EDUBRIEFS
in CCTC
Normal
Right Ventricle Waveform
| What are
the characteristics of a Right Ventricle waveform? |
there
is no dicrotic notch
the
RV systolic pressure equals the PA systolic pressure (during systole, the
open pulmonary valve makes the two chambers "one")
the
RV has a very low diastolic pressure, which is equal to the diastolic pressure
of the right atrium (RA) (the RA and RV are one chamber during diastole
when the tricuspid valve is open)
the
rise in the RV waveform is simultaneous with the QRS and preceeds the mechanical
systole (depolarization causes the pressure to rise; once the pressure
in the RV exceeds the PA, the pulmonary valve opens and systole begins)
in
sinus rhythm, a small pressure wave may be visible prior to the main pressure
rise (in late diastole, atrial kick produces a small rise in the ventricular
volume)
ventricular
arrhythmias may occur if the tip of the catheter is in the RV
Note:
In
a direct RV measurement, the rise in the RV pressure occurs simultaneous
with the QRS. This rise in pressure will appear farther away from
the QRS in an RV pressure wave obtained from a pulmonary artery catheter
because of the prolonged transmission distance between the catheter and
the transducer.
|
Show
me a Right Ventricle Waveform. |
Brenda Morgan
Clinical Educator, CCTC
September, 1999
Reviewd May 12, 2001
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