# What is normal stroke volume variation?

Normal SVV values are less than 10-15% on controlled mechanical ventilation. The figures below demonstrate using SVV as a guide for volume resuscitation with a goal SVV of <13%. SVV increased to 19% with a stroke volume (SV) of 43 ml/beat, blood and saline were given to obtain a SVV of 6% and a SV of 58 ml/beat.
A.

### What is a normal pulse pressure variation?

Pulse pressure is the difference between the systolic blood pressure and the diastolic blood pressure. The normal range for the pulse pressure is between 30 to 50 mmHg. A few examples of pulse pressure variation in several processes in the body are: Low blood volume, known as hypovolemia, will increase pulse pressure.
• #### How do you test for Pulsus Paradoxus?

To measure the pulsus paradoxus, place a blood pressure cuff on the patients arm and very very slowly deflate the cuff while listening for brachial pulsations. Note the pressure that you first hear with pulsations during expiration (which will be the highest).
• #### What is a Pulsus Paradoxus?

Pulsus paradoxus, also paradoxic pulse or paradoxical pulse, is an abnormally large decrease in stroke volume, systolic blood pressure and pulse wave amplitude during inspiration. The normal fall in pressure is less than 10 mmHg.
• #### Why is it important to know mean arterial pressure?

where DBP and SBP are diastolic and systolic blood pressure, respectively. Mean arterial pressure is a useful concept because it can be used to calculate overall blood flow, and thus delivery of nutrients to the various organs. It is a good indicator of perfusion pressure (ΔP).
B.

### What can affect pulse pressure?

Pulse Pressure. The pulse pressure is calculated by subtracting the diastolic pressure from the systolic pressure. In other words, it is the change in pressure from the diastolic level to the systolic level. It is determined by two factors, the stroke volume and the compliance of the arterial system.
• #### What affects the mean arterial pressure?

Mean arterial pressure is regulated by changes in cardiac output and systemic vascular resistance. The following scheme summarizes the factors that regulate cardiac output and systemic vascular resistance. Cardiac output is determined by the product of stroke volume and heart rate.
• #### What leads to an increase in cardiac output?

Your heart can also increase its stroke volume by pumping more forcefully or increasing the amount of blood that fills the left ventricle before it pumps. Generally speaking, your heart beats both faster and stronger to increase cardiac output during exercise.
• #### What is a pulse deficit and what does it indicate?

1. The absence of palpable pulse waves in a peripheral artery for one or more heartbeats, as is often seen in atrial fibrillation; the condition indicates lack of peripheral perfusion. 2. The number of such missing pulse waves (usually expressed as heart rate minus pulse rate per minute).
C.

### What is a good pulse pressure?

Pulse pressure is the difference between the systolic and diastolic blood pressure. It is measured in millimeters of mercury (mmHg). It represents the force that the heart generates each time it contracts. For example, if resting blood pressure is 120/80 mm Hg, then the pulse pressure is 40 mmHg.
• #### How do you calculate mean arterial pressure?

The simple way to calculate the patients MAP is to use the following formula: MAP = [ (2 x diastolic) + systolic ] divided by 3. The reason that the diastolic value is multiplied by 2, is that the diastolic portion of the cardiac cycle is twice as long as the systolic.
• #### What is the volume of the pulse?

What is a pulse volume recording (PVR) study? A PVR study is a noninvasive vascular test in which blood pressure cuffs and a hand-held ultrasound device (called a Doppler or transducer) are used to obtain information about arterial blood flow in the arms and legs.
• #### What should your pulse pressure be?

The numeric difference between your systolic and diastolic blood pressure is called your pulse pressure. For example, if your resting blood pressure is 120/80 millimeters of mercury (mm Hg), your pulse pressure is 40. However, systolic and diastolic pressure should also be considered alongside pulse pressure values.

Updated: 15th August 2018