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ET Main Tent (Hall B1) This session offers more insights from key clinical trials presented at ACC.24 24 and find out what it all means for your patients.
Low LV filling pressures are due to several etiologies, most commonly due to volume depletion (dehydration or hemorrhage), but also due to other etiologies including, but not limited to: mitral stenosis, pulmonary hypertension (chronic, or due to pulmonary embolism), or poor RV performance.
The bedside echo showed a large RV (Does this mean there is a pulmonary embolism as the etiology?) The flutter waves can conceal or mimic ischemic repolarization findings, but here I don't see any obvious findings of OMI or subendocardial ischemia. 2) Norepinephine to support BloodPressure. Lots of info here.
High BloodPressure (Hypertension) Persistent high bloodpressure forces the heart to work harder to pump blood. Coronary Artery Disease (CAD) CAD, which involves the narrowing or blockage of coronary arteries due to plaque buildup, can reduce blood flow to the heart. Anticoagulants to prevent blood clots.
Evidence of acute ischemia (may be subtle) vii. Any ED systolic bloodpressure less than 90 or greater than 180 mm Hg (+1) 4. The cost per test affecting diagnosis or management was highest for electroencephalography ($32,973), CT ($24,881), and cardiac enzymes ($22,397) and lowest for postural bloodpressure ($17-$20).
They were unable to obtain a bloodpressure. His heart rate was in the low 20s and we were also unable to obtain a bloodpressure. He was given 50 mcg epinephrine with good response in both heart rate and bloodpressure. There is Transmural ischemia of Occlusion MI. There was no pulmonary embolism.
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