tag:blogger.com,1999:blog-549949223388475481.post3400563792179196393..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: Sepsis with Pulmonary Edema and Elevated Right Sided PressuresUnknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-549949223388475481.post-68130947062018505372016-10-26T09:38:57.112-05:002016-10-26T09:38:57.112-05:00The most common cause of RV failure is LV failure....The most common cause of RV failure is LV failure. In a sick patient, atrial flutter is definitely sufficient to result in elevated left sided pressures, with pulmonary edema and then subsequent right sided fluid overload. There are only 4 causes of LV failure: valve (valves were ok), systolic dysfct (it was good enough), diastolic dysfct (no evidence of this) and dysrhythmia (this was present). Turns out it had been present for a week, resulting in slow accumulation of fluid (this also explains the pleural effusions).Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-21152503580389126462016-10-25T20:07:46.047-05:002016-10-25T20:07:46.047-05:00Hi
Does this all hang together?
You are describing...Hi<br />Does this all hang together?<br />You are describing right ventricular failure in addition to pulmonary edema due to either cardiogenic (elevated LV end diastolic pressures) or non cardiogenic causes. Atrial flutter with normal systolic function in the absence of for example diastolic dysfunction would seem an insufficient explanation of the findings. <br />Your thoughts?<br />Thanks for the post.<br />Anonymoushttps://www.blogger.com/profile/00828709212821706254noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-31020928623984676802016-10-24T10:08:05.306-05:002016-10-24T10:08:05.306-05:00I would probably electrically cardiovert, acceptin...I would probably electrically cardiovert, accepting the risk of embolic stroke, as the patient is so ill.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-33236522360064062902016-10-23T16:25:27.034-05:002016-10-23T16:25:27.034-05:00what is your suggested management in this complica...what is your suggested management in this complicated case?Anonymoushttps://www.blogger.com/profile/01341224871901370576noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-84056209616830447822016-10-23T08:11:06.536-05:002016-10-23T08:11:06.536-05:00Right! Thanks!Right! Thanks!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-89669940269465747122016-10-22T17:36:44.987-05:002016-10-22T17:36:44.987-05:00Didn't get that far (V1) I just saw lead II an...Didn't get that far (V1) I just saw lead II and noticed the iso electric line was off with the p waves,and ... I love this site, lol. anony moushttps://www.blogger.com/profile/15436078809353888531noreply@blogger.com