Answer: Left atrial dissection
- a rare entity🍀
- most often a complication of MV surgery
- variable time to onset
- presentation ranges from haemodynamic instability to asymptomatic
- Rx: surgery or conservative
- superb review by Fukuhara et al.⬇️
bit.ly/ladissection

Great to see this in print. Haemodynamic testing shows that AF ablation patients commonly exhibit subclinical HFpEF.

HFpEF associated with worse symptoms, poorer exercise capacity and LA myopathy.

Could HFpEF be a target for treatment in AF patients?

jacc.org/doi/10.1016/j.…

#POCUS #FUSIC #FAMUS
51 Yr M ESRF, Admitted to ICU with dyspnoea and haemodynamic instability. Unable to tolerate Intermittent HD
What’s the Verdict?
Opinions on managing the hypotension?

#POCUS #RenalDoppler #RenalResistiveIndex #Kidney
Another Amazing proof of
haemodynamic significance of RRI.

Corradi et Al.
doi:10.1148/radiol.11102338

Inferior STEMI but now pain free and stable haemodynamic and rhythm wise. No significant disease in left circulation but ectasia present also. Anyone up for anything other than GpIIb/IIIa+++?? (Can’t imagine a stent being helpful here but open to suggestions- adenosine etc) 🤓

Confirmation of survival prediction based on 2022 ESC/ERS pulmonary hypertension guidelines new haemodynamic thresholds European Society of Cardiology Journals

academic.oup.com/eurheartj/arti…
#cardiology #CardioEd #MedEd #CardioTwitter #medtwitter #PH #ESC_guidelines

Haemodynamic effects of commonly used inotropes/vasopressors.

How does methylene blue be helpful in shock❓️

Which of these drugs doesn't increase myocardial oxygen drmand❓️

#MedTwitter #MedEd #MedX

Source :
healthmanagement.org

Defining Heart Failure Based on Imaging the Heart and Beyond via Radcliffe Cardiology

👉 Modern imaging methods enable congestion – both haemodynamic/vascular and in tissues – to be identified and quantified objectively.

📥 cfrjournal.com/articles/defin…

Our review and suggested approach to the haemodynamic assessment and management of hypotension in the preterm infants is out in ADC F&N

With the lack of evidence on this topic we need to go back to the physiological underpinning of the clinical phenotypes to help us better

Patients dying with haemodynamic collapse often exhibit typical features in terms of what they say, how they appear, and what they do

They need an IMMEDIATE team approach and if you haven't already got a diagnosis then ultrasound the heart NOW

Sometimes we still do “vintage' interventions 😂.
Aortic valvuloplasty in a patient requiring urgent non-cardiac intervention.
Excellent haemodynamic outcome with mild residual AR.
🤞🏼 #TAVI 🔜

Dexmedetomidine is used for sedation, analgesia & anxiolysis

BUT did you know it can also induce polyuria!?

Like SERIOUS polyuria.

➡️ Urine output of 3000 mL/hr

➡️ Haemodynamic instability

➡️ Operation cancellation

Sakshi Kadian Swathi M

…-publications.onlinelibrary.wiley.com/doi/10.1002/an…

An immediate invasive strategy is recommended in
patients with a working diagnosis of NSTE-ACS and
with at least one of the following very high-risk
criteria:

• Haemodynamic instability or cardiogenic shock
• Recurrent or refractory chest pain despite medical
treatment

•

#Haemodynamics #MedTwitter

A 🧵 on ‘Right Ventricular Outflow Tract Obstruction’ (RVOTO)

1/

🔴 RVOTO 🟰 Suicide ‘People’s Ventricle’

✔️ Rare but a significant cause of haemodynamic upset
✔️ Clue ➡️ Abnormal systolic gradient between Prv and Pra
✔️Causes ➡️ Mechanical or

One of the more elegant explanations of haemodynamic changes in tamponade
bit.ly/3HaIDrK #echofirst
Alberta Sono

🔓A new technique for modelling the haemodynamic effects of propofol and remifentanil #openaccess #anaesthesia #TIVA #pharmacology

bjanaesthesia.org.uk/article/S0007-…

The whole spectrum of volume management is covered with #POCUS . As my friend Eduardo R Argaiz says we are haemodynamic specialists. Hugo Diniz, MD 🇵🇹 🇪🇺 ERA - European Renal Association S.E.N. Nefrología JovSEN NephroPOCUS #ERA23 #FOAMed

Our editorial on remote haemodynamic monitoring in heart failure is now published in Heart_BMJ

Pleasure as always to coauthor with Prof Klaus Witte MD

heart.bmj.com/content/early/…

‘Sip ‘til Send’: a prospective study of the effect of a liberal fluid fasting policy on patient reported and haemodynamic variables at elective caesarean delivery - ScienceDirect ⁦Rose Kearsley⁩ ⁦Irish Society of Obstetric Anaesthesia⁩ ⁦Junior Obstetrics and Gynaecology Society⁩ sciencedirect.com/science/articl…

#AnesthSeminars 7 Feb 2023, 8:00am #webex INCLIVA

📝 Advances in haemodynamic monitoring
🔎 Haemodynamic variables associated with Hypotension Prediction Index (HPI)
🧑🏻‍⚕️Dr. J. Ripollés Javier Ripolles-Melchor

#PatientSafety #Monitoring

Hospital Clínic de València
GVA Sanitat
SEDAR
ESAIC