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PI

Right Heart Catheterization

ParameterValue
RAP13 mm Hg
RV70/24 mm Hg
PAP72/31/45 mm Hg (Sat=62%)
PAWP10 mm Hg
TPG31 mm Hg
CO3.5 L/min
CI1.9 L/min/m2
PVR8.9 WU
Vasoreactivity testingnegative
Calculations:
TPG
= mPAP – PAWP   PVR = TPG / CO

Impression

  • Severe pre-capillary PH, with severely depressed CO
  • High CVP/wedge ratio consistent with RV failure
  • Negative vasoreactivity testing
  • Findings consistent with Group 1 PAH