Right heart catheterization: Difference between revisions

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A PAC is a 5-7 french catheter which consists of 2-5 lumina with different purposes: a lumen for inflation of the balloon, a proximal and distal lumen for infusion of fluid or extraction of blood, a temperature thermistor and one for RV pacing.
A PAC is a 5-7 french catheter which consists of 2-5 lumina with different purposes: a lumen for inflation of the balloon, a proximal and distal lumen for infusion of fluid or extraction of blood, a temperature thermistor and one for RV pacing.


[[File:RightHeart_Technique_Fig1.svg | thumb | 300px | left | Figure 1.  Swan-Ganz catheter.]]
[[File:RightHeart_Technique_Fig1.jpg | thumb | 300px | left | Figure 1.  Swan-Ganz catheter.]]
Ports left to right: thermistor connector, medication portal, proximal injection hub,  distal lumen hub, balloon inflation valve with syringe.
Ports left to right: thermistor connector, medication portal, proximal injection hub,  distal lumen hub, balloon inflation valve with syringe.


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The normal pressure waves in the cardiac chambers during right heart catheterization with normal values shown are shown in figure 4 and 5. After that, we discuss per chamber the pressure curve<cite>Images</cite>, normal values and causes of abnormal waveforms.
The normal pressure waves in the cardiac chambers during right heart catheterization with normal values shown are shown in figure 4 and 5. After that, we discuss per chamber the pressure curve<cite>Images</cite>, normal values and causes of abnormal waveforms.


[[File:RightHeart_Waveforms_Fig1.png | thumb | left | 600px | Figure 4. Normal pressurewaves.]]
[[File:RightHeart_Waveforms_Fig1.svg | thumb | left | 600px | Figure 4. Normal pressurewaves.]]


[[File:RightHeart_Waveforms_Fig2_sml.png | thumb | left | 300px | Figure 5. Normal values right heart catheterization<cite>Braunwald</cite>]]
[[File:RightHeart_Waveforms_Fig2_sml.png | thumb | left | 300px | Figure 5. Normal values right heart catheterization<cite>Braunwald</cite>]]

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