Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Right Heart Cath - Normal Cardiac Pressures

Right Atrial Pressure (RAP) or Central Venous Pressure (CVP)
 β€’
Right Heart Cath ... - Normal Cardiac ... Artery Pressure ... #Pressures #RHC ... #cardiology #diagnosis
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
Interpreting Right Heart ... Always interpret a RHC ... What is the cardiac ... #diagnosis #pulmonary ... #hypertension #cardiology
Right Heart Catheterization Waveforms and Pressures
Right Atrial Pressure:
 β€’ Mean: 1-5 mm Hg
Right Ventricular Pressure:
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Right Heart Catheterization ... Diastolic: 1-7 mm Hg Pulmonary-Artery ... Catheterization #RHC ... normal #wedge #diagnosis ... #cardiology
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... regurgitation; PS, pulmonary ... Murmurs #Maneuvers #Heart ... #Cardiology #PhysicalExam ... #Diagnosis
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
Right Heart Catheterization ... SVR = 80 x [mean artery ... /m2) (SVI = CI/heart ... Visualmed #RHC ... Interpretation #Diagnosis
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
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- Pulmonary Artery ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... Catheterization #RHC ... #diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
atrial myxoma, pulmonary ... , severe right heart ... Absent y descent - Cardiac ... #PhysicalExam # ... cardiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
Congestive heart ... failure (CHF) is ... output because of cardiac ... results in decreased cardiac ... #Diagnosis #Radiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
Sent for RHC to ... confirm high-output HF ... case of diastolic heart ... AorticRegurgitation #Diagnosis ... #PhysicalExam #
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Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
β€’ Washed RBC ... - Transfusion Cardiac ... patients with CHF ... RBCs (stored at 4C ... #Transfusions #diagnosis