Academic Seminar

A 60M day 1 post op CABG has had increasing vasopressor requirements. The Cardio AT comes in overnight, and you see this. What is the recommended course of action?

• Pericardiocentesis!

• Continue to increase vasopressors

• Resternotomy "open up the chest"

• "as per ICU"

What is the definition for a patient with combined post- and pre-capillary pulmonary hypertension?

• mPAP >20mmHg

• mPAP >20mmHg + PAWP <15 + PVR >2

• mPAP >20 + PAWP >15 + PVR <2

• mPAP >20 + PAWP >15 + PVR >2

Is there anything unusual about this picture?

• Yes

• No

Which of the following diagnoses would lead to hypoxia non-responsive to supplemental O2?

• Pneumonia

• Shunt

• Pulmonary hypertension

What is happening here?

• Orthopnea

• Orthodeoxia

• Orthodontics

• Tip: Ortho = upright. This is not the right answer.

Breathing easier when upright is…

• Orthopnea

• Orthopedics

• Orthotics

• Orthodromic

Breathing easier when flat is…

• Platypedics

• Platypus

• Flatypnea

• Platypnea

Platypus =

• flat feet

• flat bill

• flat body

• flat head

What shall we do next? (what was done next?)

• Exercise stress test

• Right heart catheter

• Medical therapy

• Supine and upright transoesophagealechocardiography

How do you diagnose platypnea-orthodeoxia syndrome?

• Positional oxygen saturations and symptoms

• CT imaging

• Nuclear imaging