6 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
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
Interpreting Right Heart Catheterizations ... RHC based on the indication ... What is the cardiac ... are the filling pressures ... #RHC #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
Inpatient Cath Lab Indications ... New/worsening MR ... Rx: NSTEMI/UA: stable ... Inpatient #CathLab #Indications ... #Cardiac #catheterization
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
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... mortality in inferior MI ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... artery #catheter #diagnosis
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Elevated intraocular pressure ... Elevated intracranial pressure ... disequilibrium syndrome • Diagnosis ... • Bleeding • Cardiac ... #Table