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diagnosis criticalcare differential cardiology classification management comparison pharmacology catheterization clinical overview pacatheter treatment algorithm artery calculations cardiomyopathy catheter cathlab chambers
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
), Cardiogenic shock ... , Some cases of ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Inotropes #comparison #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... , pallor Cardiogenic ... failure, acute MI ... findings based on cause ... Differential #Diagnosis #table
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... those with severe cardiogenic ... shock (eg, acute ... output (ie, cardiac ... #Differential #Table
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Distributive #Cardiogenic ... #Comparison #Table
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... ) Cardiogenic ( ... contractility) - Acute MI ... exacerbation (any cause ... Classification #Table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
mortality in inferior MI ... patients with cardiogenic ... • Advanced cardiogenic ... CARDIAC POWER OUTPUT ... much as 40% in cardiac
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... shock 2. ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... . narrow pulse pressure ... wound. drains) Cardiogenic ... O2 delivery • MI ... #differential #causes
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... . narrow pulse pressure ... wound. drains) Cardiogenic ... O2 delivery • MI ... #differential #causes
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... ancestry, LGE on MRI ... Minority of Pts: cardiogenic ... shock and severe ... and timing with Cardio-OB
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