Cath Unit 3 Flashcards
Normal AVO2
4-5%
PVR normal range
20-120 dynes/sec
Normal O2 co consumption default
250 ml/min
Advantages of Fick CO
Good for low CO, heart failure, cardiomyopathy, restrictive pericarditis
Disadvantages of Fick
No good if shunt is present, results not easily reproducible, not accurate with high CO
TD advantages
Reproducible with accurate results
TD disadvantages
Not accurate w/TR or PR, not accurate with high CO states
O2 capacity =
HgB x 1.36
O2 content =
O2 capacity x O2 saturation
CI =
Fick CO / BSA
Normal CI range
2.0 - 4.5 L/min/M2
A wave indicates
Rise in pressure due to atrial contraction
C wave (if seen)
Increased pressure in ventricle causes bulge of pressure into atrium
V wave indicates
Rise in pressure due to atrial filling
X descent
Drop in atrial pressure, atria relax
Y descent
Rapid drop in pressure, AV valve opens - beginning of ventricular filling
Normal RA
10/10/5
Normal RV
25/3/5
Normal PA
25/10/15
Normal PCW
12/12/10
Normal AOV area
2.6 - 3.5 cm2
Normal MV area
4-6 cm2
LAO cranial - ______ seen well
LAD
LAO caudal-______seen well
Circumflex
Spider view
LAO caudal
PLB is ______ to PDA
Superior
AVO2 content
(AO-PA sats) x O2 capacity
Fick CO
O2 consumption / AVO2 x 10
MAP
(AOs-AOd)/3 + AOd
MPA
(PAs-PAd)/3 + PAd
SVR
(Mean AO - mean RA) / CO x 80
PVR
(Mean PA - mean PCW) / CO x 80
Hakkai formula
CO / square root of mean gradient
Total stroke volume
EDV - ESV
EF
TSV / EDV
Forward SV
Fick CO / HR
Left ventricular minute flow
Total SV x HR
Regurgitant volume
Total SV - forward SV
Regurgitant fraction
Regurgitate volume / total SV
AS pressure measurement
LVs - AOs
PS pressure measurement
RVs - PAs
AI pressure measurements
AOs - AOd
PI pressure measurement
PAs - PAd
MS pressure measurement
PCW mean and LV EDP
MR pressure measurement
LA v wave and LA mean
TS pressure measurement
RA mean and RV EDP
TR pressure measurement
RA v wave and RA mean
Normal SVR range
770-1500 dynes/sec
Inferior leads/artery
2, 3, avf
Rca
Lateral leads/artery
1, avl, v5, v6 circumflex or diagonal
Septal leads/artery
V1, v2 LAD
Anterior leads/artery
V3, v4 LAD