LV apical thrombus
Case of eldrly male with DM, HTX.
came with bil scattered embolic stroke
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Hemodynamics Management
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Dynamic Maneuvers and Their Diagnostic Value
Vt Challenge:
A transient increase in Vt from 6 mL/kg to 8 mL/kg for one minute, with a PPV increase ≥3.5%, suggests preload responsiveness.
Benefits include simplicity and minimal equipment requirements.
Threshold variability and false positives in ACP remain concerns.
End-Expiratory Occlusion Test:
A 15-second interruption of ventilation at end-expiration increases preload, and a rise in cardiac output ≥5% confirms preload responsiveness.
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Portal vein Doppler with normal D and S waves
Portal vein Doppler with mild variability
renal vein Doppler with discontinuous biphasic flow
@Ibrahim Ameen
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- ashrafullah khan
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Late systolic reversal with blunted systolic flow indicating high RA pressure with big A wave makes it due to either tricuspid stenosis or complete heart block