Right Ventricular Systolic Pressure (RVSP) Calculator

Determines the Right Ventricular Systolic Pressure based on the TR jet maximum velocity by spectral Doppler to evaluate stenosis.

Refer to the text below the tool for more information about the RVSP and its normal range values.


The Right ventricular systolic pressure (RVSP) may be used in the evaluation of pulmonary valve stenosis. It is based on measuring the TR jet maximum velocity by continuous wave (CW) spectral Doppler.

If there is no significant stenosis then the RVSP may be equivalent to the systolic pulmonary artery pressure (SPAP).


RVSP = 4 x (TR Vmax)2 + RAP

Where:

  • TR Vmax = TR Max Jet Velocity in m/s;
  • RAP = Right Atrial Pressure (3, 8 or 15 mmHg or other value);
  • RVSP = Right Ventricular Systolic Pressure in mmHg.

RVSP Interpretaion by Age Group

Age group RVSP normal range (mmHg)
<50 years 16 - 39
50 - 75 years 15 - 45
>75 years 17 - 52

TR Max Jet Velocity (TR Vmax)
Right Atrial Pressure (RAP)
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Right Ventricular Systolic Pressure Explained

The right ventricular systolic pressure (RVSP) may be used in the evaluation of pulmonary valve stenosis. It is based on measuring the TR jet maximum velocity by continuous wave (CW) spectral Doppler.

If there is no significant stenosis then the RVSP may be equivalent to the systolic pulmonary artery pressure (SPAP).

  • RVSP = 4 x (TR Vmax)2 + RAP

Where:

  • TR Vmax = TR Max Jet Velocity in m/s;
  • RAP = Right Atrial Pressure (3, 8 or 15 mmHg or other value);
  • RVSP = Right Ventricular Systolic Pressure in mmHg.

RVSP may be interpreted by age group as follows:

Age group RVSP normal range (mmHg)
<50 years 16 - 39
50 - 75 years 15 - 45
>75 years 17 - 52

Right atrial pressure may be elevated due to restrictive filling, tricuspid E/E’>6 or diastolic flow predominance in hepatic vein.

 

References

Rudski LG, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography. J Am Soc Echocardiogr. 2010; 23(7):687-8, 691-2, 698-9.

Yock PG, et al. Noninvasive estimation of right ventricular systolic pressure by Doppler ultrasound in patients with tricuspid regurgitation. Circulation. 1984; 70(4):657-62.

Armstrong DW, Tsimiklis G, Matangi MF. Factors influencing the echocardiographic estimate of right ventricular systolic pressure in normal patients and clinically relevant ranges according to age. Can J Cardiol. 2010; 26(2):e35-9.


Specialty: Cardiology

System: Cardiovascular

Abbreviation: RVSP

Article By: Denise Nedea

Published On: July 16, 2020

Last Checked: July 16, 2020

Next Review: July 16, 2025