Emergency Medicine Rotation: Cardiovascular (PEARLS)

Tags

Top Highlights

• CAD, HTN, MI, DM

• Serum BNP:

• low

• RV remodeling

• Edema

• S4

• diastolic

• Systolic

• ejection fraction

• normal

• reduced EF

• Rapid ventricular filling during early diastole is the mechanism responsible for the S3)

• obese

• CXR: Kerley B lines

• Echocardiogram (BEST TEST):

• New York Heart failure classification

• Systolic left heart failure: Ace Inhibitor + β-blocker + Loop Diuretic

• Diastolic heart failure: Ace inhibitor + β-blocker or CCB

• >180/120 WITH impending or progressing end-organ damage

• > 180/120 WITHOUT signs of end-organ damage