Memory Game CVP/PAOnline version A fun interactive way to learn more about advanced hemodynamic monitoring! by Jenner black Cause of large a-waves in your CVP reading Normal PAOP Tricuspid Stenosis Zone 3 What does the a-wave represent in a CVP reading The last part of relaxation, just before contraction the stretch of the heart muscle before contraction 15 RA systole Elevated CVP Tricuspid Valve closure 2:1 Preload End diastolic CVP increase from PEEP C wave Ideal zone for the PA catheter tip to sit Decreased compliance in ventricle