bed side cardiovascular system assessment
TRANSCRIPT
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 [email protected]
CRT 2014Washington DC, USA
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.
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.
Thank [email protected]
Asia Pacific Congress of Hypertension, 2014, FebruaryCebu city, Phillipines
Seminar on Management of Hypertension, Gulshan, Dhaka