Swan-Ganz catheterization: Difference between revisions
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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== |
+ | {| class="wikitable" |
||
− | {| |
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− | !align="center" |
+ | ! align="center" |RA |
− | !align="center" |
+ | ! align="center" |RV |
− | !align="center" |
+ | ! align="center" |PA |
− | !align="center" |
+ | ! align="center" |Lungs |
− | !align="center" |
+ | ! align="center" |LA |
− | !align="center" |
+ | ! align="center" |LV |
− | !align="center" |
+ | ! align="center" |Ao |
|- |
|- |
||
− | |align="center" |
+ | | align="center" |0-10 |
− | |align="center" |
+ | | align="center" |30/6 |
− | |align="center" |
+ | | align="center" |30/12 |
− | |align="center"| |
+ | | align="center" | |
− | |align="center" |
+ | | align="center" |12 |
− | |align="center" |
+ | | align="center" |120/12 |
− | |align="center" |
+ | | align="center" |120/60 |
|} |
|} |
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− | == |
+ | ==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) |
[[Category:Critical care]] |
[[Category:Critical care]] |
Latest revision as of 10:13, 2 August 2020
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)