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Hemodynamic measurements in patients with intrahepatic causes of portal hypertension

Hemodynamic measurements in patients with intrahepatic causes of portal hypertension
Hemodynamic measurement Site of resistance to portal blood flow
Pre-sinusoidal Sinusoidal Post-sinusoidal
FHVP Normal Normal Increased
WHVP Normal or slightly increased Increased Increased
HVPG* (WHVP – FHVP) Normal or slightly increased Increased Normal
FHVP: free hepatic venous pressure; HVPG: hepatic venous pressure gradient; WHVP: wedged hepatic venous pressure.
* Normally, the HVPG is ≤5 mmHg. Values between 6 and 9 mmHg are associated with "subclinical" portal hypertension, whereas values ≥10 mmHg are associated with the complications of portal hypertension (eg, varices, ascites).
Graphic 90916 Version 2.0