Eduardo Argaiz
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argaiz.bsky.social
Eduardo Argaiz
@argaiz.bsky.social
Attending Nephrologist | Board Member at the Mexican Society of Echocardiography | #Hemodynamics #EchoFirst
Today we have more evidence that #VExUS (and not RAP) might be the optimal tool for studying congestive organ injury!

3/3
November 27, 2024 at 4:05 PM
IRF after diuretics means these patients had congestive nephropathy!

The study shows that right heart catheterization is not useful to diagnose this condition. Only echocardiographic markers of RV and RA dilation, Tricuspid regurgitation and IVC size were associated with this phenotype!

2/3
November 27, 2024 at 4:05 PM
Nice!
November 18, 2024 at 10:14 PM
X 2 about portal vein 🤣

Also, not imposible to have Normal S wave IMO. Atrial relaxation also plays an important role in S wave generation. So if RA is compliant enough, it could generate enough antegrade flow.
November 18, 2024 at 4:35 PM
My thoughts on this back in 2021
November 15, 2024 at 1:42 AM
I have been saying this for years. I don’t really use HVD as part of venous congestion assessment.

My practice as a Nephrologist involves a lot of HFpEF with normal RV filling pattern. HVD is always normal (unless severe secondary TR).

Portal Vein does give useful info
November 15, 2024 at 1:32 AM
November 13, 2024 at 3:44 PM
One published in CardioRenal medicine. Another presented as oral abstract this ASN 2024 in San Diego.

Will get the links
November 13, 2024 at 1:17 PM