SlideShare une entreprise Scribd logo
1  sur  18
Conflict of interest
• None
The effect of increased PVR on the heart…
Echocardiography
Assess:
–cardiac chamber size
–metrics of cardiac chamber function
–myocardial performance indexes
–valvular regurgitation
–valvular function
–myocardial deformation imaging
Echo in PAH
• Echocardiographic techniques can be employed to
–derive indirect information about right heart structure and
function
RV systolic function assessment
Echo in PAH
• Echocardiographic techniques can be employed to
–derive indirect information about right heart structure and
function
–estimate PAP, PVR, RAP
mPAP = 90 - (0.62*AT)
SPAP = 4*TRVmax2 + RAP
dPAP = 4PRV(ed)2 + RAP
Echo LHD
Echo in PAH
• Echocardiographic techniques can be employed to
–estimate PAP, PVR, RAP
–derive indirect information about right heart structure and
function
–identify possible causes such as left heart or congenital heart
disease
–monitor treatment response
Echo
Echo in PAH
• Echocardiographic techniques can be employed to
–estimate PAP, PVR, RAP
–derive indirect information about right heart structure and
function
–identify possible causes such as left heart or congenital heart
disease
–monitor treatment response
–predict clinical outcomes
THANK YOU

Contenu connexe

Similaire à ΜΕΘΑ_20231.pptx

1. Cardiovascular 2022 copy.pdf
1.  Cardiovascular 2022 copy.pdf1.  Cardiovascular 2022 copy.pdf
1. Cardiovascular 2022 copy.pdf
ShougAlmutairi
 
Cardiology part 1
Cardiology part 1Cardiology part 1
Cardiology part 1
Ben Lesold
 

Similaire à ΜΕΘΑ_20231.pptx (20)

REVIEW OF HEMODYNAMIC MONITORING
REVIEW OF HEMODYNAMIC MONITORINGREVIEW OF HEMODYNAMIC MONITORING
REVIEW OF HEMODYNAMIC MONITORING
 
PHT ECHO.pptx
PHT ECHO.pptxPHT ECHO.pptx
PHT ECHO.pptx
 
pulmonaryarterycatheter-151008070656-lva1-app6892.pdf
pulmonaryarterycatheter-151008070656-lva1-app6892.pdfpulmonaryarterycatheter-151008070656-lva1-app6892.pdf
pulmonaryarterycatheter-151008070656-lva1-app6892.pdf
 
Pulmonary artery catheter
Pulmonary artery catheterPulmonary artery catheter
Pulmonary artery catheter
 
1. Cardiovascular 2022 copy.pdf
1.  Cardiovascular 2022 copy.pdf1.  Cardiovascular 2022 copy.pdf
1. Cardiovascular 2022 copy.pdf
 
Monitoring of critically ill
Monitoring of critically illMonitoring of critically ill
Monitoring of critically ill
 
Intra Operative Monitoring.pptx
Intra Operative Monitoring.pptxIntra Operative Monitoring.pptx
Intra Operative Monitoring.pptx
 
Basic and Advance Cardiac Planning.pdf
Basic and Advance Cardiac Planning.pdfBasic and Advance Cardiac Planning.pdf
Basic and Advance Cardiac Planning.pdf
 
Cardiac MRI
Cardiac MRICardiac MRI
Cardiac MRI
 
Diastolic dysfunction
Diastolic dysfunctionDiastolic dysfunction
Diastolic dysfunction
 
Cardiology part 1
Cardiology part 1Cardiology part 1
Cardiology part 1
 
Arrythmia 411.ppt
Arrythmia 411.pptArrythmia 411.ppt
Arrythmia 411.ppt
 
Arrythmia%20411.pptx
Arrythmia%20411.pptxArrythmia%20411.pptx
Arrythmia%20411.pptx
 
Cardiac arrythmias
Cardiac arrythmiasCardiac arrythmias
Cardiac arrythmias
 
Pulmonary hypertension
Pulmonary hypertensionPulmonary hypertension
Pulmonary hypertension
 
Pah seminar kirti
Pah seminar kirtiPah seminar kirti
Pah seminar kirti
 
Sec 3 cardiac output
Sec 3 cardiac outputSec 3 cardiac output
Sec 3 cardiac output
 
39.7.Rajiah.pptx
39.7.Rajiah.pptx39.7.Rajiah.pptx
39.7.Rajiah.pptx
 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmias
 
PAH echo - dr abhishek.pptx
PAH echo - dr abhishek.pptxPAH echo - dr abhishek.pptx
PAH echo - dr abhishek.pptx
 

Dernier

Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 

Dernier (20)

Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 

ΜΕΘΑ_20231.pptx

  • 2. The effect of increased PVR on the heart…
  • 3. Echocardiography Assess: –cardiac chamber size –metrics of cardiac chamber function –myocardial performance indexes –valvular regurgitation –valvular function –myocardial deformation imaging
  • 4. Echo in PAH • Echocardiographic techniques can be employed to –derive indirect information about right heart structure and function
  • 5.
  • 6.
  • 7. RV systolic function assessment
  • 8. Echo in PAH • Echocardiographic techniques can be employed to –derive indirect information about right heart structure and function –estimate PAP, PVR, RAP
  • 9. mPAP = 90 - (0.62*AT) SPAP = 4*TRVmax2 + RAP dPAP = 4PRV(ed)2 + RAP
  • 10.
  • 11.
  • 13.
  • 14. Echo in PAH • Echocardiographic techniques can be employed to –estimate PAP, PVR, RAP –derive indirect information about right heart structure and function –identify possible causes such as left heart or congenital heart disease –monitor treatment response
  • 15. Echo
  • 16. Echo in PAH • Echocardiographic techniques can be employed to –estimate PAP, PVR, RAP –derive indirect information about right heart structure and function –identify possible causes such as left heart or congenital heart disease –monitor treatment response –predict clinical outcomes
  • 17.

Notes de l'éditeur

  1. 2
  2. the focus of the study should not be limited to evaluation of RV systolic pressures (RVSPs) but rather should include evaluation of both systolic and diastolic parameters of the right side of the heart.22 This is especially important because prognosis in PH is strongly related to function of the right side of the heart; moreover, pulmonary pressures may decrease when function of the right side of the heart deteriorates and can thus be deceiving in the estimation of severity
  3. severe impairment in global right ventricular function The shape and size of the pulmonary pulsed wave Doppler profile may also be informative. In addition to the steepened acceleration time, as pulmonary hypertension progresses a mid-systolic notching may be visible. Later, as stroke volume falls, the overall area of the envelope diminishes.