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Pericardial Dse Cath Lab

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Mari Caban
Mari Caban

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Pericardial Diseases
Normal Pericardium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanisms of Disease ,[object Object],[object Object],[object Object]
Pericarditis
Pericarditis: Pathologic Types ,[object Object],[object Object],[object Object],[object Object]
Acute Pericarditis ,[object Object],[object Object],[object Object],[object Object]
Acute Pericarditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Pericarditis: Clinical Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Pericarditis: EKG
Purulent Pericarditis ,[object Object],[object Object],[object Object]
Acute Pericarditis or Ischemia ? ,[object Object],[object Object]
Pericardial Effusion
Pericardial Effusion: Mechanisms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pericardial Effusions: Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pericardial Effusions: Signs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Wigger’s Cycle
Jugular Pulse
Hemodynamic Effects of Pericardial Disease ,[object Object],[object Object]
Pathophysiology of Cardiac Tamponade
Pericardial Fluid p = 20 mm Hg
Pericardial Pressure ,[object Object],[object Object]
Transmural Pressure 25 – 5 = 20 mm Hg Transmural Pressure 25 – 20 = 5 mm Hg Stroke Volume Distending Pressure A B A B 25 5 25 20
Cardiac Tamponade ,[object Object],[object Object]
Cardiac Tamponade Spodick, D. H. N Engl J Med 2003;349:684-690
Spodick, D. H. N Engl J Med 2003;349:684-690
Pericardial Tamponade
Tamponade Doppler
 
Large Pericardial Effusion: Signs ,[object Object],[object Object],[object Object],[object Object]
Pathophysio of Acute Cardiac Tamponade ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pericardial Effusion/Tamponade: Diagnostic Tests
Pericardial Effusion: CXR
Cardiac Tamponade: EKG
Pericardial Effusion
Pericardial Effusion
Hemodynamics in Cardiac Tamponade ,[object Object],[object Object]
Pericardial Tamponade
Absence of y Descent Wave in Cardiac Tamponade ,[object Object]
Pericardial tamponade: diagnostic tests ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac Tamponade
Equalization of Pressures
Reduced Passive Filling in Cardiac Tamponade – Slow Rise in Ventricular Pressure in Early Diastole
Pulsus paradoxus ,[object Object],[object Object],[object Object]
Pericardial Effusion: Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Consideration ,[object Object],[object Object],[object Object],[object Object]
Treatment Options ,[object Object],[object Object],[object Object],[object Object]
Pericardiocentesis
Pericardiocentesis ,[object Object],[object Object]
Pericardiocentesis: Technique Spodick, D. H. N Engl J Med 2003;349:684-690
Pericardial effusion Before After
Pericardiocentesis - Lab ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pericardiocentesis - Lab ,[object Object]
Pericardiocentesis: Complication ,[object Object],[object Object],[object Object]
Nonhemodynamic Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pericardial Disease after Cardiac Surgery ,[object Object],[object Object],[object Object]
Summary in Cardiac Tamponade ,[object Object],[object Object],[object Object],[object Object]
Constrictive Pericarditis
Constrictive Pericarditis ,[object Object],[object Object]
Constrictive Pericarditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Constrictive Pericarditis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Constrictive Pericarditis ,[object Object],[object Object],[object Object],[object Object]
Constrictive Pericarditis: Clinical Findings ,[object Object],[object Object],[object Object],[object Object],[object Object]
Constrictive Pericarditis: Diagnostics
Constrictive Pericarditis
Constrictive Pericarditis
Constrictive Pericarditis Normal Constrictive
Constrictive Pericarditis ,[object Object],[object Object],[object Object],[object Object]
Constrictive Pericarditis - EKG ,[object Object]
Constrictive pericarditis: Catheterization & Angiography ,[object Object],[object Object],[object Object],[object Object]
Constrictive pericarditis: Diagnosis ,[object Object],[object Object],[object Object],[object Object]
Constrictive Pericarditis
Hemodynamics in Constrictive Pericarditis ,[object Object],[object Object],[object Object]
Hemodynamics in Constrictive Pericarditis ,[object Object],[object Object]
Constrictive Pericarditis
Constrictive Pericarditis Normal
Constrictive Pericarditis Normal
Constrictive Pericarditis
Constrictive Pericarditis
Constrictive Pericarditis
Constrictive Pericarditis
Kussmaul’s Sign ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Constrictive pericarditis: ventricular diastolic pressures
CP: Treatment ,[object Object],[object Object]
Summary in Constrictive Pericarditis (CP) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Paradoxical Pulse ,[object Object],[object Object],[object Object]
 
Pericardial Disease: Pathophysiology Pericardial Tamponade Constrictive Pericarditis Jugular venous distension Hepatomegaly = ascites Peripheral edema Pulmonary rales Reflex tachycardia Hypotension Pericardial fluid under pressure Scarred rigid pericardium Impaired Diastolic filling of ventricles Elevated venous pressures Impaired stroke volume Systemic venous congestion Pulmonary venous congestion Decreased cardiac output
Effusive-Constrictive Pericarditis
Effusive-Constrictive Pericarditis ,[object Object],[object Object]
 
Effusive-Constrictive Pericarditis ,[object Object],[object Object],[object Object]
Restrictive Cardiomyopathy
Restrictive Cardiomyopathy ,[object Object],[object Object],[object Object],[object Object]
Restrictive Cardiomyopathy ,[object Object],[object Object]
Restrictive Cardiomyopathy ,[object Object],[object Object]
Restrictive Cardiomyopathy ,[object Object],[object Object],[object Object]
Restrictive Cardiomyopathy ,[object Object],[object Object],[object Object]
Restrictive Cardiomyopathy: Echocardiographic Features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RCM Hemodynamics ,[object Object],[object Object],[object Object],[object Object]
RCM Hemodynamics ,[object Object],[object Object]
Restrictive Cardiomyopathy
 

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Pericardial Dse Cath Lab

Editor's Notes

  1. Topic Outline Overview Pericarditis Pericardial effusion Tamponade Pericardiocentesis Constrictive pericarditis Restrictive cardiomyopathy