Qp/Qs Calculator

Calculate pulmonary to systemic flow ratio for cardiac shunt assessment

Qp/Qs Calculation

Calculation Method

Echocardiographic Parameters

Normal: 20-30 mm
Normal: 15-20 cm
Normal: 18-24 mm
Normal: 18-25 cm

Qp/Qs Assessment Results

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Qp/Qs Ratio
Pulmonary/Systemic Flow Ratio
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Shunt Classification
Clinical Significance
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⚠️ Medical Disclaimer: This calculator is for educational purposes only. Qp/Qs ratios should be interpreted by qualified cardiologists in conjunction with clinical assessment and other diagnostic tests. Always consult your doctor for cardiac evaluation and treatment decisions.

Normal Values

Qp/Qs = 1.0
Normal balanced circulation
No significant shunt
Qp/Qs = 1.2-1.5
Mild left-to-right shunt
Usually well tolerated
Qp/Qs = 1.5-2.0
Moderate shunt
May need intervention
Qp/Qs > 2.0
Severe shunt
High risk complications

Quick Reference

Qp/Qs > 1: Left-to-right shunt

Qp/Qs < 1: Right-to-left shunt

Used for ASD, VSD, PDA assessment

Helps guide surgical intervention

Understanding Qp/Qs Ratio

What is Qp/Qs?

The Qp/Qs ratio represents the ratio of pulmonary flow (Qp) to systemic flow (Qs). This measurement helps quantify cardiac shunts and assess the severity of congenital or acquired heart defects that cause abnormal blood flow patterns.

Clinical Applications

  • Assess severity of cardiac shunts
  • Guide surgical intervention decisions
  • Monitor treatment effectiveness
  • Evaluate congenital heart defects

Calculation Methods

Echocardiography

Uses RVOT and LVOT measurements with velocity time integrals to calculate flow volumes.

Fick Principle

Uses oxygen saturation differences to calculate the shunt ratio based on oxygen content.

Direct Values

Direct calculation when pulmonary and systemic flow values are already known.

Common Cardiac Shunt Conditions

ConditionShunt DirectionTypical Qp/QsClinical Significance
ASD (Atrial Septal Defect)Left-to-right> 1.0Volume overload of right ventricle
VSD (Ventricular Septal Defect)Left-to-right> 1.0Pulmonary overcirculation
PDA (Patent Ductus Arteriosus)Left-to-right> 1.0Left heart volume overload
Tetralogy of FallotRight-to-left< 1.0Cyanosis and reduced oxygen