Right Ventricular Failure: Pathophysiology, Diagnosis and Treatment.
- Arrigo M Department of Cardiology, University Hospital Zurich Zurich, Switzerland.
- Huber LC Department of Internal Medicine, Clinic for Internal Medicine, City Hospital Triemli Zurich, Switzerland.
- Winnik S Department of Cardiology, University Hospital Zurich Zurich, Switzerland.
- Mikulicic F Department of Cardiology, University Hospital Zurich Zurich, Switzerland.
- Guidetti F Department of Cardiology, University Hospital Zurich Zurich, Switzerland.
- Frank M Department of Cardiology, University Hospital Zurich Zurich, Switzerland.
- Flammer AJ Department of Cardiology, University Hospital Zurich Zurich, Switzerland.
- Ruschitzka F Department of Cardiology, University Hospital Zurich Zurich, Switzerland.
- 2019-11-27
Published in:
- Cardiac failure review. - 2019
Right heart failure
management
mechanical circulatory support
pathophysiology
right ventricular failure
treatment
English
The prognostic significance of the right ventricle (RV) has recently been recognised in several conditions, primarily those involving the left ventricle, the lungs and their vascular bed, or the right-sided chambers. Recent advances in imaging techniques have created new opportunities to study RV anatomy, physiology and pathophysiology, and contemporary research efforts have opened the doors to new treatment possibilities. Nevertheless, the treatment of RV failure remains challenging. Optimal management should consider the anatomical and physiological particularities of the RV and include appropriate imaging techniques to understand the underlying pathophysiological mechanisms. Treatment should include rapid optimisation of volume status, restoration of perfusion pressure and improvement of myocardial contractility and rhythm, and, in case of refractory RV failure, mechanical circulatory support.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.15420/cfr.2019.15.2
- PMID 31768270
- Persistent URL
- https://sonar.ch/global/documents/215501
Statistics
Document views: 5
File downloads:
- fulltext.pdf: 0