RCIS Formula Sheet

Every calculation the RCIS exam expects you to know — output, pressures, resistances, valve area, shunts, oxygen, and QTc — on one printable page.

🩺 Reviewed by our Editorial Team⏱ 3 min read🗓 Updated July 2026

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Educational use only — not medical advice. Values are standard adult references; always confirm against current guidelines and your institution’s protocols.

Cardiac output & flow

QuantityFormula
Fick cardiac outputCO = VO₂ ÷ (1.36 × Hgb × 10 × (SaO₂ − SvO₂))
Cardiac indexCI = CO ÷ BSA
Stroke volumeSV = (CO × 1000) ÷ HR
Stroke volume indexSVI = SV ÷ BSA
Ejection fractionEF = (EDV − ESV) ÷ EDV × 100

Pressures

QuantityFormula
Mean arterial pressureMAP = DBP + ⅓ (SBP − DBP)
Pulse pressurePP = SBP − DBP
Coronary perfusion pressureCPP = aortic DBP − PCWP (or LVEDP)
Rate-pressure productRPP = HR × SBP

Vascular resistance

QuantityFormula
Systemic vascular resistanceSVR = (MAP − CVP) ÷ CO × 80
Pulmonary vascular resistancePVR = (mPAP − PCWP) ÷ CO × 80
PVR in Wood unitsPVR = (mPAP − PCWP) ÷ CO

Valve area

QuantityFormula
Gorlin (aortic valve area)AVA = flow ÷ (44.3 × √mean gradient), flow = CO(mL/min) ÷ (SEP × HR)
Hakki (quick estimate)AVA ≈ CO ÷ √(peak gradient)
Mitral valve area (pressure half-time)MVA ≈ 220 ÷ PHT

Shunt

QuantityFormula
Qp:Qs (shunt ratio)(SaO₂ − MvO₂) ÷ (PvO₂ − PaO₂)

SaO₂ = systemic arterial, MvO₂ = mixed venous, PvO₂ = pulmonary vein, PaO₂ = pulmonary artery. A ratio > 1.5–2.0 is significant.

Oxygen

QuantityFormula
Arterial O₂ contentCaO₂ = (1.34 × Hgb × SaO₂) + (0.003 × PaO₂)
Oxygen deliveryDO₂ = CO × CaO₂ × 10
Oxygen extraction ratio(SaO₂ − SvO₂) ÷ SaO₂ × 100
Oxygen consumption (reverse Fick)VO₂ = CO × (CaO₂ − CvO₂) × 10

ECG & other

QuantityFormula
QTc (Bazett)QTc = QT ÷ √RR
QTc (Fridericia)QTc = QT ÷ ∛RR
Heart rate (regular)300 ÷ large boxes, or 1500 ÷ small boxes
Heart rate (irregular)QRS complexes in 6 s × 10
Body surface area (Mosteller)BSA = √(height cm × weight kg ÷ 3600)
Wall stress (Laplace)σ = (P × r) ÷ (2 × h)

Practise applying these under time pressure with the free calculations question bank, or check your work with the QTc calculator and hemodynamic calculator.

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Frequently asked questions

What is the Fick formula for cardiac output?

CO = VO₂ ÷ (1.36 × Hgb × 10 × (SaO₂ − SvO₂)). It divides oxygen consumption by the arteriovenous oxygen difference.

How do you calculate SVR?

SVR = (MAP − CVP) ÷ CO × 80, giving dynes·s·cm⁻⁵ (normal 800–1200). Drop the ×80 for Wood units.

What is the difference between the Gorlin and Hakki formulas?

Both estimate valve area. Gorlin is the full hemodynamic formula using flow and mean gradient; Hakki (CO ÷ √peak gradient) is a quick bedside approximation.

Can I print this RCIS formula sheet?

Yes — use the 'Print / Save as PDF' button at the top for a clean one-page copy.

Sources & further reading

External links are provided for reference; always confirm current details with the official source.

RCIS Practice Test Editorial Team

Our content is written and reviewed by contributors with cardiovascular and allied-health backgrounds, grounded in standard references and the official CCI exam domains. Educational use only — not medical advice. See our editorial policy.