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CVS Note From Harrison

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0% found this document useful (0 votes)
27 views58 pages

CVS Note From Harrison

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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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HeartFailure

Heartfailstomaintainadequate output

types of
chronicelevation
leftAtrialPressure
left rightter Birentimar indiseaseofleftheart

Fishhattuput 7 is pulmonaryATN
Reduced
R output
pilated
leftAtrial Rightheart
Pulmonaryvenous Right
atrial
systemic
Cardiomyopathy GʰIÉg th Failure
Pressure vascularresistance Ventricles

Pulmonary

AcuteMI
fhgvmfhy.gg Lethodis
artadual

Rap of Pressure rise r.ie secondary to

iii in
Pressure
Chronic
lungdisease
intiman
odema
ftp.hdf iulmtonaryHTN

Notes by- Kazi Faiaz Ahmad,CNMC


impaired IV function

Notes I made while reading Harrison in my Final Year


c o cannotmeetthedemand
ofthecirculation HFailure
codependent

Preload fencecontractility
stibfidmm.doemplai.at
myocardial Infarction

Abnorthal Myocarditis
Relaxation fmhfmf.gg
MyocardialDisease cardiomyopathy

impaired Diastolic
systolic contraction Dysfunction HTN asP.HNPS
yfgfk.am

ventricularDysfunction fdu ms.is


tardiae
output
sffyjify
Ystad Flights
RAASActivated atstate
NegativeInsequence settinaffmpatheticActivation Arrhythmia Afib 6Block139Tachycar
vasoconstriction
in
impaired ventricularfunction constrictive Pericarditis
myotypeapoptosis Dpianohydion
Retention
Focalmyocardialnecrosis RetitiveCardiomyopathy
Aflet
loadapreload cardiac hypertrophy

Eartractility
CIF Signs Dyspnea FatigueSOB

OrthopneaPNS

Fluid Retention
AnkleSwelling

Symptoms ElevatedJVP

pinkieEdema

righto
Symptom
of
Pulmonary Them
vascularResistance VenousCongestion

Pulmonary
Venous
Congestion RaisedJVP
reportomegaly
Tranduation
offluid
interstitium
weight
gain
AirwayResistance
lowerextremity
Perfusion
Odema
Hypoxemia
RUGPaindue
tostretching
Radiffiffy eatin ftp.nea ofhepaticcapsule
Abnorthal
PittingOdema
IFT

Acute IVF

Precipiting factors

suddenousel dyspnearapidly
progressive
respiratorydistress Orthopnea

pulset
Rapid coldPerrifery HighBP JVP

Hisplaced
Apexnot Audible
Investigations

Chest X Ray
Plethora
oflungfield duetovenousdilation
KarleyBline
hesitated
change

Thickened interlobarSepta
dilated lymphatics interstitialoedema

Pleural Effusion mightbepresent

Comprehensive metabolic Pannel


UrineAnalysis Creatinine Nitrogen
studies
Coagulation herponse
DM Dyslipidemia test
Thyroidfunction No

ECG No specificpatternforHF Dobutamine 25 10mgkgmin


ECHO essential inHF Determinationofventricularsize
mightrequiredto argumentc0
Fiddler Morphology
Any intrasanitarythrombi PEffusion
Biomarker marker
BYI.milkfffi

complications

Poorrenalperfusion

low cardiacoutput
Diuretics ACE ARB 7 Renalfailure

Hypokalemia Hyperkalemia

Hyponatremia
ofsevereHF
features bad
Prognosis

Hepati venouscongestion
impairedliverfunction mild
jaundice
PoorArterialPerfusion

Atrial VentricularAmythmias
Sudden Death
abbecting the
Acute inflammatory condition

myocardium with infectionstoxic autoimmune etiology

m aid ChronicPersistant

ViralInfluenza lead
to Afffathon focalMyocardial
likesyndrome Dilated
Infiltration
Cardio
Mopathy
MI ptain
nefailure chest
Arrythmia
Cardiogenic

shock

selflimiting Prognosisgood

Rapid HFArrythmialeads todeath


Rx Supportive
Antibacterial
TreatArrythmia HFailure
Alcoholic

of
Mutations Boleim
inMyocytes
Ithakhp L Hatfiland
Interstitialfibrosis
miniamina.mn
reaction
Autoimmune

viralMyocarditis
to fEEiiii Dilation
to
of
valueRingsleads
functionalMRTR MYTI

Abnormality in F Antithtitmbolism
Management Control HF
skeletalmuscle
MarcularDystrophies
SporadicChestPain hrÑhCE
Cardiacdefibrillatorimplant

Investigation Echo CardiacMRI Transplant


Acute Pericarditis

Acute inflammation
of Pericardium

fibrinous toadhesionformation
leads
p
serous Eknath.is awwi
n
Pericarditis Proteincontent

Hemorrhagic Duetomalignantdisease
CaBronchibreastlymphoma
Purulent Complications
ofsepsis
Penetrating injury

CF sternalradiatingchestpain
Retro Rx Aspirin forPain Management 24g d
Indemethasin 2550mg Ibuprofen 600800TDS
lowgradefever pitched
High Glucocorticoid
PericardialfrictionRub superficialNoise
Antimicrobials
Diagnostic
In SurgicalDrainage
ECG
suffypath
had omepraz.de
concavity

ofPRinterval
Depression acute

Echo or Pericardial Effusion


Pericardial Effusion

Pericardial Effusion NO 50mLFluid in Sac


Infino
Collected
definativemodality
Fluid in betweenthe layerofPericardium todetect cardiaceffusion
effectoncardiacfunction
4F Quiter Heart Sound
Friction Rub
RetrosteralOppression sensation
ECG low voltage QRS or alternate
amplitude
lately CTamponade
Raised JVP Chest X HeartSize
Ray
Hypotension Globular Appearance
PulsenParadoxus

Oliguria Rx Aspiration
ofeffusion
Pericardial drain

i
fi iiiifta
a m

Failure
Acuteheart duetocompression

In Echocardiography
Rx MedicalEmergency
Edest
xRay Percutaneous Pericardiocentesis

SurgicalDrainage
TOF

affirmation
b Endocarditis

meet T.sncriteria

Antihypertensive
Malignant HTN I Implication

ATF Yusuf 20HIN


HIN Retinopathy RemistantHTN

Raynaud's Phenomenon
PAD
InfectiveEndocarditis

Typicallesionbymicrobialinfectionmostcommonly involving
Etiology Staph aureus
heartvalves lowpressureside
endocardium
of
VSD damagedmural viridianstreptolocci
or inintracardialdevices producingvegitation HACEK
CONS
regitation mass of platelet
fibrin microorganism
Pneumococci

Pathogenesis
scantyinflammatorycell
FeverHighGrade Velocity lowpressure
High
And febrile
illness rapidly damagingcardiacstructures impactsite side cardiac
lesion
of
may seed in extracardiacsites leadtodeathmight
He
suba causesstructuralcardiacdamage progressgradually
mightleadto emboliceventor a aneurism
Feverlow
Grade mycotic
InftiontonBact
Direct
by virulent
Initiarditis
Organism

Find Molecules
fibronectin
binding
clummting
factor

Inducesflateletdeposition
andalocalizedprocoagulantstage

depositi
offibrin
Platelet Aggregation
MicroorganismProliferation

GenerateInfected
Vegetations

Shedding toforganismcontiniously
Cytokine Production
Embolization
offragments
Cardiac Manifestation
NonCardiac Manifestation

valvular
Damage
S Aureus MarculoskeletalPain
newonsetmurmur
pygmy
septic
emboli hematological seeding
ofinfection
subUtgalHemorrhage
CongestiveHeartfailure Oster'sNodes
Intracardiacfistulae

Varyingdegree ofH Block


aka Hibernating Angina
Unstable Angina
Acute Myocardial Infarction →
0.Change of cTn
1. Symptom of M.Ischemia
2. New onset ECG change
3. Pathological Q wave
4. imaging-loss of viable myocardium
5. Angiography - Thrombi [motion wall
abnormalities]

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