Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis cardiology differential management criticalcare pacatheter pressures types artery assessment calculations cardiac cardiomyopathy catheter cathlab chambers cold comparison criteria diastolic
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Bedside Classification ... Acute valve dysfunction ... #Classification ... #Distributive #Cardiogenic ... #Comparison #Table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Right Heart Catheterization ... correlates with RV dysfunction ... 0.8 indicates RV dysfunction ... 0.63 predicted RV dysfunction ... #Right #Heart #Catheterization
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... ) Cardiogenic ( ... flow) - Massive pulmonary ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
Catheterization ... or the type of shock ... those with severe cardiogenic ... shock (eg, acute ... #Differential #Table
Diastolic Function Grading - Schematic diastolic filling patterns I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
diastolic filling patterns ... moderate diastolic dysfunction ... atrium, PASP: pulmonary ... #Grading #Classification ... Grades #Criteria #Table
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... myxedema, beriberi CARDIOGENIC ... #Classification ... warm #wet #dry #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 2. ... Severe LV dysfunction ... Rx: NSTEMI/UA: stable ... Indications #Cardiac #catheterization
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... END-ORGAN DYSFUNCTION ... myxedema, beriberi CARDIOGENIC ... embolism or severe pulmonary ... #Classification
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... cardiomyopathy • Pulmonary ... thrombus, RV systolic dysfunction ... Minority of Pts: cardiogenic ... shock and severe
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