SlideShare uma empresa Scribd logo
1 de 1
PCWP - LVEDP Pulmonary capillary wedge pressure (PCWP) performs poorly in predicting left-ventricular end-diastolic pressure (LVEDP) Scott D. Halpern, M.D., Ph.D. Division of Pulmonary, Allergy, and Critical Care Medicine, Hospital of the University of Pennsylvania ,[object Object],[object Object],[object Object],Mean Bias: -3.9  Limits of Agreement: -15.8 to 8.0 Average of PCWP & LVEDP Bland – Altman Plot ,[object Object],[object Object],[object Object],PCWP Discriminating LVEDP ≥ 15 vs. < 15 PCWP = 15 Sens 66%, Spec 91% PCWP = 10 Sens 91%, Spec 53% PCWP = 20 Sens 39%,  Spec 97% AUROC = 0.90 using LVEPD  ≥ 10 AUROC = 0.81 using LVEPD  ≥ 20 AUROC = 0.86 using LVEPD ≥ 15   ,[object Object],[object Object],[object Object],[object Object],Background ,[object Object],[object Object],Objectives ,[object Object],[object Object],[object Object],[object Object],Methods ,[object Object],[object Object],[object Object],Results ,[object Object],[object Object],[object Object],Conclusions Implications

Mais conteúdo relacionado

Mais procurados

Hemodynamic monitoring r weinzierl
Hemodynamic monitoring r weinzierlHemodynamic monitoring r weinzierl
Hemodynamic monitoring r weinzierlLaurie Crane
 
Pulmonary artery catheter
Pulmonary artery catheterPulmonary artery catheter
Pulmonary artery catheterArun Aru
 
Pa catheter ctvac
Pa catheter ctvacPa catheter ctvac
Pa catheter ctvacchainapaul
 
Basic haemodynamic monitoring
Basic haemodynamic monitoringBasic haemodynamic monitoring
Basic haemodynamic monitoringDeepankar Mishra
 
Hemodynamic Monitoring
Hemodynamic MonitoringHemodynamic Monitoring
Hemodynamic MonitoringMaggie Roman
 
Haemodynamic monitoring
Haemodynamic monitoringHaemodynamic monitoring
Haemodynamic monitoringguest5c708a
 
Clinical monitoring in ICU
Clinical monitoring in ICUClinical monitoring in ICU
Clinical monitoring in ICUabrahahailu
 
central venous pressure and intra-arterial blood pressure monitoring. invasiv...
central venous pressure and intra-arterial blood pressure monitoring. invasiv...central venous pressure and intra-arterial blood pressure monitoring. invasiv...
central venous pressure and intra-arterial blood pressure monitoring. invasiv...prateek gupta
 
Hemodynamic assessment in cardiology
Hemodynamic assessment in cardiologyHemodynamic assessment in cardiology
Hemodynamic assessment in cardiologySujit Sahu
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoringAlbert Blesson
 
Lec # 6 hemodynamic monitoring
Lec # 6 hemodynamic monitoringLec # 6 hemodynamic monitoring
Lec # 6 hemodynamic monitoringAli Sheikh
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoringKrishna R
 
Dr masjedi hemodynamic monitoring in ICU
Dr masjedi hemodynamic monitoring in ICUDr masjedi hemodynamic monitoring in ICU
Dr masjedi hemodynamic monitoring in ICUmansoor masjedi
 

Mais procurados (20)

Hemodynamic monitoring r weinzierl
Hemodynamic monitoring r weinzierlHemodynamic monitoring r weinzierl
Hemodynamic monitoring r weinzierl
 
Pulmonary artery catheter
Pulmonary artery catheterPulmonary artery catheter
Pulmonary artery catheter
 
Pa catheter ctvac
Pa catheter ctvacPa catheter ctvac
Pa catheter ctvac
 
Cvp
CvpCvp
Cvp
 
PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN
PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN
PRINCIPLES AND PRACTICES OF RIGHT HEART CATHETERIZATION IN CHILDREN
 
Basic haemodynamic monitoring
Basic haemodynamic monitoringBasic haemodynamic monitoring
Basic haemodynamic monitoring
 
Hemodynamic Monitoring
Hemodynamic MonitoringHemodynamic Monitoring
Hemodynamic Monitoring
 
Hemodynamics
HemodynamicsHemodynamics
Hemodynamics
 
Cvp
CvpCvp
Cvp
 
Pulmonary artery Catheter
Pulmonary artery CatheterPulmonary artery Catheter
Pulmonary artery Catheter
 
Haemodynamic monitoring
Haemodynamic monitoringHaemodynamic monitoring
Haemodynamic monitoring
 
Clinical monitoring in ICU
Clinical monitoring in ICUClinical monitoring in ICU
Clinical monitoring in ICU
 
central venous pressure and intra-arterial blood pressure monitoring. invasiv...
central venous pressure and intra-arterial blood pressure monitoring. invasiv...central venous pressure and intra-arterial blood pressure monitoring. invasiv...
central venous pressure and intra-arterial blood pressure monitoring. invasiv...
 
Hemodynamics
HemodynamicsHemodynamics
Hemodynamics
 
cath Lab Hemoduhynamic
cath Lab Hemoduhynamiccath Lab Hemoduhynamic
cath Lab Hemoduhynamic
 
Hemodynamic assessment in cardiology
Hemodynamic assessment in cardiologyHemodynamic assessment in cardiology
Hemodynamic assessment in cardiology
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoring
 
Lec # 6 hemodynamic monitoring
Lec # 6 hemodynamic monitoringLec # 6 hemodynamic monitoring
Lec # 6 hemodynamic monitoring
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoring
 
Dr masjedi hemodynamic monitoring in ICU
Dr masjedi hemodynamic monitoring in ICUDr masjedi hemodynamic monitoring in ICU
Dr masjedi hemodynamic monitoring in ICU
 

Destaque

20121210 統計論文勉強会
20121210 統計論文勉強会20121210 統計論文勉強会
20121210 統計論文勉強会Med_KU
 
Module5.slp
Module5.slpModule5.slp
Module5.slpGimylin
 
Stat 130 chi-square goodnes-of-fit test
Stat 130   chi-square goodnes-of-fit testStat 130   chi-square goodnes-of-fit test
Stat 130 chi-square goodnes-of-fit testAldrin Lozano
 
Null hypothesis for a chi-square goodness of fit test
Null hypothesis for a chi-square goodness of fit testNull hypothesis for a chi-square goodness of fit test
Null hypothesis for a chi-square goodness of fit testKen Plummer
 

Destaque (7)

20121210 統計論文勉強会
20121210 統計論文勉強会20121210 統計論文勉強会
20121210 統計論文勉強会
 
Ha n d b o o k o f
Ha n d b o o k o fHa n d b o o k o f
Ha n d b o o k o f
 
통계진로정보게시판(20150225)
통계진로정보게시판(20150225)통계진로정보게시판(20150225)
통계진로정보게시판(20150225)
 
Module5.slp
Module5.slpModule5.slp
Module5.slp
 
Stat 130 chi-square goodnes-of-fit test
Stat 130   chi-square goodnes-of-fit testStat 130   chi-square goodnes-of-fit test
Stat 130 chi-square goodnes-of-fit test
 
Null hypothesis for a chi-square goodness of fit test
Null hypothesis for a chi-square goodness of fit testNull hypothesis for a chi-square goodness of fit test
Null hypothesis for a chi-square goodness of fit test
 
Logistic regression
Logistic regressionLogistic regression
Logistic regression
 

Semelhante a Pulmonary Capillary Wedge Pressure 4.22.08

STATIC INDICES OF FLUID RESPONSlVENESS' with you.pptx
STATIC INDICES OF FLUID RESPONSlVENESS' with you.pptxSTATIC INDICES OF FLUID RESPONSlVENESS' with you.pptx
STATIC INDICES OF FLUID RESPONSlVENESS' with you.pptxMohammad Abbas
 
Pulmonary hypertension
Pulmonary hypertensionPulmonary hypertension
Pulmonary hypertensionNeeraj Varyani
 
EVALUATION OF PULMONARY HEMODYNAMICS AND ALTERATION IN DISEASE STATES
EVALUATION OF PULMONARY HEMODYNAMICS AND ALTERATION IN DISEASE STATESEVALUATION OF PULMONARY HEMODYNAMICS AND ALTERATION IN DISEASE STATES
EVALUATION OF PULMONARY HEMODYNAMICS AND ALTERATION IN DISEASE STATESsoumenprasad
 
850-0490-00 Rev A-Oscillatory MAP ABP Case Study
850-0490-00 Rev A-Oscillatory MAP ABP Case Study 850-0490-00 Rev A-Oscillatory MAP ABP Case Study
850-0490-00 Rev A-Oscillatory MAP ABP Case Study Christina Mason
 
Catheterisation study and operability assessment
Catheterisation study and operability assessmentCatheterisation study and operability assessment
Catheterisation study and operability assessmentIndia CTVS
 
Mitral valve separation index
Mitral valve separation indexMitral valve separation index
Mitral valve separation indexRamachandra Barik
 
RVEF.pptx
RVEF.pptxRVEF.pptx
RVEF.pptxLHHu
 
Evaluation of Mixed Valvular Heart Disease on Echo
Evaluation of Mixed Valvular Heart Disease on EchoEvaluation of Mixed Valvular Heart Disease on Echo
Evaluation of Mixed Valvular Heart Disease on Echossuser1fdca4
 
Joint Symposium of the HFSA and ACC
Joint Symposium of the HFSA and ACCJoint Symposium of the HFSA and ACC
Joint Symposium of the HFSA and ACCdrucsamal
 
escpe1-191229130329.pptx
escpe1-191229130329.pptxescpe1-191229130329.pptx
escpe1-191229130329.pptxEastmaMeili1
 
2019 ESC guidelines on pulmonary embolism
2019 ESC guidelines on pulmonary embolism2019 ESC guidelines on pulmonary embolism
2019 ESC guidelines on pulmonary embolismSaitej Reddy
 
Echocardiography to assess Fluid Responsiveness in icu
Echocardiography to assess Fluid Responsiveness in icuEchocardiography to assess Fluid Responsiveness in icu
Echocardiography to assess Fluid Responsiveness in icuDr.Mahmoud Abbas
 
Nuevas estrategias en el tratamiento de la hipertensión arterial pulmonar. ¿T...
Nuevas estrategias en el tratamiento de la hipertensión arterial pulmonar. ¿T...Nuevas estrategias en el tratamiento de la hipertensión arterial pulmonar. ¿T...
Nuevas estrategias en el tratamiento de la hipertensión arterial pulmonar. ¿T...Sociedad Española de Cardiología
 
Hiperaldosteronismo primario
Hiperaldosteronismo primarioHiperaldosteronismo primario
Hiperaldosteronismo primarioAlma Almaa
 

Semelhante a Pulmonary Capillary Wedge Pressure 4.22.08 (20)

Misclassification of Pulmonary Arterial Hypertension 4.16.08
Misclassification of Pulmonary Arterial Hypertension 4.16.08Misclassification of Pulmonary Arterial Hypertension 4.16.08
Misclassification of Pulmonary Arterial Hypertension 4.16.08
 
STATIC INDICES OF FLUID RESPONSlVENESS' with you.pptx
STATIC INDICES OF FLUID RESPONSlVENESS' with you.pptxSTATIC INDICES OF FLUID RESPONSlVENESS' with you.pptx
STATIC INDICES OF FLUID RESPONSlVENESS' with you.pptx
 
Pulmonary hypertension
Pulmonary hypertensionPulmonary hypertension
Pulmonary hypertension
 
Pulmonary Hypertension.pptx
Pulmonary Hypertension.pptxPulmonary Hypertension.pptx
Pulmonary Hypertension.pptx
 
EVALUATION OF PULMONARY HEMODYNAMICS AND ALTERATION IN DISEASE STATES
EVALUATION OF PULMONARY HEMODYNAMICS AND ALTERATION IN DISEASE STATESEVALUATION OF PULMONARY HEMODYNAMICS AND ALTERATION IN DISEASE STATES
EVALUATION OF PULMONARY HEMODYNAMICS AND ALTERATION IN DISEASE STATES
 
pe.pptx
pe.pptxpe.pptx
pe.pptx
 
850-0490-00 Rev A-Oscillatory MAP ABP Case Study
850-0490-00 Rev A-Oscillatory MAP ABP Case Study 850-0490-00 Rev A-Oscillatory MAP ABP Case Study
850-0490-00 Rev A-Oscillatory MAP ABP Case Study
 
Catheterisation study and operability assessment
Catheterisation study and operability assessmentCatheterisation study and operability assessment
Catheterisation study and operability assessment
 
Mitral valve separation index
Mitral valve separation indexMitral valve separation index
Mitral valve separation index
 
RVEF.pptx
RVEF.pptxRVEF.pptx
RVEF.pptx
 
Evaluation of Mixed Valvular Heart Disease on Echo
Evaluation of Mixed Valvular Heart Disease on EchoEvaluation of Mixed Valvular Heart Disease on Echo
Evaluation of Mixed Valvular Heart Disease on Echo
 
J r echo
J r echo J r echo
J r echo
 
Presentation1.pptx
Presentation1.pptxPresentation1.pptx
Presentation1.pptx
 
Joint Symposium of the HFSA and ACC
Joint Symposium of the HFSA and ACCJoint Symposium of the HFSA and ACC
Joint Symposium of the HFSA and ACC
 
escpe1-191229130329.pptx
escpe1-191229130329.pptxescpe1-191229130329.pptx
escpe1-191229130329.pptx
 
2019 ESC guidelines on pulmonary embolism
2019 ESC guidelines on pulmonary embolism2019 ESC guidelines on pulmonary embolism
2019 ESC guidelines on pulmonary embolism
 
Echocardiography to assess Fluid Responsiveness in icu
Echocardiography to assess Fluid Responsiveness in icuEchocardiography to assess Fluid Responsiveness in icu
Echocardiography to assess Fluid Responsiveness in icu
 
Nuevas estrategias en el tratamiento de la hipertensión arterial pulmonar. ¿T...
Nuevas estrategias en el tratamiento de la hipertensión arterial pulmonar. ¿T...Nuevas estrategias en el tratamiento de la hipertensión arterial pulmonar. ¿T...
Nuevas estrategias en el tratamiento de la hipertensión arterial pulmonar. ¿T...
 
QC test
QC testQC test
QC test
 
Hiperaldosteronismo primario
Hiperaldosteronismo primarioHiperaldosteronismo primario
Hiperaldosteronismo primario
 

Mais de Leonard Davis Institute of Health Economics

The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...
The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...
The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...Leonard Davis Institute of Health Economics
 
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...Leonard Davis Institute of Health Economics
 
A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...
A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...
A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...Leonard Davis Institute of Health Economics
 
The Intersection of Attitudes and Organizational Factors by Provider Type in ...
The Intersection of Attitudes and Organizational Factors by Provider Type in ...The Intersection of Attitudes and Organizational Factors by Provider Type in ...
The Intersection of Attitudes and Organizational Factors by Provider Type in ...Leonard Davis Institute of Health Economics
 
Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...
Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...
Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...Leonard Davis Institute of Health Economics
 
A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...
A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...
A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...Leonard Davis Institute of Health Economics
 
Healthcare System Supports for Internists Caring for Young Adult Patients wit...
Healthcare System Supports for Internists Caring for Young Adult Patients wit...Healthcare System Supports for Internists Caring for Young Adult Patients wit...
Healthcare System Supports for Internists Caring for Young Adult Patients wit...Leonard Davis Institute of Health Economics
 
Elderly Adults with Dementia and Young Adults with Developmental Disabilities...
Elderly Adults with Dementia and Young Adults with Developmental Disabilities...Elderly Adults with Dementia and Young Adults with Developmental Disabilities...
Elderly Adults with Dementia and Young Adults with Developmental Disabilities...Leonard Davis Institute of Health Economics
 
Is the quality of case management in a medical home associated with patient s...
Is the quality of case management in a medical home associated with patient s...Is the quality of case management in a medical home associated with patient s...
Is the quality of case management in a medical home associated with patient s...Leonard Davis Institute of Health Economics
 
CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...
CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...
CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...Leonard Davis Institute of Health Economics
 
LDI Research Seminar 9_7_12 Eff ects of Federal Policy to Insure Young Adults...
LDI Research Seminar 9_7_12 Effects of Federal Policy to Insure Young Adults...LDI Research Seminar 9_7_12 Effects of Federal Policy to Insure Young Adults...
LDI Research Seminar 9_7_12 Eff ects of Federal Policy to Insure Young Adults...Leonard Davis Institute of Health Economics
 

Mais de Leonard Davis Institute of Health Economics (20)

The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...
The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...
The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...
 
Epstein,andy ispor poster_2013
Epstein,andy ispor poster_2013Epstein,andy ispor poster_2013
Epstein,andy ispor poster_2013
 
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...
 
Characterizing Emergency Department Utilization By A Population-based Cohort...
Characterizing Emergency Department Utilization  By A Population-based Cohort...Characterizing Emergency Department Utilization  By A Population-based Cohort...
Characterizing Emergency Department Utilization By A Population-based Cohort...
 
Non-Medically Indicated Delivery Prior to 39 Weeks Gestation in United State...
Non-Medically Indicated Delivery Prior to 39 Weeks Gestation  in United State...Non-Medically Indicated Delivery Prior to 39 Weeks Gestation  in United State...
Non-Medically Indicated Delivery Prior to 39 Weeks Gestation in United State...
 
A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...
A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...
A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...
 
The Intersection of Attitudes and Organizational Factors by Provider Type in ...
The Intersection of Attitudes and Organizational Factors by Provider Type in ...The Intersection of Attitudes and Organizational Factors by Provider Type in ...
The Intersection of Attitudes and Organizational Factors by Provider Type in ...
 
Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...
Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...
Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...
 
A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...
A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...
A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...
 
Healthcare System Supports for Internists Caring for Young Adult Patients wit...
Healthcare System Supports for Internists Caring for Young Adult Patients wit...Healthcare System Supports for Internists Caring for Young Adult Patients wit...
Healthcare System Supports for Internists Caring for Young Adult Patients wit...
 
Elderly Adults with Dementia and Young Adults with Developmental Disabilities...
Elderly Adults with Dementia and Young Adults with Developmental Disabilities...Elderly Adults with Dementia and Young Adults with Developmental Disabilities...
Elderly Adults with Dementia and Young Adults with Developmental Disabilities...
 
Is the quality of case management in a medical home associated with patient s...
Is the quality of case management in a medical home associated with patient s...Is the quality of case management in a medical home associated with patient s...
Is the quality of case management in a medical home associated with patient s...
 
Comparison of HIV Testing with other Markers of Chronic Disease Screening 4_...
Comparison of HIV Testing with other  Markers of Chronic Disease Screening 4_...Comparison of HIV Testing with other  Markers of Chronic Disease Screening 4_...
Comparison of HIV Testing with other Markers of Chronic Disease Screening 4_...
 
Comparison of HIV Testing with other Markers of Chronic Disease Screening
Comparison of HIV Testing with other  Markers of Chronic Disease Screening Comparison of HIV Testing with other  Markers of Chronic Disease Screening
Comparison of HIV Testing with other Markers of Chronic Disease Screening
 
High Value Cost Conscious Care: Is it Rationing or Rational Care? 1_11_13
High Value Cost Conscious Care: Is it Rationing or Rational Care? 1_11_13High Value Cost Conscious Care: Is it Rationing or Rational Care? 1_11_13
High Value Cost Conscious Care: Is it Rationing or Rational Care? 1_11_13
 
LDI Research Seminar with Art Kellermann, MD, MPH 11_28_12
LDI Research Seminar with Art Kellermann, MD, MPH 11_28_12LDI Research Seminar with Art Kellermann, MD, MPH 11_28_12
LDI Research Seminar with Art Kellermann, MD, MPH 11_28_12
 
CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...
CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...
CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...
 
LDI Research Seminar 9_7_12 Eff ects of Federal Policy to Insure Young Adults...
LDI Research Seminar 9_7_12 Effects of Federal Policy to Insure Young Adults...LDI Research Seminar 9_7_12 Effects of Federal Policy to Insure Young Adults...
LDI Research Seminar 9_7_12 Eff ects of Federal Policy to Insure Young Adults...
 
LDI Poster Template
LDI Poster TemplateLDI Poster Template
LDI Poster Template
 
LDI Charles Leighton Memorial Lecture with Mark Chassin, MD 5_4_12
LDI Charles Leighton Memorial Lecture with Mark Chassin, MD  5_4_12LDI Charles Leighton Memorial Lecture with Mark Chassin, MD  5_4_12
LDI Charles Leighton Memorial Lecture with Mark Chassin, MD 5_4_12
 

Último

Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 

Último (20)

Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 

Pulmonary Capillary Wedge Pressure 4.22.08

  • 1.