PHintermediate7 min
Resting numbers lie
Handover
She can climb one flight and then she cannot. Resting RHC is almost pretty: PA mean 20, PCWP 12, CO 5.2. The referring letter says ‘not PH, not HFpEF.’ Resting numbers lie. The bike is in the room. If the wedge goes to 25, you have the diagnosis they missed.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals
- · Exercise RHC performed
- · Occult HFpEF unmasked