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Monday, August 18, 2025

RVSP/Pulmonary Hypertension Workup – Quick Reference

RVSP / PH Workup – Quick Reference

Enter what you have (TR Vmax and RAP, or RVSP and RAP). The tool will solve the missing value, classify PH likelihood, and suggest next steps.

Inputs

m/s
mmHg
mmHg
Formula: RVSP = 4 × (TR Vmax)² + RAP

Supportive Echo Signs (check what’s present)

Category A – RV/RA




Category B – Septum/LV

Category C – PA/IVC


Symptoms / Context (optional)





Results

Enter values and click Calculate.

Suggested Next Step

Reference cutoffs & logic (tap to view)
  • TR Vmax ≤ 2.8 m/s (RVSP ≲ 36 mmHg with RAP 3–5): PH unlikely.
  • TR Vmax 2.9–3.4 m/s (RVSP ~ 37–50 mmHg): PH possible.
  • TR Vmax > 3.4 m/s (RVSP > 50 mmHg): PH likely.
  • Upgrade suspicion if ≥2 supportive signs across ≥2 categories (A/B/C).
  • Assume PASP ≈ RVSP only if no RVOT obstruction or significant PR.

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