Qp/Qs Pulmonary-to-Systemic Flow Ratio

Pulmonary-to-systemic flow ratio (Qp:Qs) for intracardiac shunts: (SaO₂ − MvO₂) ÷ (PvO₂ − PaO₂), from the four saturations of a shunt run.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Systemic-arterial SaO₂
95 %
Mixed-venous MvO₂
60 %
Pulmonary-vein PvO₂
98 %
Pulmonary-artery PaO₂
85 %

Result: Qp/Qs 2.69 — large left-to-right shunt.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Interpretation
≈ 1 no net shunt; small 1.1–1.5, moderate 1.5–2.0, large > 2.0 (closure often considered); < 1 net right-to-left.

What you enter

  • Systemic-arterial SaO₂
  • Mixed-venous MvO₂
  • Pulmonary-vein PvO₂ (default 98)
  • Pulmonary-artery PaO₂
How this is calculated
Formula
Qp/Qs = (SaO₂ − MvO₂) / (PvO₂ − PaO₂).

Wilkinson JL. Haemodynamic calculations in the catheter laboratory. Heart. 2001;85(1):113-120. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.