The document outlines the procedure for right heart catheterization, including indications, normal pressure values, and patient preparation. It lists required instruments and provides detailed calculations for cardiac data such as cardiac output and pulmonary vascular resistance. Essential formulas for oxymetry sampling and data interpretation during the procedure are also included.

1. • Presenter:
Dr. Azim Anwar
Phase B Resident,
Cardiology, BSMMU

3. 1. Indication of Right Heart Cath.
2. Normal Values of Pressure and Oxymetry data in
right heart cath.
3. How to prepare a patient for right heart cath.
4. How & when to collect sample for oxymetry
during cath.
5. Calculation of cath data

10. Preparation for Right Heart Cath….
• Data Collection Sheet
• Special Instruments:
• Heparinized 3 c syringe
 NIH Catheter
Berman Catheter
Pig Tail Catheter

11. Make ready a Cardiac Cath Data
Collection sheet.

12. Make Ready heparinized 3cc syringes

13. • Keep an extra 3cc Syringe.

14. NIH Catheter (5.2 Fr,100cm)

17. Berman Balloon Catheter (6Fr,90cm)

21. Pig Tail Catheter
25 ml Imiro

22. Oxymetr
y
Pressure
Systolic Diastolic Mean
SVC -- 80% RA
6 0 2
IVC – 79% RV
40 0 11
RA -- 80% MPA
41 16 24
RV – 95% PCWP
15 01 06
MPA – 95% LV
117 0 30
PV – 98% Aorta
104 68 80
LV – 98%
Aorta --
98%

24. Calculations…..
• Qp/Qs =
• (Aorta Oxygen sat- Mixed Venous Oxygen Sat)
/
( PV Oxygen sat – MPA Oxygen Sat)
= (.98- .80) / (.98- .95)
= 6

25. • PVR =
• (Mean PAP – PCWP) / CO
• = (24- 6) / CO
• CO
• = (Wt X 3) / (Aorta Oxygen Sat – Mixed
Venous Sat) X 1.36 X Hb X 10

26. CO
= (Wt X 3) / (Aorta Oxygen Sat – Mixed Venous Sat) X 1.36 X Hb X 10
• = (40 x 3) / (.98-.80) x 1.36 x 10 x 10
• = 4. 8
• CO = O2 consumption / AV O2 conc difference
• O2 Consumption = Wt X 3 ml
• AV O2 conc diff = (Aorta O2 content-Mixed
venous O2 content) x 10
• Aorta O2 content= Aorta O2 Sat x 1.36 x Hb
• Mixed Venous O2 content= MV O2 sat x1.36x Hb

27. • PVR =
• (Mean PAP – PCWP) / CO
• = (24- 6) / CO
• = 18 / 4.8
• = 3.75