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What role does the right side of the heart play in circulation?

Cecconi, M; Johnston, E; Rhodes, A (2006) What role does the right side of the heart play in circulation? Critical Care, 10 Suppl 3 (S5). ISSN 1466-609X https://doi.org/10.1186/cc4832
SGUL Authors: Cecconi, Maurizio Rhodes, Andrew

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Abstract

Right ventricular failure (RVF) is an underestimated problem in intensive care. This review explores the physiology and pathophysiology of right ventricular function and the pulmonary circulation. When RVF is secondary to an acute increase in afterload, the picture is one of acute cor pulmonale, as occurs in the context of acute respiratory distress syndrome, pulmonary embolism and sepsis. RVF can also be caused by right myocardial dysfunction. Pulmonary arterial catheterization and echocardiography are discussed in terms of their roles in diagnosis and treatment. Treatments include options to reduce right ventricular afterload, specific pulmonary vasodilators and inotropes.

Item Type: Article
Additional Information: © 2006 BioMed Central Ltd. Made available with permission from the publisher.
Keywords: Cardiotonic Agents, Catheterization, Swan-Ganz, Critical Care, Echocardiography, Fluid Therapy, Heart Failure, Humans, Hypoventilation, Myocardial Infarction, Pulmonary Circulation, Pulmonary Embolism, Respiration, Artificial, Respiratory Distress Syndrome, Adult, Sepsis, Vasoconstrictor Agents, Vasodilator Agents, Ventricular Dysfunction, Right, Ventricular Function, Right, 11 Medical And Health Sciences
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE )
Journal or Publication Title: Critical Care
ISSN: 1466-609X
Language: eng
Dates:
DateEvent
27 November 2006Published
PubMed ID: 17164017
Go to PubMed abstract
URI: http://sgultest.da.ulcc.ac.uk/id/eprint/107223
Publisher's version: https://doi.org/10.1186/cc4832

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