Posted by on May 20, 2016 at 7:46 am

Surf…and Heart Failure

This short video will change the way you understand acute heart failure. It uses the ocean to visually explain how vascular failure is different from chronic heart failure with clear explanations and echo views.

Its the follow on and answer  to the real time and real life case .

For those wanting to get into more detail, I suggest reading this brilliant article  “The pathophysiology of hypertensive acute heart failure” David Viau, et al. Heart 2015. 101; 1861-7. doi: 10.1136/heartjnl-2015-307461

 

5 Comments

  1. Wimalasiri says:
    May 24, 2016 at 3:18 pm

    Wow ! Brilliant !
    Hypotensive HF is the one which need a different video footage. Perhaps video of beach in low tide might help you!! Ha ha
    Cheers
    Wima

    Reply
  2. Ganaja says:
    July 10, 2016 at 6:05 pm

    Should I start CPAP straight away or wait and see whether GTN is working and if not then start?

    Reply
    • Nick Taylor says:
      September 14, 2016 at 11:09 pm

      My practice is to start CPAP immediately …the reality of a busy ED is that CPAP can commence within a few seconds and makes a huge difference straight away. GTN needs IV access, then to be found, drawn up, commenced and titrated to have an effect.

      Reply
  3. Indika Lanerolle says:
    December 5, 2016 at 2:44 pm

    What inotropes would you use in hypotensive HF ?

    Reply
    • Nick Taylor says:
      December 16, 2016 at 2:19 am

      BP<70 i would use Adrenaline or Norad: If HR low Adrenaline, HR high; Norad
      BP70-90 I would use Dobutamine or Norad: If HR high Norad; HE low Dobutamine
      Cheers

      Reply

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