Handover
She can climb one flight of stairs and then she cannot. Resting RHC looks almost normal: PA mean 20, PCWP 12, CO 5.2. The referring letter says “not PH, not HFpEF.” The bike is in the room.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals