PHintermediate6 min
The left atrium is the problem
Handover
HFpEF, BMI 38, paroxysmal AFib. She is wet to the mid-scapulae. PA mean 32, PCWP 24, CO 4.4, PVR 1.8 WU. Isolated post-capillary — the left atrium is the disease. The PH consultant is not who she needs first. The diuretic is.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals
- · PCWP ≤ 18
- · PH classified as post-cap