echo findings in chf

[rm61]

In CHF, what is the most common finding on echocardiography? Can an echo ever be normal with a pt in CHF?

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[KRichards62]

In CHF, what is the most common finding on echocardiography? Can an echo ever be normal with a pt in CHF?

First, determine if there is systolic or diastolic dysfunction. The differential and management for each is quite different. Sounds like you need to do some reading.

 

[dragonfly99]

Agree...systolic CHF and (mostly or purely) diastolic dysfunction are different animals.

 

[Bostonredsox]

/nod. if your echo shows severe LVH, mitral regurg and elevated pulmonary pressures you have an answer. But if you have no LVH, a normal wedge, but an RVSP of 90 and TR, you have another answer... read the Harrisons chapters on CHF/cor pulmoanle and pulmoary hypertension, like 40 pages total, will open your eyes my friend.