![]() Cardiac Cath: only when necessary to exclude alternative diagnosis i.e CHD documents low EF, global dysfunction, high filling pressures. EKG- NSST-T changes, IVCD (wide QRS), PVC’s. Echocardiography/Doppler: LV/RV dilation, global LV dysfunction with reduced EF Mitral regurgitation common. CxR: Cardiomegaly, pulmonary congestion, pleural effusions. ![]() Elevated JVP, hepatomegaly, HJR, pitting edema, TR murmur.ħ Diagnostic Studies CxR: Cardiomegaly, pulmonary congestion, pleural effusions. Elevated JVP, hepatomegaly, HJR, pitting edema, TR murmur. Cardiomegaly (PMI displaced laterally), low pulse amplitude (pulsus alternans when severe), often with BP, pulmonary congestion, crackles, S 3 gallop, MR murmur. Right sided: unexplained weight gain, peripheral edema, abdominal fullness (hepatomegaly, ascites).Ħ Physical Exam Cardiomegaly (PMI displaced laterally), low pulse amplitude (pulsus alternans when severe), often with BP, pulmonary congestion, crackles, S 3 gallop, MR murmur. Right sided: unexplained weight gain, peripheral edema, abdominal fullness (hepatomegaly, ascites). Left sided: DOE, orthopnea, PND, weakness, fatigue, peripheral edema, etc. Left or biventricular failure Left or biventricular failure Left sided: DOE, orthopnea, PND, weakness, fatigue, peripheral edema, etc. Patients present with signs and symptoms of HF which usually develops slowly. –Post-partum –Post infectious - myocarditis –Endocrine: hypothyroidism, pheochromocytoma, acromegaly and hyperthyroidism –“Ischemic Cardiomyopathy”- avoid this terminologyĤ Clinical Features Patients present with signs and symptoms of HF which usually develops slowly. Physician Assistant Program University of New EnglandĢ Abbreviations LV/RV- left ventricle/right ventricle LV/RV- left ventricle/right ventricle EF- ejection fraction EF- ejection fraction IVCD-intraventricular conduction delay IVCD-intraventricular conduction delay MR- mitral regurgitation MR- mitral regurgitation LVOT- left ventricular outflow tract LVOT- left ventricular outflow tract SAM- systolic anterior motion SAM- systolic anterior motion IVS- interventricular septum IVS- interventricular septum DHP- dihydropyridine DHP- dihydropyridine Rx- treatment Rx- treatment Bx- biopsy Bx- biopsy FH- family history FH- family history HJR- hepato-jugular reflux HJR- hepato-jugular reflux MVO 2 - myocardial oxygen consumption MVO 2 - myocardial oxygen consumption OP- out patient OP- out patient Nl- normal LSB- left sternal border PND- paroxysmal nocturnal dyspnea JVD- jugular venous distention RA- rheumatoid arthritis SLE- systemic lupus erythematosis Dx- diagnosis ARB’s- angiotensin receptor blockers ICD- inplantable cardioverter- defibrillator HF- heart failure HF=CHF- congestive heart failure CHD- coronary heart disease ASH- asymmetric septal hypertrophyģ Dilated Cardiomyopathy Primary: idiopathic - unknown cause Primary: idiopathic - unknown cause Secondary: Secondary: –Toxic - alcohol, adriamycin, etc. Physician Assistant Program University of New England."- Presentation transcript:ġ Myocardial and Pericardial Disease J.B Handler, M.D. ![]() Presentation on theme: "1 Myocardial and Pericardial Disease J.B Handler, M.D.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |