Swan-Ganz catheterization

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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)

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