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 ... #Cath #Cardiac ... #Pressures #RHC ... #cardiology #diagnosis
Right Heart Catheterization Waveforms and Pressures
Right Atrial Pressure:
 β€’ Mean: 1-5 mm Hg
Right Ventricular Pressure:
 β€’
Right Heart Catheterization ... Diastolic: 1-7 mm Hg Pulmonary-Artery ... Catheterization #RHC ... normal #wedge #diagnosis ... #cardiology
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 ... are the filling pressures ... #diagnosis #pulmonary
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
Right Heart Catheterization ... (PCWP) ● Cardiac ... /m2) (SVI = CI/heart ... Visualmed #RHC ... Interpretation #Diagnosis
Gadolinium Enhancement Patterns in Ischemic and Non-Ischemic Cardiomyopathies
Ischemic:
 β€’ Subendocardial Infarct
 β€’ Transmural Infarct
Non-Ischemic:
 β€’ Mid-wall
Right ventricular pressure ... e.g.congenital heart ... disease, pulmonary ... sclerosis, post-cardiac ... cardiomyopathy #diagnosis
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 β€’
CARDIAC POWER OUTPUT ... much as 40% in cardiac ... Catheterization #RHC ... artery #catheter #diagnosis ... #cardiology #swanganz
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
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Jugular Venous Pressure ... atrial myxoma, pulmonary ... , severe right heart ... Absent y descent - Cardiac ... #PhysicalExam #
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
PND, wide pulse pressure ... Sent for RHC to ... case of diastolic heart ... AorticRegurgitation #Diagnosis ... #PhysicalExam #
β–Ί
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... venous pressure ... related to the pulmonary ... the chest film (Table ... #Diagnosis #Radiology