Blood pressure: (central) venous
Venous
pressure
Venous pressure is the blood pressure (BP) in a vein or
in the atria of the heart. It is much less than arterial BP, with common values
of 5 mmHg in the right atrium and 8 mmHg in the left atrium.
Measurement of pressures in the venous system and the pulmonary vessels plays
an important role in intensive care medicine but requires invasive techniques.
Central venous
pressure
Central venous pressure (CVP)
describes the pressure of blood in the thoracic vena cava, near the right
atrium. CVP reflects the amount of blood returning to the heart and the ability
of the heart to pump the blood into the arterial system. It is a good
approximation of right atrial pressure, which is a major determinant of right
ventricular end diastolic volume (right ventricular preload).
CVP can be measured by connecting the patient's central
venous catheter to a special infusion set which is connected to a small
diameter water column. If the water column is calibrated properly the height of
the column indicates the CVP.