Clinical library

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1,329 calculators and references across 60 specialties, with formula confidence shown up front.

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RLHC Calculator (Age > 3 Years)

Right and Left Heart Catheterization Calculator: Clinical explanation and context Overview Right and left heart catheterization is a procedure performed to measure intracardiac pressures and blood oxygen saturations for the purpose of calculating pulmonary and systemic blood flows and resistances. The calculations in this tool use the Fick principle to estimate pulmonary flow and systemic flow and then derive resista

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Rockall Upper GI Bleeding Score Calculator

Rockall Upper GI Bleeding Score Explanation and Clinical Context The Rockall score estimates risk of adverse outcome after an acute upper gastrointestinal bleeding episode. It combines three clinical variables available at admission that form the pre endoscopic score and two endoscopic variables that produce the complete score. Age contributes up to two points depending on age group. Hemodynamic status is captured by

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ROCKET-AF Heart Failure Subgroup Risk Index

— explanation and context This page presents an experimental composite index adapted to reflect the primary predictors and outcomes described in ROCKET-AF and its heart-failure subgroup analyses. The ROCKET-AF trial (rivaroxaban vs warfarin) enrolled a high-risk atrial fibrillation population and reported subgroup analyses examining outcomes among patients with heart failure, demonstrating that heart failure patients

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Romhilt-Estes Score (LVH) Calculator

Romhilt–Estes Point-Score System: Explanation and Clinical Context The Romhilt–Estes (R-E) point-score system is a composite electrocardiographic method developed to improve ECG detection of left ventricular hypertrophy by combining six ECG features (P-terminal force in V1, high QRS voltages, ST-T changes consistent with “strain”, left axis deviation, prolonged QRS duration, and delayed intrinsicoid deflection). Each

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ROPAC Registry Predictive Model (ESC 2020)

: Explanation and Clinical Context The ROPAC Registry Predictive Model, endorsed by the 2020 ESC Guidelines, provides an evidence-based estimate of 1-year mortality risk in patients with pregnancy-associated cardiovascular conditions or pre-existing heart disease. This logistic regression model incorporates patient age, NYHA functional class, left ventricular ejection fraction (LVEF), history of heart failure, presen

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ROSC and STEMI Immediate PCI Transfer Algorithm Tool

Explanation and Clinical Context This tool is intended for patients who have experienced out of hospital or in hospital cardiac arrest have achieved return of spontaneous circulation and subsequently are found to have an electrocardiographic pattern consistent with ST segment elevation myocardial infarction. The twenty twenty five American acute coronary syndromes guideline emphasizes that patients with return of spo

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Rp/Rs Ratio (Pulmonary/Systemic Resistance) Calculator

Rp/Rs Ratio (Pulmonary/Systemic Resistance): Explanation and Clinical Context The Rp/Rs ratio represents the relative resistance of the pulmonary circulation (PVR) to the systemic circulation (SVR). It is calculated as the pulmonary vascular resistance divided by the systemic vascular resistance, providing insight into the balance between pulmonary and systemic vascular loads. A normal Rp/Rs ratio is typically less t

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RSBI Mechanical Ventilation Weaning Index Calculator

RSBI Mechanical Ventilation Weaning Index Explanation and Clinical Context The rapid shallow breathing index known as RSBI is defined as the ratio of respiratory frequency to tidal volume in liters. It is calculated as respiratory rate divided by tidal volume in liters during spontaneous breathing conditions. RSBI measures the pattern of breathing and reflects the balance between respiratory drive and the ability of

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Rutherford Classification Calculator

Rutherford Classification: Explanation and Clinical Context Rutherford Classification is a widely accepted system for grading the severity of peripheral arterial disease (PAD). It stratifies patients from stage 0 (asymptomatic) to stage 6 (major tissue loss), incorporating claudication severity, presence of rest pain, and degree of tissue loss. Stage 0 represents no symptoms, stages 1-3 correspond to increasing sever

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RV Fractional Area Change (FAC) Calculator

Right Ventricular Fractional Area Change (FAC): definition, clinical meaning and evidence-based context RV FAC quantifies global right ventricular systolic function from an RV-focused apical four-chamber view by tracing the RV endocardial border in end-diastole and end-systole and applying the equation: FAC (%) = 100 × (RV end-diastolic area − RV end-systolic area) / RV end-diastolic area. The American Society of Ech

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RV/LV Ratio on Echo Calculator

Right Ventricle to Left Ventricle (RV/LV) Ratio on Echocardiography: Explanation and Clinical Context The RV/LV ratio is a measurement derived from echocardiography that compares the end-diastolic diameter of the right ventricle (RV) to the left ventricle (LV). It is widely used to assess right ventricular dilation, which can occur in conditions such as acute pulmonary embolism, pulmonary hypertension, right heart fa

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RVOT VTI Cardiac Output Calculator

RVOT VTI Cardiac Output Estimation in Pulmonary Hypertension: Explanation and Clinical Context RVOT VTI (Right Ventricular Outflow Tract Velocity Time Integral) is a Doppler echocardiography parameter used to estimate stroke volume and cardiac output, particularly in patients with pulmonary hypertension (PH). The stroke volume is calculated as the product of the RVOT cross-sectional area and the VTI, then multiplied