12 results
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... Pulmonary arterial catheterization ... However, when the diagnosis ... #Diagnosis #PACatheter ... #Differential #Table
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... Descents, Rales,+S4, MR ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... Cardiomyopathy #Diagnosis
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... ECG, Telemetry, Cardiac ... /S, EEG, Brain MRI ... , Cardiac stress ... Effectiveness #table
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable ... LMCA lesion -> Cardiac ... Catheterization ... #ISCHEMIA #Stable ... Angina #ChestPain #Diagnosis
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... #catheterization
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... #RHC #PACatheter ... #diagnosis #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... ventricular arrythmias Diagnostics ... ($$$), PET CT/MRI ... COREIMpodcast #Cardiac
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... failure, acute MI ... → tension PTX, cardiac ... #Differential #Diagnosis ... #table #comparison
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... and timing with Cardio-OB ... during Delivery • Stable ... follow-up with Cardio-OB