Swan-Ganz catheterization: Difference between revisions

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)

@@ Line 1: / Line 1: @@
-== Indications ==
+==Indications==
-* Heart failure with unclear volume status
+*Heart failure with unclear volume status
-* Requires fluoroscopy when severe TR, LBBB (needs pacer pads), or PPM/ICD
+*Requires fluoroscopy when severe TR, LBBB (needs pacer pads), or PPM/ICD
-== Normal Pressures ==
+==Normal Pressures==
+{| class="wikitable"
-{|
-!align="center"| RA
+! align="center" |RA
-!align="center"| RV
+! align="center" |RV
-!align="center"| PA
+! align="center" |PA
-!align="center"| Lungs
+! align="center" |Lungs
-!align="center"| LA
+! align="center" |LA
-!align="center"| LV
+! align="center" |LV
-!align="center"| Ao
+! align="center" |Ao
 |-
-|align="center"| 0-10
+| align="center" |0-10
-|align="center"| 30/6
+| align="center" |30/6
-|align="center"| 30/12
+| align="center" |30/12
-|align="center"|
+| align="center" |
-|align="center"| 12
+| align="center" |12
-|align="center"| 120/12
+| align="center" |120/12
-|align="center"| 120/60
+| align="center" |120/60
 |}
-== Interpretation ==
+==Interpretation==
-* PA up
+*PA up
-* LA up
+*LA up
-** Decreased LVEF (i.e. left heart failure)
+**Decreased LVEF (i.e. left heart failure)
-** Mitral stenosis
+**Mitral stenosis
-* LA down
+*LA down
-** Pulmonary hypertension
+**Pulmonary hypertension
-** Pulmonary embolism
+**Pulmonary embolism
-* PA down
+*PA down
-* RA down
+*RA down
-** Hypovolemic
+**Hypovolemic
-** Distributive shock
+**Distributive shock
-* RA up
+*RA up
-** Pulmonary stenosis
+**Pulmonary stenosis
-** Tricuspid regurgitation
+**Tricuspid regurgitation
-** Decreased RVEF (i.e. right heart failure)
+**Decreased RVEF (i.e. right heart failure)
 [[Category:Critical care]]