Acute Right Ventricular Dysfunction in Intensive Care Unit

The role of the left ventricle in ICU patients with circulatory shock has long been considered. However, acute right ventricle (RV) dysfunction causes and aggravates many common critical diseases (acute respiratory distress syndrome, pulmonary embolism, acute myocardial infarction, and postoperative...

Full description

Saved in:
Bibliographic Details
Published in:BioMed research international 2017-01, Vol.2017 (2017), p.1-15
Main Authors: Grignola, Juan C., Domingo, Enric
Format: Article
Language:English
Subjects:
Biomarkers
Cardiology
Cardiomyocytes
Care and treatment
Complications and side effects
Critical care
Diagnosis
Electric countershock
Embolism
Embolisms
Endocarditis
Epidemiology
Fluid management
Heart
Heart diseases
Heart failure
Heart surgery
Intensive care
Mechanical ventilation
Medicine
Mortality
Myocardial infarction
Patient outcomes
Patients
Physiological aspects
Pulmonary hypertension
Respiratory distress syndrome
Review
Surgery
Thoracic surgery
Vasoactive agents
Ventilation
Ventricle
Ventricular fibrillation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The role of the left ventricle in ICU patients with circulatory shock has long been considered. However, acute right ventricle (RV) dysfunction causes and aggravates many common critical diseases (acute respiratory distress syndrome, pulmonary embolism, acute myocardial infarction, and postoperative cardiac surgery). Several supportive therapies, including mechanical ventilation and fluid management, can make RV dysfunction worse, potentially exacerbating shock. We briefly review the epidemiology, pathophysiology, diagnosis, and recommendations to guide management of acute RV dysfunction in ICU patients. Our aim is to clarify the complex effects of mechanical ventilation, fluid therapy, vasoactive drug infusions, and other therapies to resuscitate the critical patient optimally.
ISSN:2314-6133
2314-6141
DOI:10.1155/2017/8217105