10 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Reduced Ejection Fraction ... (HFrEF) Clinical ... : weight gain, lung ... → no signs of CXR ... heartfailure #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
& lower airway collapse ... in obstructive lung ... edema) • COPD ... hair) • Risk Of Clinical ... #criticalcare #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Lactate, Liver function ... 1 — Treat the lungs ... edema - Large ... (no B-lines on ultrasound ... #Checklist #CHF
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... , interstitial edema ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
position Obstructive lung ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... hemodynamics and cardiac function ... with presence of pulmonary ... differential #algorithm #management ... #heartfailure #chf
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... In daily clinical ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... May have typical HF ... orthopnea, PND, LE edema ... studies show no ↓ LV function ... support for patients clinically
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... disease b) CHF ... Change in clinical ... unless prior heart/lung ... medical and surgical management
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... and damage heart function ... congestion on a CXR ... recognition and management