bed side cardiovascular system assessment

Bed side Assessment of Cardiovascular System

Dr. Md.Toufiqur Rahman MBBS, FCPS, MD, FACC, FESC, FRCPE, FSCAI,

FAPSC, FAPSIC, FAHA, FCCP, FRCPG

Associate Professor of CardiologyNational Institute of Cardiovascular Diseases,

Sher-e-Bangla Nagar, Dhaka-1207

Consultant, Medinova, Malibagh branchHonorary Consultant, Apollo Hospitals, Dhaka and

STS Life Care Centre, Dhanmondi drtoufiq19711@yahoo.com

CRT 2014Washington DC, USA

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summaryObtaining a detailed family history is important,       

since many CV disorders are heritable.In the evaluation of the patient with suspected        

congestion, a symptom or sign in           isolation  has      limited diagnosticsensitivity, specificity,      and predictive value.

In patients with symptomatic heart failure or           nasymptomatic LV dysfunction, the presence of   an elevated JVP or    S3,predicts heart failure        hospitalizations and death       from pump failure.

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summaryAssessment of the heart failure patient based on     

their hemodynamicsperfusion status                       (warm or    cold) andvolume status (dry or wet)—is useful in assessing prognosis and guiding            therapy.

The harsh murmur of aortic stenosis may sound like a blowing murmur of mitral regurgitation at the apex(Gallavardin effect).

Diastolic murmurs are always pathologic.

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Thank Youdrtoufiq19711@yahoo.com

Asia Pacific Congress of Hypertension, 2014, FebruaryCebu city, Phillipines

Seminar on Management of Hypertension, Gulshan, Dhaka