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diagnosis cardiology differential management rhc causes pressures waveforms anesthesia anesthesiology catheterization checklist intraoperative physicalexam right workup abnormalities afib airway apples
Right Heart Cath - Normal Cardiac Pressures Right Atrial Pressure (RAP) or Central Venous Pressure (CVP) •
Right Heart Cath ... - Normal Cardiac ... Pressures Right ... Atrial Pressure ... Pressure or Pulmonary
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
Right Heart Catheterization ... arterial pressure ... /m2) (SVI = CI/heart ... rate) ● Left ... Hb x SaO2) ● Oxygen
Right Heart Catheterization Waveforms and Pressures Right Atrial Pressure: • Mean: 1-5 mm Hg Right Ventricular Pressure: •
Right Heart Catheterization ... Right Atrial Pressure ... Diastolic: 1-7 mm Hg Pulmonary-Artery ... Mean: 9-19 mm Hg Pulmonary-Capillary ... • Normal Range
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
Diagnosis and Pathophysiology ... disorders - Chronic pulmonary ... mmHg developed atrial ... fibrillation at a rate ... Infarction • Pulmonary
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Venous Pressure ... pulmonary hypertension ... heart failure, ... Cardiac tamponade #Abnormal
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
→ ↓ → →↑ Pulmonary ... 90 bpm CO/SV Heart ... Arterial Pressure ... Cardiac Work Index, Right ... Stroke Work Index, Right
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Palpitations, light-headedness ... : • Valvular heart ... • Structural heart ... Noncardiac: • Pulmonary ... ventricular pressure
Oxygen Delivery Equation DO2 = CO x {(1.39 x Hb x sO2) + (PaO2 x 0.03)} DO2 =
x 0.03)} DO2 = Rate ... hemoglobin PaO2 = Partial ... pressure of oxygen ... Delivery #Equation #pathophysiology ... #pulmonary #apples
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Right Heart Catheterization ... have a low or normal ... correlate in the SHOCK trial ... equipment to measure oxygen ... nomogram-based estimates of oxygen
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy Chronic Thromboembolic Pulmonary Hypertension Definition: mean pulmonary-artery pressure > 25mmHg
pressure > 25mmHg ... embolism Pathophysiology ... heart function ... heart catheterization ... pressure in patients
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