A patient with a mitral valve stenosis is most likely to have ...

[jjjetplane]

A patient with a mitral valve stenosis is most likely to have which of the following pulmonary artery occlusion pressure (PAOP) values?
 
  a. 4 mm Hg
  b. 6 mm Hg
  c. 12 mm Hg
  d. 20 mm Hg

Question 2

Which of the following is the hemodynamic measurement that is indicative of a patient with right heart failure?
 
  a. Pulmonary artery occlusion pressure (PAOP) = 12 mm Hg
  b. Central venous pressure (CVP) = 16 mm Hg
  c. Pulmonary artery pressure (PAP) = 35/15 mm Hg
  d. Mean arterial pressure (MAP) = 80 mm Hg

[reelove4eva]

Answer to Question 1

ANS: D
The normal range for pulmonary artery occlusion pressure (PAOP) is 5-12 mm Hg. Mitral valve stenosis is the cause of an abnormally high PAOP. Therefore the value of 20 mm Hg is the cor-rect answer.

Answer to Question 2

ANS: B
The normal range for pulmonary artery occlusion pressure (PAOP) is 5-12 mm Hg, for central venous pressure (CVP) 2-6 mm Hg, for pulmonary artery pressure (PAP) 15-35/5-15 mm Hg, and for mean arterial pressure (MAP) 70-100 mm Hg. Right heart failure causes the CVP to increase significantly. Answer B shows a CVP that is greatly increased and is therefore indicative of right heart failure.