Hello Awesomites! :D
Qp/Qs =Shunt fraction or shunt flow (where p=pulmonary s=systemic)
-Ratio >1 left to right shunt suggestive of more pulmonary flow than systemic flow.
If VSD has a ratio >2:1 then indication for surgery.
-Ratio <1 Right to left shunt
NOTE: Supracristal VSD needs surgery always as associated with AR or PS.
-UPASANA Y.
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