Download - Cardio vascular assessment
Vaisakh. GI Year MSc. Nursing,AIMS,kochi.
ELECTROCARDIOGRAPHY
12 LEAD ELECTROCARDIOGRAM
PRECORDIAL LEADS
PRECORDIAL LEADSV1-Right edge of the sternum,4th Intercostal spaceV2-left edge of the sternum,4th Intercostal spaceV3-placed between V2 & V4V4-Midclavicular line,5th intercostal spaceV5-Anterior Axillary line,horizontal in line with V4V6-Midaxillary line , horizontal with V4
LIMB LEADS
EINTHOVENS TRIANGLE
MONITORING
HOLTER MONITORING
STRESS TESTTREDMILL
RADIOLOGICAL EXAMINATION
LABOROTORY INVESTIGATIONS
BLOOD STUDIES
• SERUM CARDIAC MARKERS• SERUM LIPIDS
SERUM CARDIAC MARKERSCK-MBLDHCARDIAC TROPONINS TROPONIN I TROPONIN T
CARDIAC MARKERSMARKERS NORMAL ONSET PEAK DISAPPEARS
TROP T 0-0.2ng\ml 3-4hrs 10-24hrs 10-14days
TROP I 0-0.1ng\ml 4-6hrs 12-24hrs 4-7days
CKMB <1.5 4-6hrs 48hrs
LDH <1 24hrs 3-6days 14days
SERUM LIPIDS
CHOLESTEROL - 140-200mg\dlTRIGLYCERIDES - 40-190mg\dlLIPOPROTEINS LDL - <130 HDL - >60
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
M-MODE ECHOCARDIOGRAPHYTWO-DIMENSIONAL ECHOCARDIOGRAPHYTRANSESOPHAGEAL ECHOCARDIOGRAPHYCONTRAST ECHOCARDIOGRAPHY
M-MODE ECHOCARDIOGRAPHY
TWO-DIMENSIONAL ECHOCARDIOGRAPHY
DOPPLER ECHOCARDIOGRAPHY
CONTRAST ECHOCARDIOGRAPHY
TRANSESOPHAGEAL ECHOCARDIOGRAPHY
INVASIVE HEMODYNAMIC MONITORING
• CENTRAL VENOUS PRESSURE• INTRA ARTERIAL BLOOD PRESSURE
MONITORING• PULMONARY ARTERY PRESSURE
MONITORING.
CENTRAL VENOUS PRESSURE
PHLEBOSTATIC AXIS
INTRA ARTERIAL BLOOD PRESSURE MONITORING
WAVEFORM
PULMONARY ARTERY CATHETERIZATION
CONCLUSION
THANKU