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Clinics in chest medicine · Sep 2015
ReviewManagement of Right Heart Failure in the Intensive Care Unit.
- Cyrus A Kholdani and Wassim H Fares.
- Pulmonary Vascular Disease Program, Pulmonary, Critical Care, & Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, 15 York Street, LCI 105, New Haven, CT 06510, USA.
- Clin. Chest Med. 2015 Sep 1; 36 (3): 511-20.
AbstractRight heart failure is a clinical syndrome of various causes that commonly involves failure of the right ventricle (RV). The hemodynamic hallmark of the syndrome is increasing central venous pressure and worsening cardiac output with a rising RV end-diastolic pressure. When dealing with RV failure, clinicians must assess and optimize the intravascular volume state, support RV contractility, and address any pathologic elevations of afterload so that systemic perfusion is preserved. Despite these measures, there may still be a need to offer rescue interventions to the failing RV in carefully selected patients.Copyright © 2015 Elsevier Inc. All rights reserved.
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