radiography, thoracic – ABC CARDIOL

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Clinicoradiological Session

Case 2/2016 – Scimitar Sign with Right Pulmonary Vein Drainage into the Right Atrium

Edmar Atik et al. Raul Arrieta Roberto Kalil Filho

Complementary tests

The Electrocardiogram showed sinus rhythm and signs of final conduction disturbance in the right branch with rSr’ complex in V1. There were no signs of cavity overload. AP: +70, AQRS: + 80º, AT: + 10 ().

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Hemodynamic assessment in heart failure: role of physical examination and noninvasive methods

Gustavo Luiz Almeida Junior et al. Sérgio Salles Xavier Marcelo Iorio Garcia Nadine Clausell

Among the cardiovascular diseases, heart failure (HF) has a high rate of hospitalization, morbidity and mortality, consuming vast resources of the public health system in Brazil and other countries. The correct determination of the filling pressures of the left ventricle by noninvasive or invasive assessment is critical to the proper treatment of patients with decompensated chronic HF, considering that congestion is the main determinant of symptoms and hospitalization. Physical examination has shown to be inadequate to predict the hemodynamic pattern. Several studies have suggested that agreement on physical findings by different physicians is small and that, ultimately, adaptive physiological alterations in chronic HF mask important aspects of the physical examination. As the clinical assessment fails to predict hemodynamic aspects and because the use of Swan-Ganz catheter is not routinely recommended for this purpose in patients with HF, noninvasive hemodynamic assessment methods, such as BNP, echocardiography and cardiographic bioimpedance, are being increasingly used. The present study intends to carry out, for the clinician, a review of the role of each of these tools when defining the hemodynamic status of patients with decompensated heart failure, aiming at a more rational and individualized treatment.

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Case 2/2016 – Scimitar Sign with Right Pulmonary Vein Drainage into the Right Atrium

Complementary tests

Hemodynamic assessment in heart failure: role of physical examination and noninvasive methods

Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)

Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)