Right Ventricular Failure: Pathophysiology, Diagnosis and Treatment

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 an...

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Autores principales: Mattia Arrigo, Lars Christian Huber, Stephan Winnik, Fran Mikulicic, Federica Guidetti, Michelle Frank, Andreas J Flammer, Frank Ruschitzka
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2019
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Acceso en línea:https://doaj.org/article/4ac61afbc9d5450796021740d349679a
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spelling oai:doaj.org-article:4ac61afbc9d5450796021740d349679a2021-12-04T16:01:53ZRight Ventricular Failure: Pathophysiology, Diagnosis and Treatment10.15420/cfr.2019.15.22057-75592057-7540https://doaj.org/article/4ac61afbc9d5450796021740d349679a2019-11-01T00:00:00Zhttps://www.cfrjournal.com/articleindex/cfr.2019.15.2https://doaj.org/toc/2057-7540https://doaj.org/toc/2057-7559The 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.Mattia ArrigoLars Christian HuberStephan WinnikFran MikulicicFederica GuidettiMichelle FrankAndreas J FlammerFrank RuschitzkaRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCardiac Failure Review , Vol 5, Iss 3, Pp 140-146 (2019)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Mattia Arrigo
Lars Christian Huber
Stephan Winnik
Fran Mikulicic
Federica Guidetti
Michelle Frank
Andreas J Flammer
Frank Ruschitzka
Right Ventricular Failure: Pathophysiology, Diagnosis and Treatment
description 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.
format article
author Mattia Arrigo
Lars Christian Huber
Stephan Winnik
Fran Mikulicic
Federica Guidetti
Michelle Frank
Andreas J Flammer
Frank Ruschitzka
author_facet Mattia Arrigo
Lars Christian Huber
Stephan Winnik
Fran Mikulicic
Federica Guidetti
Michelle Frank
Andreas J Flammer
Frank Ruschitzka
author_sort Mattia Arrigo
title Right Ventricular Failure: Pathophysiology, Diagnosis and Treatment
title_short Right Ventricular Failure: Pathophysiology, Diagnosis and Treatment
title_full Right Ventricular Failure: Pathophysiology, Diagnosis and Treatment
title_fullStr Right Ventricular Failure: Pathophysiology, Diagnosis and Treatment
title_full_unstemmed Right Ventricular Failure: Pathophysiology, Diagnosis and Treatment
title_sort right ventricular failure: pathophysiology, diagnosis and treatment
publisher Radcliffe Medical Media
publishDate 2019
url https://doaj.org/article/4ac61afbc9d5450796021740d349679a
work_keys_str_mv AT mattiaarrigo rightventricularfailurepathophysiologydiagnosisandtreatment
AT larschristianhuber rightventricularfailurepathophysiologydiagnosisandtreatment
AT stephanwinnik rightventricularfailurepathophysiologydiagnosisandtreatment
AT franmikulicic rightventricularfailurepathophysiologydiagnosisandtreatment
AT federicaguidetti rightventricularfailurepathophysiologydiagnosisandtreatment
AT michellefrank rightventricularfailurepathophysiologydiagnosisandtreatment
AT andreasjflammer rightventricularfailurepathophysiologydiagnosisandtreatment
AT frankruschitzka rightventricularfailurepathophysiologydiagnosisandtreatment
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