Right ventricular failure management

Autor: Shahrukh N Bakar, Sangyang Jia, Stuart J Smith
Rok vydání: 2018
Předmět:
Zdroj: Current opinion in cardiology. 34(2)
ISSN: 1531-7080
Popis: Purpose of review Review recent advances in the diagnosis and management of right ventricular (RV) failure. Recent findings Temporary and durable device-based management of RV failure has emerging applications. Summary Research advances and clinical management in RV failure have been limited by a lack of consensus on a universal definition. Echocardiographic and cardiac MRI-based predictors of RV failure are imperfect. Combinations of hemodynamic and imaging variables may have better predictive value. Loading conditions and ventriculo-arterial coupling play important roles in RV function. The current treatment approach to RV failure includes a combination of inotropy and vasodilatation but lacks conclusive evidence. Emerging biochemical and molecular targets hold promise but have yet to be proven in human studies.
Databáze: OpenAIRE