR ... Increases BP, SVR ... Increases HR, SVR ... Increases BP, SVR ... vasoconstriction, SVR
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... elevation > 1.5 mm in aVR ... PR elevation in aVR ... PR elevation in aVR ... - R/S ratio in aVR
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