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Bed side Cardiovascular system assessment
1. Bed side Assessment of
Cardiovascular System
Dr. Md.Toufiqur Rahman
MBBS, FCPS, MD, FACC, FESC, FRCPE, FSCAI,
FAPSC, FAPSIC, FAHA, FCCP, FRCPG
Associate Professor of Cardiology
National Institute of Cardiovascular Diseases,
Sher-e-Bangla Nagar, Dhaka-1207
Consultant, Medinova, Malibagh branch
Honorary Consultant, Apollo Hospitals, Dhaka and
STS Life Care Centre, Dhanmondi
drtoufiq19711@yahoo.com
CRT 2014
Washington
DC, USA
17. summary
Obtaining a detailed family history is important,
since many CV disorders are heritable.
In the evaluation of the patient with suspected
congestion, a symptom or sign in isolation
has limited diagnosticsensitivity, specificity,
and predictive value.
In patients with symptomatic heart failure or
nasymptomatic LV dysfunction, the presence of
an elevated JVP or S3,predicts heart failure
hospitalizations and death from pump failure.
drtoufiq19711@yahoo.com
18. summary
Assessment of the heart failure patient based on
their hemodynamicsperfusion status
(warm or cold) andvolume status (dry or wet)β
is useful in assessing prognosis and guiding
therapy.
The harsh murmur of aortic stenosis may sound like
a blowing murmur of mitral regurgitation at the
apex(Gallavardin effect).
Diastolic murmurs are always pathologic.
drtoufiq19711@yahoo.com