36 results
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... , pulmonary hypertension ... ineffective) #Management ... #Cardiology #HFpEF ... #Treatment #HeartFailure
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Evaluation of Pulmonary ... • Evaluate for signs ... • Evaluate for causes ... Shah @HFpEF #Pulmonary ... Echocardiography #diagnosis #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension ... Management • Oxygen ... • Treatment of ... Tachycardia #MAT #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Algorithm Cardiac Causes ... Causes: - Parenchyma ... Arterial Hypertension ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... disease or CHF) ... with caution in pulmonary ... #management #cardiology
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Embolism on POCUS ... your next step in management ... #RVStrain #Pulmonary ... clinical #ultrasound #DSign
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
standing erect, the pulmonary ... The pulmonary vascular ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... : 33% • Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... hematology #diagnosis #comparison
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
hypertension Rx ... Revascularization, treatment ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary ... other obvious causes ... m/s • Other signs ... pressure < 15mmHg TREATMENT ... #diagnosis #management