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18-12-2023 | Implantable Cardioverter Defibrillator | Cardiovascular Critical Care (A Higgins and R Lee, Section Editors)

Medical and Mechanical Circulatory Support of the Failing Right Ventricle

Authors: Eugene Yuriditsky, Meshe Chonde, Oren Friedman, James M. Horowitz

Published in: Current Cardiology Reports | Issue 2/2024

Abstract

Purpose of Review

To describe medical therapies and mechanical circulatory support devices used in the treatment of acute right ventricular failure.

Recent Findings

Experts have proposed several algorithms providing a stepwise approach to medical optimization of acute right ventricular failure including tailored volume administration, ideal vasopressor selection to support coronary perfusion, inotropes to restore contractility, and pulmonary vasodilators to improve afterload. Studies have investigated various percutaneous and surgically implanted right ventricular assist devices in several clinical settings.

Summary

The initial management of acute right ventricular failure is often guided by invasive hemodynamic data tracking parameters of circulatory function with the use of pharmacologic therapies. Percutaneous microaxial and centrifugal extracorporeal pumps bypass the failing RV and support circulatory function in severe cases of right ventricular failure.

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Title: Medical and Mechanical Circulatory Support of the Failing Right Ventricle
Authors: Eugene Yuriditsky
Meshe Chonde
Oren Friedman
James M. Horowitz
Publication date: 18-12-2023
Publisher: Springer US
Keywords: Implantable Cardioverter Defibrillator
ECMO
ECMO
CSF Drainage
Published in: Current Cardiology Reports / Issue 2/2024
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-023-02012-3

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Springer Medicine

Medical and Mechanical Circulatory Support of the Failing Right Ventricle

Abstract

Purpose of Review

Recent Findings

Summary

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Abstract

Purpose of Review

Recent Findings

Summary

Please log in to get access to this content

2024 ESC Congress

Noise pollution dangerous for heart health

Post-TAVI follow up: deploying virtual assistants

Antihypertensives: more effective at morning or night?

Low Lp(a) levels unlikely to increase the risk of diabetes

» View more highlights on the 2024 ESC Congress hub page

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Keynote webinar | Spotlight on medication adherence