Christopher McAndrew, DNP, CRNP, CCRN-CMC/CSC, PCCN @ChristopherTMcAndrew
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Right Heart Catheterization Waveforms and Pressures
Right Atrial Pressure:
 • Mean: 1-5 mm Hg
Right Ventricular Pressure:
 •
Right Heart Catheterization ... 5 mm Hg Right Ventricular ... #RightHeart #Catheterization
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
Ventricular Tachycardia ... aVR - Vereckie Algorithm ... #Algorithm # ... Ventricular #Tachycardia
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
Ultrasound Right Ventricular ... ” EI > 1 - POCUS ... diagnosis #cardiology #pocus
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Sustained ventricular ... Indications #Cardiac #catheterization
Algorithm for Echo determination of LV filling pressures 

#LVFilling #pressures #Algorithm #Echo #POCUS #diagnosis #cardiology
Algorithm for Echo ... LVFilling #pressures #Algorithm ... #Echo #POCUS #diagnosis
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... - Lead aVR - Ventricular ... #Vereckie #Algorithm ... #Ventricular #Tachycardia
Echocardiography
Right ventricular function can be assessed using several methods and echocardiography is generally the first‐line tool
Echocardiography Right ventricular ... Diagnosis #Cardiology #POCUS
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Maneuvers An algorithm ... stenosis; VSD, ventricular