PHadvanced8 min
Combined pre- and post-capillary
Handover
Years of HFrEF, now ‘out of proportion’ PA pressures. PA 82/36 mean 54, PCWP 22, CO 3.4. PVR is 9.4 WU — you cannot call this ‘just a high wedge.’ Combined pre- and post-capillary. Unload the left side before anyone talks about Group-1 drugs.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals
- · PCWP ≤ 18
- · Cpc-PH recognized
- · Tracing reviewed