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diagnosis cardiology differential management pacatheter a4c aortic artery calculations cardiomyopathy catheter cathlab chambers clinical clots comparison criticalcare dissection diuresis diuretics
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... Pulmonary arterial catheterization ... or the type of shock ... severe cardiogenic shock ... #Differential #Table
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 ... #Catheterization
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... failure): • Severe heart ... failure, acute MI ... uw_IMresidency #Shock ... Differential #Diagnosis #table
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 ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... #catheterization
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... surgery/catheterization ... deficit • Shock ... opiates • Control heart ... Control blood pressure
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Elevated intraocular pressure ... Elevated intracranial pressure ... • Bleeding • Cardiac ... • Hypovolemic shock ... #Medications #Table
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Pts: cardiogenic shock ... and timing with Cardio-OB ... during Delivery • Stable ... follow-up with Cardio-OB
This is the bedside Echo of a critically ill young lady who was transferred in profound
transferred in profound shock ... and on high-dose pressors ... around in the right heart ... ahead of her was able ... Clinical #POCUS #Cardiac
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