Fight for Upright.pptx

1、Fight for Upright,Marat Fudim,MD,MHSDivision of Cardiology,Duke University,Disclosures,I was am/was supported by the NIH,Doris Duke,Alleviant,Gradient,Novo Nordisk,Reprieve,Medera,Tenax,Tectonic.I am a consultant and/or have ownership interest in Abbott,Acorai,Ajax,Alleviant,Artha,Astellas,Audicor,A

2、xonTherapies,Berlin Heals,Bioventrix,BMS,Bodyguide,Boehringer Ingelheim,Bodyport,Boston Scientific,Broadview,Cadence,Cardiosense,Cardioflow,Corstasis,Clinical Accelerator,CVRx,Daxor,Edwards LifeSciences,Echosens,Feldschuh Foundation,Fire1,FlowMod,FutureCardia,Gradient,Hatteras,HemodynamiQ,Impulse Dy

3、namics,ISHI,Lumia Health,Medtronic,Novo Nordisk,NucleusRx,Omega,Orchestra,Paragate,Parasym,Pharmacosmos,Privebio,Procyreon,Proton Intelligence,Puzzle,ReCor,SalubrisBio,Scirent,SCPharma,Shifamed,Splendo,Summacor,SutroSam,SyMap,Terumo,Tricav,Vifor Pharma,Vasa,Vironix,Viscardia,VizAI,Zoll.,Back to the

4、Basics:,Newton 1665,Dr Borlaug:“Supine testing is easier to perform,and is not mired by inaccuracies related to transducer balancing or variability in catheter position relative to the HIP,and it has a longer track record and stronger evidence base to support its continued application as the preferr

5、ed modality for invasive hemodynamic exercise testing”,Gravity,Upright Symptoms Warrant Upright Testing,How Patients Present;A Tale of Two StatesNorth Carolina:Marat,I have shortness of breath(fatigue,chest pain,dizziness)with.WALKING,STAIRS,BENDING,STANDINGMinnesota:Dr.Borlaug,I have shortness of b

6、reath(fatigue,chest pain,dizziness)with supine exercise Unless your patients love doing supine exercise as their main activity should we not measure things upright?,Seated vs Supine Hemodynamics,Gravitational forces affect venous returnSupine state No Gravity,Unnatural Body Position,Chest Compressio