CO (volume of blood pumped with each heartbeat) there is a variation of
volume of blood pumped with each
stroke to maintain a balance between left and right side blood flow) and abviously PAP will vary accordingly (stronger heartbeat,higher PAP.
If there are blockages (clots) in the lungs or pulmonary artery (increase of resistance the heart pumps against, and/or if there is narrowing, stiff pulmonary vessel the more resistance (increase of resistance will cause higher PAP).