Notes

Slide Show

Outline

1	Hemodynamics and Echocardiographic Diagnosis Yoram Agmon, MD Rambam Medical Center HAIFA
2	Pericardial Constraint
3	Elevated Filling Pressures Right Heart
4	Elevated Filling Pressures Left Heart
5	Equalization of Filling Pressures Right / Left Heart
6	Equalization of Pressures Diagnostic Accuracy
7	Equalization of Pressures Diagnostic Accuracy
8	Pulmonary Artery Pressure Modest Elevation
9	Pulmonary Artery Pressure Diagnostic Accuracy
10	Traditional Criteria Overall Accuracy
11	Traditional Criteria Overall Accuracy
12	“New” Criteria Dynamic Respiratory Hemodynamics Dissociation of intra-thoracic & intra-pericardial pressures Right / left heart interdependence
13	I. Dissociation of Pressures Intrathoracic / Intrapericardial
14	Early Diastolic LV Filling Cath / Doppler Correlation
15	Dissociation of Pressures Doppler Correlate
16	Restrictive Cardiomyopathy Lack of Pressure Dissociation
17	D Mitral Inflow E Velocity Constriction vs Restriction
18	D Mitral Inflow E Velocity Constriction vs Restriction
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20	II. Ventricular Interdependence “Fixed” Intra-pericardial Volume
21	Ventricular Interdependence 2-D – “Septal Bounce”
22	Ventricular Interdependence M-Mode Correlate
23	Septal Bounce
24	Septal Bounce M-Mode
25	Hemodynamics - Constriction Ventricular Discordance
26	Hemodynamics - Restriction Ventricular Concordance
27	Ventricular Interdependence Constriction vs Restriction
28	Ventricular Interdependence Doppler Correlate
29	Restrictive Cardiomyopathy
30	Ventricular Interdependence Doppler Accuracy
31	Hemodynamics - Constriction Ventricular Discordance – Outflow Duration
32	III. “Atrial Interdependence”
33	Hepatic Venous Flow Constrictive Pericarditis
34	Hepatic Venous Flow Constriction vs Restriction
35	Hepatic Venous Flow Constriction vs Restriction
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38	Diagnostic Caveats I. Filling Pressures
39	Filling Pressures Solution – Preload Reduction
40	Filling Pressures Preload Reduction
41	Diagnostic Caveats II. COPD
42	COPD Solution – SVC Doppler
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44	Diagnostic Caveats III. Sinus Tachycardia (E & A Fusion)
45	Diagnostic Caveats IV. Atrial Fibrillation – Solutions
46	New Diagnostic Techniques Tissue Doppler
47	Tissue Doppler Constriction vs Restriction
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49	New Diagnostic Techniques Color M-Mode
50	Etiologic Spectrum Constriction & Co-existing Myocardial DysFx
51	The Diagnostic Challenge – 2007
52	Echocardiography – Advantages
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54	Pericardial Imaging Anatomical Support of Constrictive Physiology
55	Pericardial Imaging
56	Pericardial Imaging – TTE
57	Diagnostic Approach Combined Anatomy & Physiology
58	Practical Approach Echocardiographic Screening
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