• When evaluating a patient with Heart Failure - ensure to ask:
  1. Typical exercise capacity and how it has changed
  2. Acuity, and when patient noted it began
  
  
  -Ensure to palpate the PMI on exam as well!!
  -Ask patient to roll onto side to auscultate for murmurs (ie: MVP)
  
  

  Posted 10/13/16 10:52:43 AM by Adam Faye

• CXR Heart Failure:
  • Look for alveolar edema
  • Cephalization 
  • Kerley B Lines
  Review of Cardiac Chambers on PA film 
  
  

  Posted 10/13/16 11:28:56 AM by Adam Faye

• TTN truncating mutations are common cause of dilated cardiomyopathy
  • Management of Heart Failure is the same
  • Titan protein is the largest human protein; abundant in striated muscle
  
  

  Posted 10/13/16 11:34:07 AM by Adam Faye

• Transpulmonary Pressure Gradient:
  • Pulmonary Artery (Mean) Pressure - Left Atrial Pressure (Estimated by Wedge Pressure). If the gradient is < 12mmHg, suggests that elevated pressures are NOT from inherent lung process
  • Pulm HTN is defined by Pulmonary Artery Mean Pressure > 25 mmHg
  • **Pressures may change on Right Heart Cath depending upon whether they have been actively diuresed and are "dry/wet"**. Keep that in mind when interpreting catheterization measurements.
  
  

  Posted 10/13/16 11:42:16 AM by Adam Faye

Created by Christopher Kelly

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