Cases/

Case 10 — New murmur after infarct

Cardiogenicintermediate00:00Score 100
Cardiogenicintermediate7 min

Case 10 — New murmur after infarct

Handover

Inferoposterior infarct, new holosystolic murmur, flash pulmonary edema. The digital wedge reads 22. The paper tracing shows large systolic waves to 44. CO 3.2, MAP 68.

Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.

Goals

  • · v waves recognized
  • · Echo confirms MR
  • · Wedge coming down