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diagnosis cardiology differential management causes rhc anesthesia anesthesiology catheterization checklist interpretation intraoperative pressures workup abnormal afib airway apples artery calculations
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 ... Waveforms and Pressures ... Right Atrial Pressure ... Diastolic: 1-7 mm Hg Pulmonary-Artery ... Catheterization #RHC #Waveforms
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
Jugular Venous Pressure ... Waveforms - Differential ... pulmonary hypertension ... heart failure, ... Abnormal #Jugular #Waveforms
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
RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
Central venous pressure ... (CVP) or right ... atrial pressure ... identify at slower heart ... filling of RA in late
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 ... correlate in the SHOCK trial ... heart failure. ... 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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