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When a ventricQlar septa1 defect (VSD) is present, with no aortic stenosis, the peak velocitgr across the defect reflects the difference in pressure between the right ventricle and left ventricle. The higher the VSD velociq, the lower the RV pressure. RV pressure = arm BP-VSD gradient
Example:
Arm BP = 120 WAD velocity = 3 dsec ΔP = 4 (3)2 = 36 mmHg RV pressure 120 mrnHg-36 mmHg * 84 mmHg In the absence df pulmonic stenosis, right ventricular systolic pressure should be equivblent to pulmonary artery systolic pressure.
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