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Diagram of a pulmonary artery catheter in position. The pulmonary wedge pressure (PWP) (also called pulmonary arterial wedge pressure (PAWP), pulmonary capillary wedge pressure (PCWP), pulmonary artery occlusion pressure (PAOP), or cross-sectional pressure) is the pressure measured by wedging a pulmonary artery catheter with an inflated balloon into a small pulmonary arterial branch. [1]
Normal pressure range (in mmHg) [5] Central venous pressure: 3–8 Right ventricular pressure: systolic: 15–30 diastolic: 3–8 Pulmonary artery pressure: systolic: 15–30 diastolic: 4–12 Pulmonary vein/ Pulmonary capillary wedge pressure. 2–15 Left ventricular pressure: systolic: 100–140 diastolic: 3–12
Normal pressure range (in mmHg) [1] Central venous pressure: 3–8 Right ventricular pressure: systolic: 15–30 diastolic: 3–8 Pulmonary artery pressure: systolic: 15–30 diastolic: 4–12 Pulmonary vein/ Pulmonary capillary wedge pressure. 2–15 Left ventricular pressure: systolic: 100–140 diastolic: 3–12
Normal pressure range (in mmHg) [36] Central venous pressure: 3–8 Right ventricular pressure: systolic: 15–30 diastolic: 3–8 Pulmonary artery pressure: systolic: 15–30 diastolic: 4–12 Pulmonary vein/ Pulmonary capillary wedge pressure. 2–15 Left ventricular pressure: systolic: 100–140 diastolic: 3–12
Normal pressure range (in mmHg) [11] Central venous pressure: 3–8 Right ventricular pressure: systolic: 15–30 diastolic: 3–8 Pulmonary artery pressure: systolic: 15–30 diastolic: 4–12 Pulmonary vein/ Pulmonary capillary wedge pressure. 2–15 Left ventricular pressure: systolic: 100–140 diastolic: 3–12
A pulmonary artery wedge pressure being less than 15 mmHg (also measured by right heart catheterization) excludes post-capillary bed (in the veins distal to the capillary bed) pulmonary hypertension. Pulmonary arterial hypertension is a subgroup of pulmonary hypertension and is categorized as World Health Organization as group 1. [3]
Local venous pressure falls to -5 at the apexes and rises to +15 mmHg at the bases, again for the erect lung. Pulmonary blood pressure is typically in the range 25–10 mmHg with a mean pressure of 15 mmHg. Regional arterial blood pressure is typically in the range 5 mmHg near the apex of the lung to 25 mmHg at the base.
The pulmonary artery pressure (PA pressure) is a measure of the blood pressure found in the main pulmonary artery. This is measured by inserting a catheter into the main pulmonary artery. [ 13 ] : 190–191 The mean pressure is typically 9–18 mmHg, [ 14 ] and the wedge pressure measured in the left atrium may be 6–12 mmHg.