Swan-Ganz catheterization
From IDWiki
Indications
- Heart failure with unclear volume status
- Requires fluoroscopy when severe TR, LBBB (needs pacer pads), or PPM/ICD
Normal Pressures
| RA | RV | PA | Lungs | LA | LV | Ao |
|---|---|---|---|---|---|---|
| 0-10 | 30/6 | 30/12 | 12 | 120/12 | 120/60 |
Interpretation
- PA up
- LA up
- Decreased LVEF (i.e. left heart failure)
- Mitral stenosis
- LA down
- Pulmonary hypertension
- Pulmonary embolism
- PA down
- RA down
- Hypovolemic
- Distributive shock
- RA up
- Pulmonary stenosis
- Tricuspid regurgitation
- Decreased RVEF (i.e. right heart failure)
