SlideShare a Scribd company logo
1 of 18
Conflict of interest
• None
The effect of increased PVR on the heart…
Echocardiography
Assess:
–cardiac chamber size
–metrics of cardiac chamber function
–myocardial performance indexes
–valvular regurgitation
–valvular function
–myocardial deformation imaging
Echo in PAH
• Echocardiographic techniques can be employed to
–derive indirect information about right heart structure and
function
RV systolic function assessment
Echo in PAH
• Echocardiographic techniques can be employed to
–derive indirect information about right heart structure and
function
–estimate PAP, PVR, RAP
mPAP = 90 - (0.62*AT)
SPAP = 4*TRVmax2 + RAP
dPAP = 4PRV(ed)2 + RAP
Echo LHD
Echo in PAH
• Echocardiographic techniques can be employed to
–estimate PAP, PVR, RAP
–derive indirect information about right heart structure and
function
–identify possible causes such as left heart or congenital heart
disease
–monitor treatment response
Echo
Echo in PAH
• Echocardiographic techniques can be employed to
–estimate PAP, PVR, RAP
–derive indirect information about right heart structure and
function
–identify possible causes such as left heart or congenital heart
disease
–monitor treatment response
–predict clinical outcomes
THANK YOU

More Related Content

Similar to ΜΕΘΑ_20231.pptx

REVIEW OF HEMODYNAMIC MONITORING
REVIEW OF HEMODYNAMIC MONITORINGREVIEW OF HEMODYNAMIC MONITORING
REVIEW OF HEMODYNAMIC MONITORINGGhaleb Almekhlafi
 
pulmonaryarterycatheter-151008070656-lva1-app6892.pdf
pulmonaryarterycatheter-151008070656-lva1-app6892.pdfpulmonaryarterycatheter-151008070656-lva1-app6892.pdf
pulmonaryarterycatheter-151008070656-lva1-app6892.pdfAshishSharma907946
 
Pulmonary artery catheter
Pulmonary artery catheterPulmonary artery catheter
Pulmonary artery catheterrajkumarsrihari
 
1. Cardiovascular 2022 copy.pdf
1.  Cardiovascular 2022 copy.pdf1.  Cardiovascular 2022 copy.pdf
1. Cardiovascular 2022 copy.pdfShougAlmutairi
 
Monitoring of critically ill
Monitoring of critically illMonitoring of critically ill
Monitoring of critically illStudyTricksByIshu
 
Intra Operative Monitoring.pptx
Intra Operative Monitoring.pptxIntra Operative Monitoring.pptx
Intra Operative Monitoring.pptxRakeshS16640
 
Basic and Advance Cardiac Planning.pdf
Basic and Advance Cardiac Planning.pdfBasic and Advance Cardiac Planning.pdf
Basic and Advance Cardiac Planning.pdfTưởng Lê Văn
 
Cardiology part 1
Cardiology part 1Cardiology part 1
Cardiology part 1Ben Lesold
 
Arrythmia%20411.pptx
Arrythmia%20411.pptxArrythmia%20411.pptx
Arrythmia%20411.pptxssuser196c47
 
Pulmonary hypertension
Pulmonary hypertensionPulmonary hypertension
Pulmonary hypertensionkirti jangra
 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmiasFarhan Ali
 
PAH echo - dr abhishek.pptx
PAH echo - dr abhishek.pptxPAH echo - dr abhishek.pptx
PAH echo - dr abhishek.pptxSanamachaoinam
 

Similar to ΜΕΘΑ_20231.pptx (20)

REVIEW OF HEMODYNAMIC MONITORING
REVIEW OF HEMODYNAMIC MONITORINGREVIEW OF HEMODYNAMIC MONITORING
REVIEW OF HEMODYNAMIC MONITORING
 
PHT ECHO.pptx
PHT ECHO.pptxPHT ECHO.pptx
PHT ECHO.pptx
 
pulmonaryarterycatheter-151008070656-lva1-app6892.pdf
pulmonaryarterycatheter-151008070656-lva1-app6892.pdfpulmonaryarterycatheter-151008070656-lva1-app6892.pdf
pulmonaryarterycatheter-151008070656-lva1-app6892.pdf
 
Pulmonary artery catheter
Pulmonary artery catheterPulmonary artery catheter
Pulmonary artery catheter
 
1. Cardiovascular 2022 copy.pdf
1.  Cardiovascular 2022 copy.pdf1.  Cardiovascular 2022 copy.pdf
1. Cardiovascular 2022 copy.pdf
 
Monitoring of critically ill
Monitoring of critically illMonitoring of critically ill
Monitoring of critically ill
 
Intra Operative Monitoring.pptx
Intra Operative Monitoring.pptxIntra Operative Monitoring.pptx
Intra Operative Monitoring.pptx
 
Basic and Advance Cardiac Planning.pdf
Basic and Advance Cardiac Planning.pdfBasic and Advance Cardiac Planning.pdf
Basic and Advance Cardiac Planning.pdf
 
Cardiac MRI
Cardiac MRICardiac MRI
Cardiac MRI
 
Diastolic dysfunction
Diastolic dysfunctionDiastolic dysfunction
Diastolic dysfunction
 
Cardiology part 1
Cardiology part 1Cardiology part 1
Cardiology part 1
 
Arrythmia 411.ppt
Arrythmia 411.pptArrythmia 411.ppt
Arrythmia 411.ppt
 
Arrythmia%20411.pptx
Arrythmia%20411.pptxArrythmia%20411.pptx
Arrythmia%20411.pptx
 
Cardiac arrythmias
Cardiac arrythmiasCardiac arrythmias
Cardiac arrythmias
 
Pulmonary hypertension
Pulmonary hypertensionPulmonary hypertension
Pulmonary hypertension
 
Pah seminar kirti
Pah seminar kirtiPah seminar kirti
Pah seminar kirti
 
Sec 3 cardiac output
Sec 3 cardiac outputSec 3 cardiac output
Sec 3 cardiac output
 
39.7.Rajiah.pptx
39.7.Rajiah.pptx39.7.Rajiah.pptx
39.7.Rajiah.pptx
 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmias
 
PAH echo - dr abhishek.pptx
PAH echo - dr abhishek.pptxPAH echo - dr abhishek.pptx
PAH echo - dr abhishek.pptx
 

Recently uploaded

Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Oleg Kshivets
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Sheetaleventcompany
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationMedicoseAcademics
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsMedicoseAcademics
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxSwetaba Besh
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...amritaverma53
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacyDrMohamed Assadawy
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...Sheetaleventcompany
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...Sheetaleventcompany
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...Sheetaleventcompany
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...soniyagrag336
 
Ahmedabad Call Girls Book Now 8980367676 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 8980367676 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 8980367676 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 8980367676 Top Class Ahmedabad Escort Service A...Genuine Call Girls
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesMedicoseAcademics
 

Recently uploaded (20)

Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
 
Ahmedabad Call Girls Book Now 8980367676 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 8980367676 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 8980367676 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 8980367676 Top Class Ahmedabad Escort Service A...
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac Muscles
 

ΜΕΘΑ_20231.pptx

  • 2. The effect of increased PVR on the heart…
  • 3. Echocardiography Assess: –cardiac chamber size –metrics of cardiac chamber function –myocardial performance indexes –valvular regurgitation –valvular function –myocardial deformation imaging
  • 4. Echo in PAH • Echocardiographic techniques can be employed to –derive indirect information about right heart structure and function
  • 5.
  • 6.
  • 7. RV systolic function assessment
  • 8. Echo in PAH • Echocardiographic techniques can be employed to –derive indirect information about right heart structure and function –estimate PAP, PVR, RAP
  • 9. mPAP = 90 - (0.62*AT) SPAP = 4*TRVmax2 + RAP dPAP = 4PRV(ed)2 + RAP
  • 10.
  • 11.
  • 13.
  • 14. Echo in PAH • Echocardiographic techniques can be employed to –estimate PAP, PVR, RAP –derive indirect information about right heart structure and function –identify possible causes such as left heart or congenital heart disease –monitor treatment response
  • 15. Echo
  • 16. Echo in PAH • Echocardiographic techniques can be employed to –estimate PAP, PVR, RAP –derive indirect information about right heart structure and function –identify possible causes such as left heart or congenital heart disease –monitor treatment response –predict clinical outcomes
  • 17.

Editor's Notes

  1. 2
  2. the focus of the study should not be limited to evaluation of RV systolic pressures (RVSPs) but rather should include evaluation of both systolic and diastolic parameters of the right side of the heart.22 This is especially important because prognosis in PH is strongly related to function of the right side of the heart; moreover, pulmonary pressures may decrease when function of the right side of the heart deteriorates and can thus be deceiving in the estimation of severity
  3. severe impairment in global right ventricular function The shape and size of the pulmonary pulsed wave Doppler profile may also be informative. In addition to the steepened acceleration time, as pulmonary hypertension progresses a mid-systolic notching may be visible. Later, as stroke volume falls, the overall area of the envelope diminishes.