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VTE

Inpatient Management Guide Definition Venous thromboembolism (VTE):  pathologic thrombosis within the venous system encompassing DVT, PE and superficial vein thrombosis Pulmonary embolism (PE):  blood clot within the pulmonary circulation typically arising from the peripheral circulation. Massive pulmonary embolism: Associated with hemodynamic instability (SBP under 90mmHg or need for inotropic support); mortality: 40–60% Sub-massive pulmonary embolism: … Read more

Venous Thromboembolism

Inpatient Management Guide Definition Venous thromboembolism (VTE):  pathologic thrombosis within the venous system encompassing DVT, PE and superficial vein thrombosis Pulmonary embolism (PE):  blood clot within the pulmonary circulation typically arising from the peripheral circulation. Massive pulmonary embolism: Associated with hemodynamic instability (SBP under 90mmHg or need for inotropic support); mortality: 40–60% Sub-massive pulmonary embolism: … Read more

Valvular Disease

Inpatient Management Guide Definition Aortic Stenosis   Normal Mild Moderate Severe Critical Mean Gradient (mmHg) 0 <25 25-40 >40 >70 Valve area (cm²) 3.0–4.0 1.5–2.0 1.0–1.5 0.6–1.0 < 0.6 Aortic Jet Velocity (m/s) < 2 2.6–2.9 3.0–4.0 >4.0   Aortic Regurgitation   Mild Moderate Severe Angiographic grade 1+ 2+ 3+ Color Doppler Jet Width Central … Read more

Heart Failure

New York Heart Association functional classification

Inpatient Management Guide Definition Syndrome characterized by impaired myocardial performance and progressive maladaptive neurohormonal activation of the cardiovascular system leading to circulatory insufficiency to meet the body’s demands. Systolic heart failure or heart failure with reduced ejection fraction (HFrEF): Clinical diagnosis of heart failure and an EF of less than 50%. Diastolic heart failure or … Read more

Systolic Heart Failure

Inpatient Management Guide Definition Syndrome characterized by impaired myocardial performance and progressive maladaptive neurohormonal activation of the cardiovascular system leading to circulatory insufficiency to meet the body’s demands. Systolic heart failure or heart failure with reduced ejection fraction (HFrEF): Clinical diagnosis of heart failure and an EF of less than 50%. Diastolic heart failure or … Read more

Syncope

Inpatient Management Guide Definition Syncope is a transient loss of consciousness with postural change and recovery (although seizure is often considered in the differential diagnosis, this is technically not a form of syncope). Differential Diagnosis Disorders of vascular tone or blood volume Neurocardiogenic (i.e. vasovagal syncope) Situational (i.e. micturation syncope, cough-induced syncope) Carotid sinus hypersensitivity … Read more

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